Unmet Mental Health Care Needs Among Asian Americans 10–11 Years After Exposure to the World Trade Center Attack

Details

• Personal Author:
  Goldmann E ; Huang D ; Kung WW ; Liu X ; Wang X
• Description:
  This study investigated the prevalence of unmet mental health care needs (UMHCN) and their associated factors among 2344 Asian Americans directly exposed to the World Trade Center (WTC) attack 10-11 years afterwards. Given the pervasive underutilization of mental health services among Asians, their subjective evaluation of unmet needs could provide more nuanced information on disparities of service. We used the WTC Health Registry data and found that 12% of Asian Americans indicated UMHCN: 69% attributing it to attitudinal barriers, 36% to cost barriers, and 29% to access barriers. Among all the factors significantly related to UMHCN in the logistic model, disruption of health insurance in the past year had the largest odds ratio (OR = 2.37, 95% confidence interval: 1.61-3.48), though similar to functional impairment due to mental disorders. Post-9/11 mental health diagnosis, probable mental disorder and ≥14 poor mental health days in the past month were also associated with greater odds of UMHCN, while greater social support was associated with lower odds. Results suggest that continued outreach efforts to provide mental health education to Asian communities to increase knowledge about mental illness and treatment options, reduce stigmatization of mental illness, and offer free mental health services are crucial to address UMHCN. [Description provided by NIOSH]
• Subjects:
  Community Health Services Healthcare Disparities Mental Health Nervous System Occupational Health Safety September 11 Terrorist Attacks
• Keywords:
  Asian Americans Attitude Author Keywords: Unmet Mental Health Care Needs Community Health Costs Disaster Disaster Recovery Health Disparities Health Insurance Mental Health Mental Health Conditions Mental Health Service Use Post-traumatic Stress Disorder PTSD Social Support Sociological Factors Stressful Life Events World Trade Center World Trade Center Attack WTC

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• ISSN:
  1660-4601
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  New York ; OSHA Region 2
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  16
• Issue:
  7
• NIOSHTIC Number:
  nn:20055449
• Citation:
  Int J Environ Res Public Health 2019 Apr; 16(7):1302
• Contact Point Address:
  Winnie W. Kung, Fordham University, Graduate School of Social Service, 113 West 60th Street, New York, NY 11375, USA
• Email:
  kung@fordham.edu
• Federal Fiscal Year:
  2019
• Performing Organization:
  Fordham University, New York
• Peer Reviewed:
  True
• Start Date:
  20140701
• Source Full Name:
  International Journal of Environmental Research and Public Health
• End Date:
  20170630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:36a2415c8bef38d397e25035d32c20a11a0d6fdc5f351e8b1975811a8e4266ad446d260bc83014b05c575819aeb5eb1adcabdc007795943be118b2688e740bc0
• Download URL:
  https://stacks.cdc.gov/view/cdc/213296/cdc_213296_DS1.pdf
• File Type:
  [PDF - 334.15 KB ]