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Effect of Discrimination on Mental Health Service Utilization among Chinese Americans

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  • Spencer, M.S.
  • Chen, J.

Abstract

Objectives. We examined the association between discrimination and mental health service use among a representative sample of Chinese Americans. Methods. Our data were derived from the 2-wave Chinese American Psychiatric Epidemiological Survey, a strata-cluster survey conducted in 1993 and 1994 in a western American city. Results. Language-based discrimination was associated with higher levels of use of informal services and seeking help from friends and relatives for emotional problems. Negative attitudes toward professional mental health services were associated with greater use of informal services. Conclusions. The findings suggest that language-based discrimination influences patterns of mental health service use among Chinese Americans. Implications for service providers and policymakers are discussed.

Suggested Citation

  • Spencer, M.S. & Chen, J., 2004. "Effect of Discrimination on Mental Health Service Utilization among Chinese Americans," American Journal of Public Health, American Public Health Association, vol. 94(5), pages 809-814.
    • Handle: RePEc:aph:ajpbhl:2004:94:5:809-814_9
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    Cited by:

    1. Sarah Krill Williston & Jennifer H Martinez & Tahirah Abdullah, 2019. "Mental health stigma among people of color: An examination of the impact of racial discrimination," International Journal of Social Psychiatry, , vol. 65(6), pages 458-467, September.
    2. Gee, Gilbert C. & Spencer, Michael & Chen, Juan & Yip, Tiffany & Takeuchi, David T., 2007. "The association between self-reported racial discrimination and 12-month DSM-IV mental disorders among Asian Americans nationwide," Social Science & Medicine, Elsevier, vol. 64(10), pages 1984-1996, May.
    3. Mieko Yoshihama & Jun Sung Hong & Yueqi Yan, 2022. "Everyday Discrimination and Depressive Symptoms among Gujarati Adults: Gender Difference in the Role of Social Support," IJERPH, MDPI, vol. 19(14), pages 1-13, July.
    4. Snowden, Lonnie R. & Masland, Mary C. & Peng, Carol J. & Wei-Mien Lou, Christine & Wallace, Neal T., 2011. "Limited English proficient Asian Americans: Threshold language policy and access to mental health treatment," Social Science & Medicine, Elsevier, vol. 72(2), pages 230-237, January.
    5. Yoo, Hyung Chol & Gee, Gilbert C. & Takeuchi, David, 2009. "Discrimination and health among Asian American immigrants: Disentangling racial from language discrimination," Social Science & Medicine, Elsevier, vol. 68(4), pages 726-732, February.
    6. Reza Nakhaie & Rochelle Wijesingha, 2015. "Discrimination and Health of Male and Female Canadian Immigrant," Journal of International Migration and Integration, Springer, vol. 16(4), pages 1255-1272, November.

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