Complementary and Alternative Medical Service Use for Mental Health Problems among Chinese Americans: The Roles of Acculturation-related Factors

IF 3 1区社会学 Q1 SOCIOLOGY

Society and Mental Health Pub Date : 2018-10-12 DOI:10.1177/2156869318804304

Lin Zhu

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引用次数: 6

Abstract

The author used data from the Collaborative Psychiatric Epidemiology Surveys to examine the 12-month prevalence and predictors of the use of complementary and alternative medicine (CAM) relative to conventional Western medical services among Chinese Americans. The author examined the differences in service utilization patterns between Chinese Americans and non-Hispanic whites and the effects of acculturation factors such as generational status and English proficiency within the population of Chinese Americans. Multinomial logistic regression analyses revealed significant heterogeneity of exclusive CAM use in response to mental health problems by race/ethnicity and generational status, as well as English proficiency, gender, age, marital status, education, employment status, having insurance, and having any probably psychiatric disorder. Specifically, first-generation Chinese immigrants lagged behind second-, third-, or higher generation Chinese Americans and non-Hispanic whites in the likelihood of using exclusive CAM services for mental health problems. In addition, this study revealed that exclusive CAM service use was more popular than the use of only conventional Western medicine or a combination of both among all Chinese Americans except for the second generations. The findings provide a more nuanced understanding of the pattern of mental health service use among Chinese Americans. Implications for policy and research are discussed.

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华裔心理健康问题的补充和替代医疗服务使用：文化适应相关因素的作用

作者使用来自协作精神病学调查的数据，研究了华裔美国人相对于传统西医服务使用补充和替代医学(CAM)的12个月患病率和预测因素。作者研究了华裔美国人和非西班牙裔白人在服务利用模式上的差异，以及文化适应因素(如代际地位和英语熟练程度)对华裔美国人的影响。多项逻辑回归分析显示，种族/民族、代际状况、英语水平、性别、年龄、婚姻状况、教育程度、就业状况、是否有保险以及是否有任何可能的精神障碍等因素对心理健康问题的反应存在显著的异质性。具体而言，第一代中国移民在使用专门的CAM服务治疗心理健康问题的可能性上落后于第二代、第三代或更高代的华裔美国人和非西班牙裔白人。此外，本研究显示，除第二代外，所有华裔美国人使用独家CAM服务比仅使用传统西医或两者结合更受欢迎。这些发现为美籍华人使用心理健康服务的模式提供了更细致的理解。对政策和研究的影响进行了讨论。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Society and Mental Health SOCIOLOGY-

CiteScore

9.50

自引率

7.80%

发文量

期刊介绍： Official journal of the ASA Section on the Sociology of Mental Health. Society and Mental Health (SMH) publishes original and innovative peer-reviewed research and theory articles that link social structure and sociocultural processes with mental health and illness in society. It will also provide an outlet for sociologically relevant research and theory articles that are produced in other disciplines and subfields concerned with issues related to mental health and illness. The aim of the journal is to advance knowledge in the sociology of mental health and illness by publishing the leading work that highlights the unique perspectives and contributions that sociological research and theory can make to our understanding of mental health and illness in society.