Pub Date : 2018-11-08DOI: 10.1177/2156869318810326
K. Marcussen, M. Gallagher, C. Ritter
In this study, we examine the relationships among reflected appraisals, self-views, and well-being for individuals diagnosed with severe and persistent mental illness. We also test a perceptual control model of identity to determine whether discrepancies between stigmatized reflected appraisals and stigmatized self-views are associated with self-evaluation (self-esteem and self-efficacy) and psychological distress (depressive symptoms). We find that stigmatized self-views are significantly associated with lower self-esteem and self-efficacy and higher levels of depressive symptoms. Stigmatized reflected appraisals are also associated with lower self-efficacy and higher depressive symptoms but are not associated with self-esteem. As predicted, discrepancies between reflected appraisals and self-views are associated with lower levels of self-efficacy and higher levels of depressive symptoms; however, we do not find a relationship between identity discrepancy and self-esteem. We discuss the implications of our findings for identity and stigma research.
{"title":"Mental Illness as a Stigmatized Identity","authors":"K. Marcussen, M. Gallagher, C. Ritter","doi":"10.1177/2156869318810326","DOIUrl":"https://doi.org/10.1177/2156869318810326","url":null,"abstract":"In this study, we examine the relationships among reflected appraisals, self-views, and well-being for individuals diagnosed with severe and persistent mental illness. We also test a perceptual control model of identity to determine whether discrepancies between stigmatized reflected appraisals and stigmatized self-views are associated with self-evaluation (self-esteem and self-efficacy) and psychological distress (depressive symptoms). We find that stigmatized self-views are significantly associated with lower self-esteem and self-efficacy and higher levels of depressive symptoms. Stigmatized reflected appraisals are also associated with lower self-efficacy and higher depressive symptoms but are not associated with self-esteem. As predicted, discrepancies between reflected appraisals and self-views are associated with lower levels of self-efficacy and higher levels of depressive symptoms; however, we do not find a relationship between identity discrepancy and self-esteem. We discuss the implications of our findings for identity and stigma research.","PeriodicalId":46146,"journal":{"name":"Society and Mental Health","volume":"9 1","pages":"211 - 227"},"PeriodicalIF":5.1,"publicationDate":"2018-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2156869318810326","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44169671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-11-01DOI: 10.1177/2156869317748713
Matthew May
Religious affiliation is generally associated with better mental health. The nonreligious, however, currently constitute one of the fastest-growing religious categories in the United States. Since most of the nonreligious were raised in religious homes, their growth raises important questions about the mental health of those who consider dropping out of religion. In this article, I use longitudinal data from the Portraits of American Life Study to examine the impact of religious affiliation on mental health. Specifically, I compare individuals who dropped out of religion (leavers) with individuals who considered dropping out (stayers) and individuals who are more consistent in their religious (stable affiliates) and nonreligious (stable Nones) affiliations. I find that stayers experience more depressive symptoms than any other group and that they experience a greater increase in depressive symptoms over time. My findings are consistent with identity theories in sociology, and they provide evidence that a strong religious or secular identity is an important contributor to mental health.
{"title":"Should I Stay or Should I Go? Religious (Dis)Affiliation and Depressive Symptomatology","authors":"Matthew May","doi":"10.1177/2156869317748713","DOIUrl":"https://doi.org/10.1177/2156869317748713","url":null,"abstract":"Religious affiliation is generally associated with better mental health. The nonreligious, however, currently constitute one of the fastest-growing religious categories in the United States. Since most of the nonreligious were raised in religious homes, their growth raises important questions about the mental health of those who consider dropping out of religion. In this article, I use longitudinal data from the Portraits of American Life Study to examine the impact of religious affiliation on mental health. Specifically, I compare individuals who dropped out of religion (leavers) with individuals who considered dropping out (stayers) and individuals who are more consistent in their religious (stable affiliates) and nonreligious (stable Nones) affiliations. I find that stayers experience more depressive symptoms than any other group and that they experience a greater increase in depressive symptoms over time. My findings are consistent with identity theories in sociology, and they provide evidence that a strong religious or secular identity is an important contributor to mental health.","PeriodicalId":46146,"journal":{"name":"Society and Mental Health","volume":"8 1","pages":"214 - 230"},"PeriodicalIF":5.1,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2156869317748713","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48647158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-11-01DOI: 10.1177/2156869317731603
Lisa A. Strohschein, A. Gauthier
Although the detrimental effects of poverty on child mental health are well established, questions remain as to which aspects of poverty matter most and which mechanisms account for the association. This study tested the relative influence of depth of current poverty and poverty duration on child anxiety/depression and antisocial behavior, then evaluated whether parenting practices mediated observed associations. Data come from four waves of the Canadian National Longitudinal Survey of Children and Youth (1994–2000), with analysis restricted to children who were aged 2 to 5 at initial interview and lived with both biological parents throughout (n = 1,901). Depth of current poverty was associated with child anxiety/depression, whereas persistent poverty was associated with child antisocial behavior. Parenting behaviors were significant predictors but did not mediate the association between poverty dynamics and child mental health. The research and policy implications of these findings are discussed.
