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Factors influencing the underutilization of mental health services among Asian American women with a history of depression and suicide

Overview of attention for article published in BMC Health Services Research, December 2015
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (93rd percentile)
  • High Attention Score compared to outputs of the same age and source (94th percentile)

Mentioned by

news
2 news outlets
twitter
1 tweeter
facebook
1 Facebook page
video
2 video uploaders

Citations

dimensions_citation
91 Dimensions

Readers on

mendeley
318 Mendeley
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Title
Factors influencing the underutilization of mental health services among Asian American women with a history of depression and suicide
Published in
BMC Health Services Research, December 2015
DOI 10.1186/s12913-015-1191-7
Pubmed ID
Authors

Astraea Augsberger, Albert Yeung, Meaghan Dougher, Hyeouk Chris Hahm

Abstract

Despite the substantially high prevalence of depression, suicidal ideation and suicide attempts among Asian American women who are children of immigrants, little is known about the prevalence of mental health utilization and the perceived barriers to accessing care. The data were from the Asian American Women's Sexual Health Initiative Project (AWSHIP), a 5-year mixed methods study at Boston University. The quantitative analysis examined the differential proportion of mental health utilization among 701 survey participants based on their mental health risk profile determined by current moderate to severe depression symptoms and lifetime history of suicidality. Mental health risk groups were created based on participants' current depression symptoms and history of suicide behaviors: Group 1-low-risk; Group 2-medium-risk; Group 3-high-risk. Mental health care utilization outcomes were measured by any mental health care, minimally adequate mental health care, and intensive mental health care. The qualitative analysis explored the perceived barriers to mental health care among 17 participants from the medium and high-risk groups. Among 701 participants, 43 % of women (n = 299) reported that they either suffered from current moderate to severe depression symptoms or a lifetime history of suicidal ideation or suicide attempt. Although the high-risk group demonstrated statistically significant higher mental health utilization compared to the low and medium-risk groups, more than 60 % of the high-risk group did not access any mental health care, and more than 80 % did not receive minimally adequate care. The qualitative analysis identified three underutilization factors: Asian family contributions to mental health stigma, Asian community contributions to mental health stigma, and a mismatch between cultural needs and available services. Despite the high prevalence of depression and suicidal behaviors among young Asian American women in the sample, the proportion of mental health care utilization was extremely low. The qualitative analysis underscores the influence of Asian family and community stigma on mental health utilization and the lack of culturally appropriate mental health interventions. Prevention and intervention efforts should focus on raising mental health awareness in the Asian American community and offering culturally sensitive services.

Twitter Demographics

The data shown below were collected from the profile of 1 tweeter who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 318 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 2 <1%
Unknown 316 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 62 19%
Student > Ph. D. Student 43 14%
Student > Bachelor 39 12%
Student > Doctoral Student 34 11%
Researcher 32 10%
Other 40 13%
Unknown 68 21%
Readers by discipline Count As %
Psychology 80 25%
Medicine and Dentistry 44 14%
Social Sciences 43 14%
Nursing and Health Professions 40 13%
Business, Management and Accounting 5 2%
Other 26 8%
Unknown 80 25%

Attention Score in Context

This research output has an Altmetric Attention Score of 24. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 05 May 2021.
All research outputs
#1,203,260
of 21,053,465 outputs
Outputs from BMC Health Services Research
#371
of 7,011 outputs
Outputs of similar age
#26,011
of 399,860 outputs
Outputs of similar age from BMC Health Services Research
#18
of 308 outputs
Altmetric has tracked 21,053,465 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 94th percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 7,011 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 7.4. This one has done particularly well, scoring higher than 94% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 399,860 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 93% of its contemporaries.
We're also able to compare this research output to 308 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 94% of its contemporaries.