title: English language proficiency and lifetime mental health service utilization in a national representative sample of Asian Americans in the USA.
abstract: BACKGROUND
  US Department of Health and Human Services reported that the lack of English language proficiency and the shortage of providers who possessed appropriate language skills were identified as major barriers to mental health service use for approximately half of the population of Asians and Pacific Islanders. The aim of this study was to examine the predictors of lifetime mental health service use in relation to English language proficiency among Asian Americans.
  
  
  METHODS
  Data from 2095 Asian participants from the National Latino and Asian American Study were analyzed using logistic regression.
  
  
  RESULTS
  Respondents with better English language proficiency and with a mental health diagnosis were more inclined to use mental health services. Participants who were born in the USA, who were widowed, separated or divorced, who sought comfort from religion, who reported worse physical and mental health self-ratings were more likely to use mental health services. The lack of health insurance coverage was not a significant predictor.
  
  
  CONCLUSIONS
  The public health implications for behavioral health include the need to educate health-care providers working with Asian Americans regarding the benefits derived from seeking services and making interpreter services available in a culturally sensitive environment.
authors.affiliation: School of Social Work University of Texas at Arlington, Arlington, TX 76019-0129, USA. suk-young.kang@uta.edu
authors.forename: Suk-Young
authors.initials: SY
authors.lastname: Kang
authors.forename: Diane
authors.initials: D
authors.lastname: Howard
authors.forename: Jeungkun
authors.initials: J
authors.lastname: Kim
authors.forename: Jennifer Shepard
authors.initials: JS
authors.lastname: Payne
authors.forename: Leo
authors.initials: L
authors.lastname: Wilton
authors.forename: Wooksoo
authors.initials: W
authors.lastname: Kim
authors.forename: Dina
authors.initials: D
authors.lastname: Maramba
mesh_terms: D000328:Adult; D001213:Asian; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D007407:Interviews as Topic; D016015:Logistic Models; D008297:Male; D001523:Mental Disorders / Q000208:ethnology; D008605:Mental Health Services / Q000706:statistics & numerical data*; D019303:Multilingualism; D014481:United States