{"title":"Poverty Dynamics, Parenting, and Child Mental Health in Canada","authors":"Lisa A. Strohschein, A. Gauthier","doi":"10.1177/2156869317731603","DOIUrl":"https://doi.org/10.1177/2156869317731603","url":null,"abstract":"Although the detrimental effects of poverty on child mental health are well established, questions remain as to which aspects of poverty matter most and which mechanisms account for the association. This study tested the relative influence of depth of current poverty and poverty duration on child anxiety/depression and antisocial behavior, then evaluated whether parenting practices mediated observed associations. Data come from four waves of the Canadian National Longitudinal Survey of Children and Youth (1994–2000), with analysis restricted to children who were aged 2 to 5 at initial interview and lived with both biological parents throughout (n = 1,901). Depth of current poverty was associated with child anxiety/depression, whereas persistent poverty was associated with child antisocial behavior. Parenting behaviors were significant predictors but did not mediate the association between poverty dynamics and child mental health. The research and policy implications of these findings are discussed.","PeriodicalId":46146,"journal":{"name":"Society and Mental Health","volume":"8 1","pages":"231 - 247"},"PeriodicalIF":5.1,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2156869317731603","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44208444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-11-01DOI: 10.1177/2156869317728373
Samuel L. Perry
While studies have consistently observed an association between pornography use and depressive symptoms, data limitations have precluded understanding the nature of this relationship. Drawing on data from a representative panel study of American adults and building on insights from stress process theory, this article demonstrates that the connection between pornography use and depressive symptoms hinges on the (1) (in)congruence between Americans’ moral beliefs about pornography and their viewing practices and (2) gender. Cross-sectional and longitudinal analyses reveal that American men (not women) who believe viewing pornography is always immoral but watch it anyway are more likely to experience depressive symptoms compared to others who do not report this incongruence. Results also suggest the connection between viewing pornography and depressive symptoms is bidirectional, contingent on men’s moral evaluation of its use. For male porn users who morally reject it, pornography use predicts depressive symptoms at low frequencies, likely stemming from cognitive stress or dissonance. For those who do not morally reject porn, however, only viewing it at the highest frequencies is associated with higher levels of depressive symptoms, which suggests reverse causation—depressed men likely view higher levels of pornography as a coping aid, especially when they do not view it as immoral.
