TY - JOUR
T1 - Mental health service use among asian americans five to six years after exposure to the world trade center attack
AU - Kung, Winnie W.
AU - Goldmann, Emily
AU - Liu, Xinhua
AU - Wang, Xiaoran
AU - Huang, Debbie
AU - Yang, Lawrence H.
N1 - Funding Information:
This research was funded by the Center for Disease Control and Prevention, National Institute of Occupational Safety and Health, grant 1U01OH010516-01A1. It was also supported by the National Institutes of Health training grant T32MH013043 on psychiatry epidemiology. The contents of the study are solely the responsibility of the authors and do not necessarily represent the official views of the funders. We would like to express our gratitude to the World Trade Center Health Registry for sharing their data for our study.
Publisher Copyright:
© 2019 by The University of Chicago. All rights reserved.
PY - 2019/3/1
Y1 - 2019/3/1
N2 - This study uses World Trade Center Health Registry data, based on Andersen’s health-care model, to investigate 2,557 Asians’ mental health service use and associated factors 5–6 years after the World Trade Center attack, compared against 32,111 non-Hispanic white participants. We find that Asians had a lower proportion of service use (15.76 vs. 26.60 percent) than white people. A previous mental health diagnosis and perceived and evaluated mental health needs strongly predicted Asians’ mental health service use, as did having routine medical checkups, being female, and being married or cohabiting. These factors, in addition to other socioeconomic predictors that were nonsignificant among Asians, were significant among white people, as well. Our findings suggest that service providers need to provide clear diagnoses to service users, explore mental health needs during medical checkups, and provide postdisaster mental health education and free treatment.
AB - This study uses World Trade Center Health Registry data, based on Andersen’s health-care model, to investigate 2,557 Asians’ mental health service use and associated factors 5–6 years after the World Trade Center attack, compared against 32,111 non-Hispanic white participants. We find that Asians had a lower proportion of service use (15.76 vs. 26.60 percent) than white people. A previous mental health diagnosis and perceived and evaluated mental health needs strongly predicted Asians’ mental health service use, as did having routine medical checkups, being female, and being married or cohabiting. These factors, in addition to other socioeconomic predictors that were nonsignificant among Asians, were significant among white people, as well. Our findings suggest that service providers need to provide clear diagnoses to service users, explore mental health needs during medical checkups, and provide postdisaster mental health education and free treatment.
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U2 - 10.1086/702767
DO - 10.1086/702767
M3 - Article
AN - SCOPUS:85062783924
SN - 0037-7961
VL - 93
SP - 96
EP - 128
JO - Social Service Review
JF - Social Service Review
IS - 1
ER -