Understanding Latinx youth mental health disparities by problem type: The role of caregiver culture
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= 308) over a 2- year period. Results demonstrated that caregiver acculturation significantly moderated the relationship between caregiver ratings of internalizing need and MHS use, such that the likelihood that Latinx youth with internalizing need would receive MHS increased as caregiver acculturation increased. Furthermore, the influence of caregiver acculturation appeared to be specific to youth with internalizing need. The relationship between externalizing need and MHS utilization was not moderated by either caregiver acculturation nor enculturation. This research provides evidence that ethnic disparities in service use among Latinx families cannot be explained by race/ethnicity alone, and that additional explanatory factors need to be considered in order to gain a better understanding of the factors that drive MHS disparities. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
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Dimensions of caregiver strain among Latinxs are an important culture-bound pathway by which parents become aware of the need for formal youth MHS and decide to seek support.
“Recent research has suggested that dimensions of caregiver strain among Latinxs, or stress resulting from caring for a youth with emotional and/or behavioral problems are an important culture-bound pathway by which parents become aware of the need for formal youth MHS and decide to seek support [4,6].”
From Dimensions of caregiver strain may partially mediate the relationship between youth symptomology and counseling utilization among Latinxs (2024) · cites this paper as [6]
Latinx caregivers may develop different subtypes of caregiver strain in response to specific youth problem types.
“Recent research suggests that Latinx caregivers may develop different subtypes of caregiver strain in response to specific youth problem types.”
From Dimensions of caregiver strain may partially mediate the relationship between youth symptomology and counseling utilization among Latinxs (2024) · cites this paper as [6]
There were significant positive correlations between both types of youth problems (internalizing and externalizing) and all three dimensions of caregiver strain.
“There were also significant positive correlations between both types of youth problems and all three dimensions of caregiver strain.”
From Dimensions of caregiver strain may partially mediate the relationship between youth symptomology and counseling utilization among Latinxs (2024) · cites this paper as [6]
Youth internalizing problems were associated with greater objective and subjective internalized strain.
“In contrast, youth internalizing problems were associated with greater objective and subjective internalized strain.”
From Dimensions of caregiver strain may partially mediate the relationship between youth symptomology and counseling utilization among Latinxs (2024) · cites this paper as [6]
The sample used by Galvan and Gudiño included greater representation from caregivers who were first generation in the United States, while the present sample was predominately bicultural (45.3% equal preference for English or Spanish) and second generation in the United States (47.3%).
“The sample used by Galvan and Gudiño [6] included greater representation from caregivers who were first generation in the United States, while the present sample was predominately bicultural (i.e., 45.3% equal preference for English or Spanish) and second generation in the United States (47.3%).”
From Dimensions of caregiver strain may partially mediate the relationship between youth symptomology and counseling utilization among Latinxs (2024) · cites this paper as [6]
The sample used by Galvan and Gudiño also included families with a high likelihood of seeking services (families were known to public service systems), whereas the present sample was a community sample.
“Furthermore, the sample used by Galvan and Gudiño [6] also included families with a high likelihood of seeking services (i.e., families were known to public service systems), whereas the present sample was a community sample.”
From Dimensions of caregiver strain may partially mediate the relationship between youth symptomology and counseling utilization among Latinxs (2024) · cites this paper as [6]
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BackgroundYouth mental health service preferences and utilization patterns among Latinx caregivers
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“…mental health services, indicating that higher caregiver acculturation was associated with services use in the context of internalizing symptoms (Galvan & Gudiño, 2021); by elucidating within-group disparities among Latinx families, this recent study highlights the need for further fine-grained…”
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“For example, researchers have found that the type of mental health problem is a determining factor, with care-givers being more likely to seek services when children have externalizing behaviors (Galvan & Gudiño, 2021).”
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Impact of Youth Problem Type on Specific Dimensions of Caregiver Strain in Latino Families
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“Youth and caregivers often differ in levels of acculturation, views on mental health, and treatment goals [47–50], all of which are factors that can shape treatment preferences.”
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Self-citationBarriers to mental health services among at-risk and symptomatic adolescents in the community
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“Several studies have identified the lack of perception of need as a dominant barrier within clinical samples [38–40], particularly among those experiencing depression and anxiety symptoms.”
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“For example, there is evidence that internalizing symptoms are likely to be under identified in Latinx youth living with their families and that the likelihood of receiving services for internalizing needs increases as a function of caregiver acculturation (Galvan & Gudiño, 2021).”
Self-citationBosik, S. W., Harris, B., Alibrahim, N., & Donovan, C. (2021) · Contemporary School Psychology · doi:10.1007/s40688-021-00371-8 · Cited by 3 · see citing works
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“Parents’ level of acculturation may contribute to differences in receipt of care [7].”
BackgroundDadeMatthews, A. O., Pangelinan, M. M., Bowen, A. E., Simon, S. L., Chandrasekhar, J. L., Musci, R. J., & Kaar, J. L. (2024) · Community Mental Health Journal · doi:10.1007/s10597-024-01292-5 · Cited by 2 · see citing works
Rodríguez, M. M. D., Vázquez, A. L., Galvan, T., & Gudiño, O. G. (2024) · Family Process · doi:10.1111/famp.12986 · Cited by 2 · see citing works
Self-citationFuentes, J., Rodriguez, V. J., Rodriguez, M. L., & Ordaz, A. C. (2022) · Advances in psychology, mental health, and behavioral studies (APMHBS) book series · doi:10.4018/978-1-6684-4901-1.ch012
CASE STUDY: Cultural diversity and cognitive-behavioral therapy
Cardemil, E. V., Hartman, S. J., & Rosario, J. R. (2023) · Elsevier eBooks · doi:10.1016/b978-0-323-85726-0.00040-5
Racial Disparity of Mental Health Service Utilization Among Low-Income Head Start Eligible Parents
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“Immigration status and acculturation may also play a role, as more recent immigrants may not have experience navigating the healthcare system, and if they are undocumented, may fear deportation should they seek services [18].”
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“Individual items representing service use are also often used to gather descriptive information and serve as outcome variables in logistic regression models to help identify correlates associated with help-seeking among families [5,12,25].”
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“Prior research among US Latinx caregivers found that youth with internalizing problems had greater probability of service use when caregivers endorsed greater acculturation (Galvan and Gudiño 2021).”
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“Despite experiencing similar levels of anxiety and depression as other groups (Galvan & Gudiño, 2021), Latinx individuals access care at roughly half the rate of non-Hispanic whites (SAMHSA, 2023).”
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“These challenges may result in individuals experiencing identity conflict, perceived cultural marginalization/discrimination, and/or pressure to assimilate, which can contribute to the development of mental health problems [1,3,14].”
Influential
- Authors
- Galvan, T., & Gudiño, O. G.
- Venue
- Psychological Services
- Published
- 2021-02
- Volume
- 18
- Issue
- 1
- Pages
- 116-123
- ISSN
- 1541-1559 (ISSN-L)
- 1939-148X
- OpenAlex
- W2951570032
- Cited by
- 30
- References
- 0
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 6 · 2023: 6 · 2022: 3 · 2021: 6 · 2020: 1
- FWCI
- 5.04
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Psychological Services (publishedVersion, other-oa)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (U01 MH55282)
- Topics
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- Latinx youth, enculturation, internalizing problems, externalizing problems, mental health service utilization, ethnic disparities, family caregiving
- MeSH terms
- Acculturation, Adolescent, Ethnicity, Hispanic or Latino, Humans, Mental Health, Mental Health Services, Caregivers
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