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Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthMethodology

Disparities in use of mental health and substance abuse services by Asian and native Hawaiian/other Pacific Islander women

TitleDisparities in use of mental health and substance abuse services by Asian and native Hawaiian/other Pacific Islander women
Publication TypeJournal Article
Year of Publication2008
AuthorsTa, VM, Juon, HS, Gielen, AC, Steinwachs, D, Duggan, A
JournalJournal of Behavioral Health Services and Research
Volume35
Pagination20-36
ISBN Number10943412 (ISSN)
KeywordsAdolescent, Adult, article, Asian, Asian Americans, child abuse, Cross-Sectional Studies, depression, family functioning, Female, Hawaii, Health care disparities, health care utilization, Healthcare Disparities, human, Humans, Interviews as Topic, Mental Disorders, mental health service, Mental Health Services, Mental health services utilization, Native Hawaiian and other Pacific islander, Oceanic Ancestry Group, Population Groups, Prevalence, race difference, substance abuse, Substance abuse services utilization, Substance Abuse Treatment Centers, Substance-Related Disorders, Women's Health
Abstract

The purpose of this study was to determine if disparities exist in lifetime utilization of mental health/substance abuse services among Asian, Native Hawaiian/Other Pacific Islander (NHOPI) and white mothers. The study sample was comprised of mothers assessed to be at-risk (n=491) and not at-risk (n=218) for child maltreatment in the Hawaii Healthy Start Program study. Multiple logistic regression models were used to test the effects of predisposing, need, and enabling factors on utilization of services. Results revealed that, among mothers with depressive symptoms, compared with whites, Asians and NHOPI were significantly less likely to have received services. There were no significant racial differences in use of mental health/substance use services by other factors. These results suggest that racial disparities exist in utilization of mental health/substance abuse services among mothers with depressive symptoms. Future research is needed to identify barriers and facilitators to accessing needed services for Asian and NHOPI women. © 2007 National Council for Community Behavioral Healthcare.