Correlates of Stigma Toward Mental Health Service Use Among Filipino Americans and Korean Americans

J Immigr Minor Health. 2023 Oct;25(5):1008-1015. doi: 10.1007/s10903-023-01494-1. Epub 2023 Jun 1.

Abstract

Asian Americans are less likely than Whites to seek mental care and when they do, there is a substantial delay in help-seeking. Stigma associated with mental health service use is one of the major barriers to help-seeking among Asian Americans. However, few studies have examined multi-layered contextual predictors of stigma to examine joint as well as unique contributions of each predictor. Using a cross-sectional study of 376 Filipino and 412 Korean American parents from the Midwestern U.S., we investigated how individual, familial, ethnic cultural, and macro level factors were associated with stigma among immigrant parents. The findings from hierarchical regressions suggest that familial and ethnic cultural factors are prominent predictors of stigma among Korean Americans, whereas macro level factors are particularly pertinent to Filipino Americans. This study highlights the significance of subgroup specific interventions to be effective in addressing unmet mental care needs in distinct subgroups of Asian Americans.

Keywords: Filipino Americans; Korean Americans; Stigma toward mental health service use.

MeSH terms

  • Asian* / ethnology
  • Asian* / psychology
  • Cross-Sectional Studies
  • Emigrants and Immigrants / psychology
  • Humans
  • Mental Health Services*
  • Parents / psychology
  • Patient Acceptance of Health Care* / ethnology
  • Patient Acceptance of Health Care* / psychology
  • Social Stigma*