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Determinants of Depression Risk among Three Asian American Subgroups in New York City
- Source :
- Ethn Dis
- Publication Year :
- 2020
- Publisher :
- Ethnicity and Disease Inc, 2020.
-
Abstract
- Objective: Although the fastest growing mi­nority group, Asian Americans receive little attention in mental health research. More­over, aggregated data mask further diversity within Asian Americans. This study aimed to examine depression risk by detailed Asian American subgroup, and further assess de­terminants within and between three Asian ethnic subgroups. Methods: Needs assessment surveys were collected in 16 Asian American subgroups (six Southeast Asian, six South Asian, and four East Asian) in New York City from 2013-2016 using community-based sampling strategies. A final sample of N=1,532 com­pleted the PHQ-2. Bivariate comparisons and multivariable logistic models explored differences in depression risk by subgroup. Results: Southeast Asians had the greatest depression risk (19%), followed by South Asians (11%) and East Asians (9%). Among Southeast Asians, depression risk was associ­ated with lacking health insurance (OR=.2, 95% CI: 0-.6), not having a provider who speaks the same language (OR=3.2, 95% CI: 1.3-8.0), and lower neighborhood social cohesion (OR= .94, 95% CI: .71-.99). Among South Asians, depression risk was associated with greater English proficiency (OR=3.9, 95% CI: 1.6-9.2); and among East Asians, depression risk was associated with ≤ high school education (OR=4.2, 95% CI: 1.2-14.3). Additionally, among Southeast Asians and South Asians, the high­est depression risk was associated with high levels of discrimination (Southeast Asian: OR=9.9, 95% CI: 1.8-56.2; South Asian: OR=7.3, 95% CI: 3.3-16.2). Conclusions: Depression risk and deter­minants differed by Asian American ethnic subgroup. Identifying factors associated with depression risk among these groups is key to targeting limited public health resources for these underserved communities. Ethn Dis. 2020;30(4):553-562; doi:10.18865/ed.30.4.553
- Subjects :
- Adult
Male
medicine.medical_specialty
Adolescent
Epidemiology
Ethnic group
Southeast asian
Young Adult
03 medical and health sciences
Racism
Residence Characteristics
Risk Factors
Asian americans
Surveys and Questionnaires
medicine
Original Report: Mental Health Across the Lifecourse
Humans
East Asia
Asia, Southeastern
Depression (differential diagnoses)
Aged
Language
Insurance, Health
030505 public health
Asian
Depression
Asia, Eastern
business.industry
Public health
Communication Barriers
General Medicine
Middle Aged
Mental health
Needs assessment
Educational Status
Female
New York City
0305 other medical science
business
Demography
Subjects
Details
- ISSN :
- 19450826 and 1049510X
- Volume :
- 30
- Database :
- OpenAIRE
- Journal :
- Ethnicity & Disease
- Accession number :
- edsair.doi.dedup.....b917bfdf24a5a0db7f60eec128f525a5