244677 Prevalence of Mental Health Service Utilizations among Asians with DSM-IV Mental Disorders in the United States

Monday, October 31, 2011

Su Yeon Lee , Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
Silvia S. Martins, MD, PhD , Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
Katherine Keyes, MPH , Columbia University/New York State Psychiatric Institute, New York, NY
Hochang Lee, MD , Department of Psychiatry, Johns Hopkins Bayview Medical Center, Baltimore, MD
Backgrounds: Previous studies reported that Asians have a low rate of mental health service use compared to the general population. We examined the prevalence and odds of mental health service utilization among Asians with lifetime DSM-IV mood, anxiety, alcohol, and drug use disorders compared to other racial/ethnic groups with similar disorders. Methods: Between 2001 and 2002, 43,093 non-institutionalized residents were assessed in the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) study. We examined diagnosis-specific variation in lifetime prevalence of DSM-IV psychiatric disorders and mental health service utilization among Asians as compared to Whites, Blacks, and Hispanics. Results: Asians with lifetime mood disorders had significantly lower mental health service utilization compared to other racial/ethnic groups (Asians vs. Whites: OR=0.28, 95%C.I. 0.18-0.43, Asians vs. Hispanics: OR=0.48, 95%C.I. 0.30-0.76, Asians vs. Native Americans: OR=0.27, 95%C.I. 0.15-0.48) but the difference was not statistically significant compared to Blacks. There was no statistically significant racial/ethnic difference in lifetime health service utilization for alcohol and drug disorders. Results of past-12 month mental health service utilization comparing Asians to other racial/ethnic groups were similar in direction but were not meaningful due to small sample size. Discussion/Conclusions: Our findings underscore the need for psychosocial education and community outreach that especially targets Asians with mood disorders. Asians with lifetime mood disorders underutilized mental health services even after adjusting for socioeconomic variables and years of residency in the U.S. Future studies on culture-specific attitudes, correlates, and barriers to mental health service utilization are warranted.

Learning Areas:
Advocacy for health and health education
Diversity and culture
Planning of health education strategies, interventions, and programs

Learning Objectives:
Assess the difference in mental health service use patterns among Asians with DSM-IV mental disorders compared to whites, blacks, Hispanics, and Native Americans.

Keywords: Asian Americans, Mental Health Services

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the first author of this manuscript and responsible for concept formation, analysis, and writing as a doctoral student in public mental health.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.