Cited by 168Interpreting and Communication in HealthcareMental Health Treatment and AccessMigration, Health and Trauma

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English Language Proficiency and Mental Health Service Use Among Latino and Asian Americans With Mental Disorders

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Bauer, Amy M., Chen, Chih-Nan, Alegría, Margarita·2010·Medical Care

DOI 10.1097/mlr.0b013e3181f80749PMC PMC3135417

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Abstract

OBJECTIVE: The impact of language proficiency as a potential contributor to ethnic disparities in mental health care has received less attention than other factors. Data from the National Latino and Asian American Study were examined to assess the impact of limited English proficiency (LEP) on access to and quality of mental health care for community-dwelling Latino and Asian Americans with mental disorders. METHODS: English-proficient (EP) and LEP individuals with mental disorders were compared on lifetime use of healthcare services for a mental disorder, duration of untreated disorders, receipt of minimally adequate care, and barriers to treatment (eg, lack of identification of need for treatment, language barriers, and embarrassment or discomfort related to treatment). RESULTS: Compared with EP individuals, LEP individuals with mental disorders were significantly less likely to identify a need for mental health services, experience longer duration of untreated disorders, and use fewer healthcare services for mental disorders, particularly specialty mental health care. Receipt of minimally adequate care did not differ significantly by language proficiency. Embarrassment and discomfort were not more common among LEP individuals. Perceived need for treatment predicted lifetime mental healthcare use, whereas embarrassment and discomfort did not. CONCLUSIONS: Among Latino and Asian Americans with mental disorders, LEP contributes to disparities in access to care and longer duration of untreated disorders. Potential disparities in quality of care were difficult to detect in the context of low overall rates of mental healthcare use and quality of care among both LEP and EP individuals.

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Authors: Bauer, A. M., Chen, C.-N., & Alegría, M.
Affiliations: Cambridge Health Alliance (US)
ORCID: Bauer, Amy M.
Chen, Chih-Nan
Venue: Medical Care
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2010-12
Volume: 48
Issue: 12
Pages: 1097-1104
ISSN: 0025-7079 (ISSN-L)
DOI: 10.1097/mlr.0b013e3181f80749
PMC: PMC3135417
OpenAlex: W2088385553
Cited by: 168
References: 39
Citations by year: 2026: 5 · 2025: 9 · 2024: 18 · 2023: 21 · 2022: 10 · 2021: 9 · 2020: 9 · 2019: 13 · 2018: 4 · 2017: 15 · 2016: 7 · 2015: 16 · 2014: 10 · 2013: 7 · 2012: 8
FWCI: 12.47
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Medical Care (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health (5p60md002261-05)
National Institute of Mental Health (P50MH073469, U01MH062209, T32MH019733)
National Institute on Minority Health and Health Disparities (P60-MD-002261)
Topics: Health Sciences › Health Professions › General Health Professions › Interpreting and Communication in Healthcare
Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
Keywords: limited English proficiency, mental health service utilization, Hispanic Americans, Asian Americans, ethnic disparities, access to mental health care, barriers to treatment, language barriers, perceived need for treatment, mental health care quality
MeSH terms: Adult, Aged, Asian, Attitude to Health, Mental Disorders, Communication Barriers, Cross-Sectional Studies, Female, Health Services Accessibility, Hispanic or Latino, Humans, Male, Mental Health Services, Middle Aged, Social Environment, United States, Health Care Surveys, Healthcare Disparities, Young Adult

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English Language Proficiency and Mental Health Service Use Among Latino and Asian Americans With Mental Disorders

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