Barriers to mental health care utilization for U.S. Cambodian refugees.
Asian Americans encounter barriers to mental health care, some of which are structural, whereas others may be cultural. Using data from a probability sample (N = 490) drawn from the largest Cambodian refugee community in the United States, the authors assessed the extent to which structural and cultural barriers were experienced. Surprisingly, a relatively small proportion endorsed commonly cited cultural barriers such as distrust of Western care (4%) and greater confidence in alternative care (5%), whereas most endorsed structural barriers such as high cost (80%) and language (66%). Among those with a probable diagnosis, a similar pattern was found. Findings suggest that structural, not culturally based, barriers are the most critical obstacles to care in this U.S. Cambodian refugee community.
Wong
Eunice C
EC
RAND Corporation, Santa Monica, CA 90407-2138, USA. ewong@rand.org
Marshall
Grant N
GN
Schell
Terry L
TL
Elliott
Marc N
MN
Hambarsoomians
Katrin
K
Chun
Chi-Ah
CA
Berthold
S Megan
SM
D000328:Adult; D000368:Aged; D001213:Asian / Q000523:psychology* / Q000706:statistics & numerical data*; D002140:California; D002160:Cambodia / Q000208:ethnology; D000529:Complementary Therapies; D003466:Cultural Characteristics; D003469:Culture; D005260:Female; D017048:Health Care Costs / Q000706:statistics & numerical data; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D007802:Language; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology / Q000208:ethnology* / Q000628:therapy; D008605:Mental Health Services / Q000191:economics / Q000706:statistics & numerical data*; D008875:Middle Aged; D012036:Refugees / Q000523:psychology* / Q000706:statistics & numerical data*; D014600:Utilization Review / Q000706:statistics & numerical data