Acculturation, Perceptions about Seeking Mental Health Care, and Utilization of Mental Health Services among US-based South Asians.

IF 3.4 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Ethnicity & Disease Pub Date : 2024-10-22 eCollection Date: 2024-10-01 DOI:10.18865/EthnDis-2024-10

Reet Kapur, Konya Badsa, Farzana Kapadia

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引用次数: 0

Abstract

Objectives: To examine the relationship between acculturation, cultural perceptions surrounding mental health (MH) burden and utilization of MH services among South Asian (SA) adults in the United States.

Design: Cross-sectional study.

Setting: Online survey.

Participants: Four hundred five SA adults (≥18 years old) residing in the United States.

Methods: Cross-sectional study of acculturation, attitudes toward MH burden, and MH service utilization was conducted via online survey. Multivariate logistic regression models were employed to understand how these factors were associated with MH service utilization.

Main outcome measure: Utilization of MH services.

Results: Among the 405 participants, 49.0% identified as immigrants (75.1% Indian, 8% Bangladeshi, 5.5% Pakistani, and 3.8% from other SA countries). Current utilization of MH services was associated with comfort conversing in English (odds ration [OR]=5.99; 95% confidence interval [CI]=1.63, 27.02), having English-speaking peers (OR=3.80; 95% CI=1.12, 12.93), and having family (OR=2.37; 95% CI=1.21, 4.64) and peers (OR=5.64; 95% CI=1.71, 18.66) who used MH services. Participants with mostly SA peers (OR=0.48; 95% CI=0.23, 0.97) reported lower lifetime MH service utilization, and those with positive perceptions about MH burden reported higher lifetime utilization (OR=1.04; 95% CI=1.01, 1.09).

Conclusions: Comfort expressing emotions in English, knowledge of family/peer MH service use, and type of social connections were associated with MH service utilization among SA immigrants. Interventions should aim to increase SA languages in which MH services are offered and to engage with SA communities to increase acceptance of MH service utilization.

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美国南亚人的文化适应性、对寻求心理保健的看法以及对心理保健服务的利用。

目的：研究美国南亚成年人的文化适应、对心理健康（MH）负担的文化认知与使用心理健康服务之间的关系：研究美国南亚（SA）成年人的文化适应、围绕心理健康（MH）负担的文化观念和利用心理健康服务之间的关系：设计：横断面研究：调查：在线调查：45 名居住在美国的南亚成年人（≥18 岁）：方法：通过在线调查对文化适应、对精神健康负担的态度以及精神健康服务利用情况进行横断面研究。采用多变量逻辑回归模型来了解这些因素与心理健康服务利用率之间的关系。主要结果指标：心理健康服务利用率：在 405 名参与者中，49.0% 自认为是移民（75.1% 印度人、8% 孟加拉人、5.5% 巴基斯坦人和 3.8% 来自南澳大利亚其他国家）。目前使用心理健康服务与以下因素有关：能用英语自如交谈（几率比例[OR]=5.99；95% 置信区间[CI]=1.63, 27.02）；有说英语的同伴（OR=3.80；95% CI=1.12, 12.93）；有使用心理健康服务的家人（OR=2.37；95% CI=1.21, 4.64）和同伴（OR=5.64；95% CI=1.71, 18.66）。参与者的同伴大多是自闭症患者（OR=0.48；95% CI=0.23，0.97），他们终生使用心理健康服务的比例较低，而对心理健康负担有积极看法的参与者终生使用心理健康服务的比例较高（OR=1.04；95% CI=1.01，1.09）：结论：在南澳大利亚移民中，用英语表达情绪的自如程度、对家庭/同伴使用心理健康服务的了解以及社会关系类型与心理健康服务的利用率相关。干预措施应旨在增加提供心理健康服务的南澳大利亚语种，并与南澳大利亚社区接触，以提高对心理健康服务使用的接受度。

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来源期刊

Ethnicity & Disease 医学-公共卫生、环境卫生与职业卫生

CiteScore

6.30

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Ethnicity & Disease is an international journal that exclusively publishes information on the causal and associative relationships in the etiology of common illnesses through the study of ethnic patterns of disease. Topics focus on: ethnic differentials in disease rates;impact of migration on health status; social and ethnic factors related to health care access and health; and metabolic epidemiology. A major priority of the journal is to provide a forum for exchange between the United States and the developing countries of Europe, Africa, Asia, and Latin America.