title: Factors influencing attitudes towards seeking professional help among East and Southeast Asian immigrant and refugee women.
abstract: OBJECTIVE
  It has been recognized that Asian immigrants in North America have lower rates of mental health service utilization. From the perspective of cross-cultural psychiatry, one of the most important cultural factors may be differences in the explanatory model of illness. This article examines the relationship of causal beliefs, perceived service accessibility and attitudes towards seeking mental health care.
  
  
  METHODS
  The sample consisted of 1000 immigrant and refugee women from five ethnic minority communities in Toronto, including three Chinese Canadian communities (Hong Kong, mainland China and Taiwan), Korean Canadians and Vietnamese Canadians. Data were acquired by a self-administered structured questionnaire. Quantitative data were analysed using MANOVA, ANOVA and stepwise multiple regression.
  
  
  RESULTS
  The five ethnic minority groups of women differed in their explanatory models about mental illness and distress. In the full model where other variables were controlled for, the most significant factor predicting attitudes towards seeking professional help was perceived access for all groups except the Hong Kong Chinese. In the last group, those subscribing more to a Western stress model of illness had a more positive attitude towards seeking professional help, while those subscribing more to supernatural beliefs had a more negative attitude. Age and education were not significant predictors.
  
  
  CONCLUSIONS
  Perceived access is one of the main factors that influence attitudes toward seeking professional help. Explanatory models may predict help-seeking behaviours if perceived access to such services is available.
authors.affiliation: Department of Psychiatry, Toronto Western Hospital, University Health Network, Ontario, Canada. ken.fung@uhn.on.ca
authors.forename: Kenneth
authors.initials: K
authors.lastname: Fung
authors.forename: Yuk-Lin Renita
authors.initials: YL
authors.lastname: Wong
mesh_terms: D000328:Adult; D001210:Asia, Southeastern / Q000208:ethnology; D001290:Attitude; D004641:Emigration and Immigration; D005202:Asia, Eastern / Q000208:ethnology; D005260:Female; D006801:Humans; D008875:Middle Aged; D009864:Ontario; D010342:Patient Acceptance of Health Care; D012036:Refugees / Q000523:psychology*; D011795:Surveys and Questionnaires