Mental Health Screening Needs and Preference in Treatment Types and Providers in African American and Asian American Older Adults
Older African Americans and Asian Americans in the U.S. underuse mental health services, despite their vulnerability to diverse mental health problems. This study examined their perspectives on the importance of various mental health problems, mental health treatment, and provider type preference. A...
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doaj-be143955e3264d9ebac60610be99b6fc2021-05-31T23:13:59ZengMDPI AGBrain Sciences2076-34252021-05-011159759710.3390/brainsci11050597Mental Health Screening Needs and Preference in Treatment Types and Providers in African American and Asian American Older AdultsMinsun Lee0Wenyue Lu1Tyrell Mann-Barnes2Jin-Hyeok Nam3Julie Nelson4Grace X. Ma5Center for Asian Health, Lewis Katz School of Medicine, Temple University, 3440 N. Broad Street, Philadelphia, PA 19140, USACenter for Asian Health, Lewis Katz School of Medicine, Temple University, 3440 N. Broad Street, Philadelphia, PA 19140, USACenter for Asian Health, Lewis Katz School of Medicine, Temple University, 3440 N. Broad Street, Philadelphia, PA 19140, USACenter for Asian Health, Lewis Katz School of Medicine, Temple University, 3440 N. Broad Street, Philadelphia, PA 19140, USAPhiladelphia Senior Center, Philadelphia, PA 19147, USACenter for Asian Health, Lewis Katz School of Medicine, Temple University, 3440 N. Broad Street, Philadelphia, PA 19140, USAOlder African Americans and Asian Americans in the U.S. underuse mental health services, despite their vulnerability to diverse mental health problems. This study examined their perspectives on the importance of various mental health problems, mental health treatment, and provider type preference. A total of 243 participants residing in Philadelphia were recruited through community-based organizations. Chi-square, ANOVA, and logistic regression were conducted to examine ethnic differences in demographic characteristics, mental health screening needs, and treatment preferences. African Americans were more likely to endorse the screening needs for depression (AOR: 3.77; 95% CI: 1.19–11.93, <i>p</i> < 0.05) and less likely to endorse the screening needs for suicide (AOR: 0.24; 95% CI: 0.08–0.76, <i>p</i> < 0.05) compared to Asian Americans. For treatment preferences, African Americans were more likely to seek help from primary care physicians (AOR: 8.26; 95% CI: 1.71–32.86, <i>p</i> < 0.01) and less likely to prefer medication as a treatment option (AOR: 0.36; 95% CI: 0.09–0.79, <i>p</i> < 0.05) than Asian Americans. African Americans and Asian Americans prioritized mental health screening needs differently and had different treatment preferences, indicating that matching community needs and preferences regarding mental health services is critical to improve mental service utilization rates in the targeted populations.https://www.mdpi.com/2076-3425/11/5/597mental health providerstreatment preferenceAfrican AmericansAsian Americansolder adults |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Minsun Lee Wenyue Lu Tyrell Mann-Barnes Jin-Hyeok Nam Julie Nelson Grace X. Ma |
spellingShingle |
Minsun Lee Wenyue Lu Tyrell Mann-Barnes Jin-Hyeok Nam Julie Nelson Grace X. Ma Mental Health Screening Needs and Preference in Treatment Types and Providers in African American and Asian American Older Adults Brain Sciences mental health providers treatment preference African Americans Asian Americans older adults |
author_facet |
Minsun Lee Wenyue Lu Tyrell Mann-Barnes Jin-Hyeok Nam Julie Nelson Grace X. Ma |
author_sort |
Minsun Lee |
title |
Mental Health Screening Needs and Preference in Treatment Types and Providers in African American and Asian American Older Adults |
title_short |
Mental Health Screening Needs and Preference in Treatment Types and Providers in African American and Asian American Older Adults |
title_full |
Mental Health Screening Needs and Preference in Treatment Types and Providers in African American and Asian American Older Adults |
title_fullStr |
Mental Health Screening Needs and Preference in Treatment Types and Providers in African American and Asian American Older Adults |
title_full_unstemmed |
Mental Health Screening Needs and Preference in Treatment Types and Providers in African American and Asian American Older Adults |
title_sort |
mental health screening needs and preference in treatment types and providers in african american and asian american older adults |
publisher |
MDPI AG |
series |
Brain Sciences |
issn |
2076-3425 |
publishDate |
2021-05-01 |
description |
Older African Americans and Asian Americans in the U.S. underuse mental health services, despite their vulnerability to diverse mental health problems. This study examined their perspectives on the importance of various mental health problems, mental health treatment, and provider type preference. A total of 243 participants residing in Philadelphia were recruited through community-based organizations. Chi-square, ANOVA, and logistic regression were conducted to examine ethnic differences in demographic characteristics, mental health screening needs, and treatment preferences. African Americans were more likely to endorse the screening needs for depression (AOR: 3.77; 95% CI: 1.19–11.93, <i>p</i> < 0.05) and less likely to endorse the screening needs for suicide (AOR: 0.24; 95% CI: 0.08–0.76, <i>p</i> < 0.05) compared to Asian Americans. For treatment preferences, African Americans were more likely to seek help from primary care physicians (AOR: 8.26; 95% CI: 1.71–32.86, <i>p</i> < 0.01) and less likely to prefer medication as a treatment option (AOR: 0.36; 95% CI: 0.09–0.79, <i>p</i> < 0.05) than Asian Americans. African Americans and Asian Americans prioritized mental health screening needs differently and had different treatment preferences, indicating that matching community needs and preferences regarding mental health services is critical to improve mental service utilization rates in the targeted populations. |
topic |
mental health providers treatment preference African Americans Asian Americans older adults |
url |
https://www.mdpi.com/2076-3425/11/5/597 |
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