{"title":"Pornography Use and Depressive Symptoms: Examining the Role of Moral Incongruence","authors":"Samuel L. Perry","doi":"10.1177/2156869317728373","DOIUrl":"https://doi.org/10.1177/2156869317728373","url":null,"abstract":"While studies have consistently observed an association between pornography use and depressive symptoms, data limitations have precluded understanding the nature of this relationship. Drawing on data from a representative panel study of American adults and building on insights from stress process theory, this article demonstrates that the connection between pornography use and depressive symptoms hinges on the (1) (in)congruence between Americans’ moral beliefs about pornography and their viewing practices and (2) gender. Cross-sectional and longitudinal analyses reveal that American men (not women) who believe viewing pornography is always immoral but watch it anyway are more likely to experience depressive symptoms compared to others who do not report this incongruence. Results also suggest the connection between viewing pornography and depressive symptoms is bidirectional, contingent on men’s moral evaluation of its use. For male porn users who morally reject it, pornography use predicts depressive symptoms at low frequencies, likely stemming from cognitive stress or dissonance. For those who do not morally reject porn, however, only viewing it at the highest frequencies is associated with higher levels of depressive symptoms, which suggests reverse causation—depressed men likely view higher levels of pornography as a coping aid, especially when they do not view it as immoral.","PeriodicalId":46146,"journal":{"name":"Society and Mental Health","volume":"8 1","pages":"195 - 213"},"PeriodicalIF":5.1,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2156869317728373","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48232529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-11-01DOI: 10.1177/2156869318810546
{"title":"Editorial Acknowledgement of Ad Hoc Reviewers","authors":"","doi":"10.1177/2156869318810546","DOIUrl":"https://doi.org/10.1177/2156869318810546","url":null,"abstract":"","PeriodicalId":46146,"journal":{"name":"Society and Mental Health","volume":"8 1","pages":"248 - 248"},"PeriodicalIF":5.1,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2156869318810546","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44326221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-11-01DOI: 10.1177/2156869317733514
Matthew A. Andersson, S. Harkness
Individuals increasingly have encountered messages that mental illness is explained by biological factors such as chemical imbalance or genetic abnormality. Many assumed this “biological turn” would lessen stigma toward mental illness, but stigma generally has remained stable or even increased. Given how nonbiological illness explanations (e.g., way one is raised, bad character, life stressors) often are endorsed even among those who support biological explanations, we contend that combinations or configurations of beliefs integrating distinct types of explanation may hold a key to understanding why biological beliefs have not succeeded in lessening stigma. Using qualitative comparative analysis (QCA) on national vignette data (2006 General Social Survey; N = 968), we find that not blaming an individual’s character is essential to lowering depression stigma whenever biological explanations also are endorsed and that blaming character unconditionally contributes to stigmatizing alcoholism. For schizophrenia and alcoholism, biological explanations may lower stigma contingent on several other beliefs.
{"title":"When Do Biological Attributions of Mental Illness Reduce Stigma? Using Qualitative Comparative Analysis to Contextualize Attributions","authors":"Matthew A. Andersson, S. Harkness","doi":"10.1177/2156869317733514","DOIUrl":"https://doi.org/10.1177/2156869317733514","url":null,"abstract":"Individuals increasingly have encountered messages that mental illness is explained by biological factors such as chemical imbalance or genetic abnormality. Many assumed this “biological turn” would lessen stigma toward mental illness, but stigma generally has remained stable or even increased. Given how nonbiological illness explanations (e.g., way one is raised, bad character, life stressors) often are endorsed even among those who support biological explanations, we contend that combinations or configurations of beliefs integrating distinct types of explanation may hold a key to understanding why biological beliefs have not succeeded in lessening stigma. Using qualitative comparative analysis (QCA) on national vignette data (2006 General Social Survey; N = 968), we find that not blaming an individual’s character is essential to lowering depression stigma whenever biological explanations also are endorsed and that blaming character unconditionally contributes to stigmatizing alcoholism. For schizophrenia and alcoholism, biological explanations may lower stigma contingent on several other beliefs.","PeriodicalId":46146,"journal":{"name":"Society and Mental Health","volume":"8 1","pages":"175 - 194"},"PeriodicalIF":5.1,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2156869317733514","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44404084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-10-19DOI: 10.1177/2156869318802340
J. Stykes
Unintended childbearing is associated with poorer parental well-being, but most scholarship in this area takes an individual-level approach to unintended childbearing. Drawing on couple data from the Early Childhood Longitudinal Study–Birth Cohort (ECLS-B), I treat unintended childbearing as a couple-level construct to provide a more comprehensive understanding of how individuals’ intentions, partners’ intentions, and gender are linked with psychological distress in the transition to parenthood. I make two chief contributions to prior research. First, the inclusion of fathers’ perspectives provides an important addition to research, which primarily focuses on mothers’ unintended childbearing. Second, I assess gender differences in the association between couples’ intentions and health. For mothers, one’s own intentions appeared most closely tied to distress regardless of the father’s intentions, whereas fathers reported more depressive symptoms if either parent did not intend the birth. Formal post-estimation tests of differences in the magnitude of coefficients for mothers and fathers suggest few gender differences exist in the association between couples’ intentions and psychological distress. For mothers and fathers alike, belonging to a couple where neither parent intended the birth was consistently associated with the highest levels of distress. Implications for policy and research are discussed in relation to findings.
