TY - JOUR
T1 - ACCULTURATION, PERCEPTIONS ABOUT SEEKING MENTAL HEALTH CARE, AND UTILIZATION OF MENTAL HEALTH SERVICES AMONG US-BASED SOUTH ASIANS
AU - Kapur, Reet
AU - Badsa, Konya
AU - Kapadia, Farzana
N1 - Publisher Copyright:
© 2024 Ethnicity and Disease, Inc.. All rights reserved.
PY - 2024/9
Y1 - 2024/9
N2 - 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]¼5.99; 95% confidence interval [CI]¼1.63, 27.02), having English-speaking peers (OR¼3.80; 95% CI¼1.12, 12.93), and having family (OR¼2.37; 95% CI¼1.21, 4.64) and peers (OR¼5.64; 95% CI¼1.71, 18.66) who used MH services. Participants with mostly SA peers (OR¼0.48; 95% CI¼0.23, 0.97) reported lower lifetime MH service utilization, and those with positive perceptions about MH burden reported higher lifetime utilization (OR¼1.04; 95% CI¼1.01, 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. Ethn Dis.
AB - 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]¼5.99; 95% confidence interval [CI]¼1.63, 27.02), having English-speaking peers (OR¼3.80; 95% CI¼1.12, 12.93), and having family (OR¼2.37; 95% CI¼1.21, 4.64) and peers (OR¼5.64; 95% CI¼1.71, 18.66) who used MH services. Participants with mostly SA peers (OR¼0.48; 95% CI¼0.23, 0.97) reported lower lifetime MH service utilization, and those with positive perceptions about MH burden reported higher lifetime utilization (OR¼1.04; 95% CI¼1.01, 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. Ethn Dis.
KW - Acculturation
KW - Cultural Competency
KW - Health Care Utilization
KW - Immigrants
KW - Mental Health Services
KW - South Asians
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U2 - 10.18865/EthnDis-2024-10
DO - 10.18865/EthnDis-2024-10
M3 - Article
C2 - 39463813
AN - SCOPUS:85208007868
SN - 1049-510X
VL - 34
SP - 199
EP - 206
JO - Ethnicity and Disease
JF - Ethnicity and Disease
IS - 4
ER -