Discrimination and mental health-related service use in a national study of Asian Americans

Objectives. We examined the association between perceived discrimination and use of mental health services among a national sample of Asian Americans. Methods. Our data came from the National Latino and Asian American Study, the ?rst national survey of Asian Americans. Our sample included 600 Chinese, 508 Filipinos, 520 Vietnamese, and 467 other Asians (n=2095). We used logistic regression to examine the association between discrimination and formal and informal service use and the interactive effect of discrimination and English language pro?ciency. Results. Perceived discrimination was associated with more use of informal services, but not with less use of formal services. Additionally, higher levels of perceived discrimination combined with lower English pro?ciency were associated with more use of informal services. Conclusions. The effect of perceived discrimination and language pro?ciency on service use indicates a need for more bilingual services and more collaborations between formal service systems and community resources.