{"title":"Gender, Couples’ Fertility Intentions, and Parents’ Depressive Symptoms","authors":"J. Stykes","doi":"10.1177/2156869318802340","DOIUrl":"https://doi.org/10.1177/2156869318802340","url":null,"abstract":"Unintended childbearing is associated with poorer parental well-being, but most scholarship in this area takes an individual-level approach to unintended childbearing. Drawing on couple data from the Early Childhood Longitudinal Study–Birth Cohort (ECLS-B), I treat unintended childbearing as a couple-level construct to provide a more comprehensive understanding of how individuals’ intentions, partners’ intentions, and gender are linked with psychological distress in the transition to parenthood. I make two chief contributions to prior research. First, the inclusion of fathers’ perspectives provides an important addition to research, which primarily focuses on mothers’ unintended childbearing. Second, I assess gender differences in the association between couples’ intentions and health. For mothers, one’s own intentions appeared most closely tied to distress regardless of the father’s intentions, whereas fathers reported more depressive symptoms if either parent did not intend the birth. Formal post-estimation tests of differences in the magnitude of coefficients for mothers and fathers suggest few gender differences exist in the association between couples’ intentions and psychological distress. For mothers and fathers alike, belonging to a couple where neither parent intended the birth was consistently associated with the highest levels of distress. Implications for policy and research are discussed in relation to findings.","PeriodicalId":46146,"journal":{"name":"Society and Mental Health","volume":"9 1","pages":"334 - 349"},"PeriodicalIF":5.1,"publicationDate":"2018-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2156869318802340","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48038942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-10-12DOI: 10.1177/2156869318802341
Sirry M. Alang, D. McAlpine
The gap between need and effective treatment for mental health problems continues to be a challenge for researchers and policymakers. Much of the attention has been on differences in treatment rates, with insufficient attention to variation in pathways that people take into treatment. Individuals may choose to seek help but may also be substantially influenced by others or coerced into care. The chances of each type of pathway are influenced by social characteristics and may shape perceptions of effectiveness of care. This paper investigates variation in pathways into care and perceived effectiveness of care. We also examine whether choice or coercion into care are associated with whether individuals perceive care as effective and if severity of illness moderates this relationship. We use data from the 2010–2014 National Survey on Drug Use and Health (N = 10,020). Persons who independently sought mental health care were more likely to rate treatment as effective compared to persons ordered into care. Among people with severe mental illnesses, the probability of rating treatment as effective is lowest among those who were ordered into care. Entry into mental health care is not sufficient for closing the treatment gap if coerced care leads to poorer quality outcomes.
{"title":"Pathways to Mental Health Services and Perceptions about the Effectiveness of Treatment","authors":"Sirry M. Alang, D. McAlpine","doi":"10.1177/2156869318802341","DOIUrl":"https://doi.org/10.1177/2156869318802341","url":null,"abstract":"The gap between need and effective treatment for mental health problems continues to be a challenge for researchers and policymakers. Much of the attention has been on differences in treatment rates, with insufficient attention to variation in pathways that people take into treatment. Individuals may choose to seek help but may also be substantially influenced by others or coerced into care. The chances of each type of pathway are influenced by social characteristics and may shape perceptions of effectiveness of care. This paper investigates variation in pathways into care and perceived effectiveness of care. We also examine whether choice or coercion into care are associated with whether individuals perceive care as effective and if severity of illness moderates this relationship. We use data from the 2010–2014 National Survey on Drug Use and Health (N = 10,020). Persons who independently sought mental health care were more likely to rate treatment as effective compared to persons ordered into care. Among people with severe mental illnesses, the probability of rating treatment as effective is lowest among those who were ordered into care. Entry into mental health care is not sufficient for closing the treatment gap if coerced care leads to poorer quality outcomes.","PeriodicalId":46146,"journal":{"name":"Society and Mental Health","volume":"9 1","pages":"388 - 407"},"PeriodicalIF":5.1,"publicationDate":"2018-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2156869318802341","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41453799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-10-12DOI: 10.1177/2156869318804297
M. Botha, D. Frost
Research into autism and mental health has traditionally associated poor mental health and autism as inevitably linked. Other possible explanations for mental health problems among autistic populations have received little attention. As evidenced by the minority disability movement, autism is increasingly being considered part of the identities of autistic people. Autistic individuals thus constitute an identity-based minority and may be exposed to excess social stress as a result of disadvantaged and stigmatized social status. The authors test the utility of the minority stress model as an explanation for the experience of mental health problems within a sample of high-functioning autistic individuals (n = 111). Minority stressors including everyday discrimination, internalized stigma, and concealment significantly predicted poorer mental health, despite controlling for general stress exposure. These results indicate the potential utility of minority stress in explaining increased mental health problems in autistic populations. Implications for research and clinical applications are discussed.
