The Impact of Perceived Need and Relational Factors on Mental Health Service Use Among Generations of Asian Americans
Autor: | Shanyang Zhao, Grace X. Ma, Zvi D. Gellis, Philip C. Kendall, Minsun Lee, Lin Zhu, David T. Takeuchi |
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Rok vydání: | 2016 |
Předmět: |
Adult
Male Mental Health Services Gerontology Health (social science) Family conflict Logistic regression Mental health service 03 medical and health sciences Social support Sex Factors 0302 clinical medicine Asian americans Humans 030212 general & internal medicine Asian Age Factors Public Health Environmental and Occupational Health Social Support Middle Aged Patient Acceptance of Health Care Family cohesion Mental health United States 030227 psychiatry Logistic Models Socioeconomic Factors Female Perception Family Relations Psychology Intergenerational differences |
Zdroj: | Journal of Community Health. 42:688-700 |
ISSN: | 1573-3610 0094-5145 |
Popis: | The present study examined generational differences in the patterns and predictors of formal and informal mental health service utilization among a nationally representative sample of 1850 Asian Americans from the National Latino and Asian American Study. We focused on the effects of perceived need and relational factors on service utilization among 1st-, 1.5-, and 2nd-generation Asian Americans. Results of hierarchical logistic regression showed significant intergenerational differences. Specifically, 1.5-generation Asian Americans exhibited distinctive pattern of service use, with perceived need being associated with a higher likelihood of using formal mental health services, but only for those with high level of social support. First- and second-generation Asian Americans, on the other hand, perceived need was independently associated with formal service use, and a significant predictor of informal service use for first generation. Greater family conflict was also associated with greater use of formal and informal services for both first- and second generations. However, family cohesion was associated with only informal service use among first -generation Asian Americans. Implications for mental health service policy were discussed. |
Databáze: | OpenAIRE |
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