Factors Associated With Mental Health Service Utilization Among Korean-American Immigrants

2.50
Hdl Handle:
http://hdl.handle.net/10755/338343
Category:
Abstract
Type:
Presentation
Title:
Factors Associated With Mental Health Service Utilization Among Korean-American Immigrants
Author(s):
Bernstein, Kunsook S.
Lead Author STTI Affiliation:
Alpha Omega
Author Details:
Kunsook S. Bernstein, RN, PhD, PMHNP-BC, CASAC, kbernst@hunter.cuny.edu
Abstract:
Session presented on Saturday, September 27, 2014: Purpose: This study examines factors that contribute to the actual use of mental health services among KA immigrants and the role of self-perceived need in mediating the relationship between depressive symptoms and mental health utilization. It incorporates Andersen’s Behavioral Model of Health Care Service Use as a theoretical framework to explore factors related to this populations’ utilization of mental health care. Methods: A cross-sectional survey was used to gather data on 363 KA immigrants 18 years and older residing in New York City. Andersen’s model suggested three factors that affect health behavior: (1) predisposing factors, including demographics, social characteristics, and individual beliefs, (2) need factors, such as an individual’s selfperceived need for treatment and a practitioner’s evaluation of a disease, and (3) enabling factors, such as personal resources that facilitate or are a barrier to access. Results: Approximately 8.5 % of participants reported having utilized mental health services, while 23 % reported having depressive symptoms. Shorter duration of residence in the US, lower income, and the presence of perceived need for help were significantly related to use of mental health services. The perceived need for help mediated the relationship between depression and mental health service utilization. Predisposing factors included gender, age, marital status, education, length of stay in the US, and religion; the need factor was depression; and enabling factors included health insurance, English proficiency, income, and perceived need for help. Conclusion: Failure to perceive a need for psychological help continues to be a barrier to mental health service utilization in this population. Underutilization of mental health services will continue to be a problem as long as KA immigrants experiencing depressive symptoms do not perceive a need for help. To better address the psychological needs of KA immigrants, we need to supplement early screening efforts with public health education for this population on depression and other mental health concerns, as well as on the availability of effective mental health services for treatment.
Keywords:
Perceived need; Mental health service utilization; Korean American immigrants
Repository Posting Date:
15-Jan-2015
Date of Publication:
15-Jan-2015
Conference Date:
2014
Conference Name:
Leadership Summit 2014
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
Leadership Summit 2014 Theme: Personal. Professional. Global. Held at the Indianapolis Marriott Downtown, Indianapolis.
Note:
This is an abstract-only submission. If the author has submitted a full-text item related to this abstract, you may find it by browsing the repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleFactors Associated With Mental Health Service Utilization Among Korean-American Immigrantsen_GB
dc.contributor.authorBernstein, Kunsook S.en_GB
dc.contributor.departmentAlpha Omegaen_GB
dc.author.detailsKunsook S. Bernstein, RN, PhD, PMHNP-BC, CASAC, kbernst@hunter.cuny.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/338343-
dc.description.abstractSession presented on Saturday, September 27, 2014: Purpose: This study examines factors that contribute to the actual use of mental health services among KA immigrants and the role of self-perceived need in mediating the relationship between depressive symptoms and mental health utilization. It incorporates Andersen’s Behavioral Model of Health Care Service Use as a theoretical framework to explore factors related to this populations’ utilization of mental health care. Methods: A cross-sectional survey was used to gather data on 363 KA immigrants 18 years and older residing in New York City. Andersen’s model suggested three factors that affect health behavior: (1) predisposing factors, including demographics, social characteristics, and individual beliefs, (2) need factors, such as an individual’s selfperceived need for treatment and a practitioner’s evaluation of a disease, and (3) enabling factors, such as personal resources that facilitate or are a barrier to access. Results: Approximately 8.5 % of participants reported having utilized mental health services, while 23 % reported having depressive symptoms. Shorter duration of residence in the US, lower income, and the presence of perceived need for help were significantly related to use of mental health services. The perceived need for help mediated the relationship between depression and mental health service utilization. Predisposing factors included gender, age, marital status, education, length of stay in the US, and religion; the need factor was depression; and enabling factors included health insurance, English proficiency, income, and perceived need for help. Conclusion: Failure to perceive a need for psychological help continues to be a barrier to mental health service utilization in this population. Underutilization of mental health services will continue to be a problem as long as KA immigrants experiencing depressive symptoms do not perceive a need for help. To better address the psychological needs of KA immigrants, we need to supplement early screening efforts with public health education for this population on depression and other mental health concerns, as well as on the availability of effective mental health services for treatment.en_GB
dc.subjectPerceived needen_GB
dc.subjectMental health service utilizationen_GB
dc.subjectKorean American immigrantsen_GB
dc.date.available2015-01-15T13:35:55Z-
dc.date.issued2015-01-15-
dc.date.accessioned2015-01-15T13:35:55Z-
dc.conference.date2014en_GB
dc.conference.nameLeadership Summit 2014en_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.descriptionLeadership Summit 2014 Theme: Personal. Professional. Global. Held at the Indianapolis Marriott Downtown, Indianapolis.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item related to this abstract, you may find it by browsing the repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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