{"title":"Extending the Minority Stress Model to Understand Mental Health Problems Experienced by the Autistic Population","authors":"M. Botha, D. Frost","doi":"10.1177/2156869318804297","DOIUrl":"https://doi.org/10.1177/2156869318804297","url":null,"abstract":"Research into autism and mental health has traditionally associated poor mental health and autism as inevitably linked. Other possible explanations for mental health problems among autistic populations have received little attention. As evidenced by the minority disability movement, autism is increasingly being considered part of the identities of autistic people. Autistic individuals thus constitute an identity-based minority and may be exposed to excess social stress as a result of disadvantaged and stigmatized social status. The authors test the utility of the minority stress model as an explanation for the experience of mental health problems within a sample of high-functioning autistic individuals (n = 111). Minority stressors including everyday discrimination, internalized stigma, and concealment significantly predicted poorer mental health, despite controlling for general stress exposure. These results indicate the potential utility of minority stress in explaining increased mental health problems in autistic populations. Implications for research and clinical applications are discussed.","PeriodicalId":46146,"journal":{"name":"Society and Mental Health","volume":"10 1","pages":"20 - 34"},"PeriodicalIF":5.1,"publicationDate":"2018-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2156869318804297","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42665806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-10-12DOI: 10.1177/2156869318804304
Lin Zhu
The author used data from the Collaborative Psychiatric Epidemiology Surveys to examine the 12-month prevalence and predictors of the use of complementary and alternative medicine (CAM) relative to conventional Western medical services among Chinese Americans. The author examined the differences in service utilization patterns between Chinese Americans and non-Hispanic whites and the effects of acculturation factors such as generational status and English proficiency within the population of Chinese Americans. Multinomial logistic regression analyses revealed significant heterogeneity of exclusive CAM use in response to mental health problems by race/ethnicity and generational status, as well as English proficiency, gender, age, marital status, education, employment status, having insurance, and having any probably psychiatric disorder. Specifically, first-generation Chinese immigrants lagged behind second-, third-, or higher generation Chinese Americans and non-Hispanic whites in the likelihood of using exclusive CAM services for mental health problems. In addition, this study revealed that exclusive CAM service use was more popular than the use of only conventional Western medicine or a combination of both among all Chinese Americans except for the second generations. The findings provide a more nuanced understanding of the pattern of mental health service use among Chinese Americans. Implications for policy and research are discussed.
{"title":"Complementary and Alternative Medical Service Use for Mental Health Problems among Chinese Americans: The Roles of Acculturation-related Factors","authors":"Lin Zhu","doi":"10.1177/2156869318804304","DOIUrl":"https://doi.org/10.1177/2156869318804304","url":null,"abstract":"The author used data from the Collaborative Psychiatric Epidemiology Surveys to examine the 12-month prevalence and predictors of the use of complementary and alternative medicine (CAM) relative to conventional Western medical services among Chinese Americans. The author examined the differences in service utilization patterns between Chinese Americans and non-Hispanic whites and the effects of acculturation factors such as generational status and English proficiency within the population of Chinese Americans. Multinomial logistic regression analyses revealed significant heterogeneity of exclusive CAM use in response to mental health problems by race/ethnicity and generational status, as well as English proficiency, gender, age, marital status, education, employment status, having insurance, and having any probably psychiatric disorder. Specifically, first-generation Chinese immigrants lagged behind second-, third-, or higher generation Chinese Americans and non-Hispanic whites in the likelihood of using exclusive CAM services for mental health problems. In addition, this study revealed that exclusive CAM service use was more popular than the use of only conventional Western medicine or a combination of both among all Chinese Americans except for the second generations. The findings provide a more nuanced understanding of the pattern of mental health service use among Chinese Americans. Implications for policy and research are discussed.","PeriodicalId":46146,"journal":{"name":"Society and Mental Health","volume":"9 1","pages":"366 - 387"},"PeriodicalIF":5.1,"publicationDate":"2018-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2156869318804304","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43633474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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