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Factors associated with mental health service use in Latino and Asian immigrant elders

TitleFactors associated with mental health service use in Latino and Asian immigrant elders
Publication TypeJournal Article
Year of Publication2010
AuthorsKim, G, Jang, Y, Chiriboga, DA, Ma, GX, Schonfeld, L
JournalAging & Mental HealthAging & Mental Health
Volume14
Pagination535-542
Date PublishedJul
ISBN Number1360-7863<br/>1364-6915
Accession NumberPeer Reviewed Journal: 2010-14162-005
Keywords*Aging, *Asians, *Health Care Utilization, *Latinos/Latinas, *Mental Health Services, Health & Mental Health Services [3370], Human Male Female Adulthood (18 yrs & older) Middle Age (40-64 yrs) Aged (65 yrs & older), Immigration, Mental Health, mental health service, Latinos & Asians immigrant elders, health service utilization, us
AbstractObjectives: The purpose of this study was to examine factors associated with the mental health service use of Latino and Asian immigrant elders. Adapting Andersen's behavioral health model of health service utilization, predisposing, enabling, and mental health need factors were considered as potential predictors for use of mental health services. Method: Data were drawn from a nationally representative dataset, the National Latino and Asian American Survey (NLAAS). Hierarchical logistic regression analyses of mental health service use were conducted for Latino (N = 290) and Asian (N = 211) immigrant elders. Results: For both groups of immigrant elders, poor self-rated mental health was associated with significantly greater mental health service use, even after controlling for all other variables. For Latinos, use of mental health services was significantly associated with both predisposing factors (being younger and female) and mental health need factors (having any mood disorders and poor self-rated mental health). Among Asians, only mental health need factors (having any mood disorders and poor self-rated mental health) significantly affected mental health service use. In addition, poor self-rated mental health mediated the association between mood disorders and mental health service use only in Latino immigrant elders. Conclusion: Results highlight an important role of self-rated mental health as a potential barrier in the use of mental health services, and suggest intervention strategies to enhance service use. (PsycINFO Database Record (c) 2012 APA, all rights reserved) (journal abstract).