Preferences for Depression Help-Seeking Among Vietnamese American Adults

• Published in: Community mental health journal Vol. 54; no. 6; pp. 748 - 756
• Main Authors: Kim-Mozeleski, Jin E., Tsoh, Janice Y., Gildengorin, Ginny, Cao, Lien H., Ho, Tiffany, Kohli, Sarita, Lam, Hy, Wong, Ching, Stewart, Susan, McPhee, Stephen J., Nguyen, Tung T.
• Format: Journal Article
• Language: English
• Published: New York Springer US 01-08-2018; Springer Nature B.V
• Subjects: Adolescent; Adult; Asian Americans; Asian Americans - psychology; Community and Environmental Psychology; Depression - psychology; District of Columbia; Families & family life; Family - psychology; Female; Friendship; Health care access; Health Services Accessibility; Health services utilization; Health status; Help seeking behavior; Humans; Kinship networks; Logistic Models; Male; Medicine; Medicine & Public Health; Mental depression; Mental health; Mental health professionals; Mental health services; Middle Aged; Original Paper; Patient Acceptance of Health Care - ethnology; Patient Acceptance of Health Care - psychology; Physicians; Preferences; Psychiatry; Religion and Psychology; San Francisco; Social networks; Social Support; Surveys and Questionnaires; Symptoms; Talking; Telephone surveys; Vietnam - ethnology; Young Adult; San Francisco; District of Columbia; Vietnam; Vietnamese Americans; Depression; Help-seeking; Mental health
• ISSN: 0010-3853; 1573-2789
• DOI: 10.1007/s10597-017-0199-3

Culture impacts help-seeking preferences. We examined Vietnamese Americans’ help-seeking preferences for depressive symptoms, through a telephone survey (
N
 = 1666). A vignette describing an age- and gender-matched individual with depression was presented, and respondents chose from a list of options and provided open-ended responses about their help-seeking preferences. Results showed that 78.3% would seek professional help, either from a family doctor, a mental health provider, or both; 54.4% preferred to seek help from a family doctor but not from a mental health provider. Most (82.1%) would prefer to talk to family or friends, 62.2% would prefer to look up information, and 50.1% would prefer to get spiritual help. Logistic regression analysis revealed that preferences for non-professional help-seeking options (such as talking to friends or family, looking up information, and getting spiritual help), health care access, and perceived poor health, were associated with increased odds of preferring professional help-seeking. This population-based study of Vietnamese Americans highlight promising channels to deliver education about depression and effective help-seeking resources, particularly the importance of family doctors and social networks. Furthermore, addressing barriers in access to care remains a critical component of promoting professional help-seeking.