@article{57e8327271564237b87679ab93219864,
title = "Disparities in use of mental health and substance abuse services by Asian and native Hawaiian/other Pacific Islander women",
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.",
keywords = "Asian, Health care disparities, Mental health services utilization, Native Hawaiian and other Pacific islander, Substance abuse services utilization, Women's health",
author = "Ta, {Van M.} and Juon, {Hee Soon} and Gielen, {Andrea C.} and Donald Steinwachs and Anne Duggan",
note = "Funding Information: Work for this publication were supported by the National Institute of Drug Abuse (NIDA) University of California San Francisco Treatment Research Center Grant (P50 DA09253) and the NIDA Training Grant (T32 DA07250); the federal Maternal and Child Health Bureau (R40 MC 00029; formerly MCJ 240637) and R40MC00123 (formerly MCJ 240838); the Robert Wood Johnson Foundation (18303); the Annie E. Casey Foundation (94-4041); the David and Lucile Packard Foundation (93-6051, 94-7957, 97-8058, and 98-3448); the Hawaii State Department of Health (99-29-J), and National Institute of Health (R01MH60733). Funding Information: Funding for this study were provided by the Robert Wood Johnson Foundation (18303), the Annie E. Casey Foundation (94-4041), the David and Lucile Packard Foundation (93-6051, 94-7957, 97-8058, and 98-3448), the Hawaii State Department of Health (99-29-J), the US Maternal and Child Health Bureau (R40 MC 00029, formerly MCJ-240637 and R40MC00123, formerly MCJ-240838), the National Institute of Mental Health, Epidemiological Center for Early Risk Behaviors (P30MH38725), and the National Institute of Mental Health (R01 MH60733). The study was approved by the Hawaii Department of Health Research Review Committee and by the institutional review boards of The Johns Hopkins University School of Medicine and the six hospitals where families were assessed and enrolled into the study.",
year = "2008",
month = jan,
doi = "10.1007/s11414-007-9078-y",
language = "English (US)",
volume = "35",
pages = "20--36",
journal = "Journal of Behavioral Health Services and Research",
issn = "1094-3412",
publisher = "Springer New York",
number = "1",
}