Understanding the Help-Seeking Process Among Second Generation Chinese Canadians Using the Theory of Planned Behaviour: What Is the Role of Culture?
Open accessAbstract
The underutilization of mental health services among the Chinese Canadian population is a perpetual problem. The present study examined the help-seeking process among second generation Chinese Canadians using the Theory of Planned Behaviour (TPB). The utility of the TPB was tested using both direct and indirect measures and path analyses were used. The influence of additional variables, including self-stigma, anticipated benefits and risks, and cultural variables such as Asian values, European American values, Chinese identity, Canadian identity, family connectedness and self-concealment were investigated. Two hundred and twelve second generation Chinese Canadians participated in the study. Participants had the option to complete the study questionnaire online or in paper format. Results supported the utilization and application of the TPB in understanding help-seeking intentions and highlighted the differential contribution of attitudes, subjective norms, and perceived behavioural control. The study also supported the notion that perceived behavioural control consists of two inter-related but distinct components: self-efficacy and controllability. Results highlight the importance of self-efficacy in predicting help-seeking intentions among second generation Chinese Canadians. Findings also showed that Asian values, Canadian identity, anticipated benefits and risks, self-concealment, and self-stigma play different roles in predicting attitudes, subjective norms, and perceived behavioural control in the help-seeking process. In sum, results of the present study served as an important step in further understanding the help-seeking process among second generation Chinese Canadians. Implications for research, clinical practice, and future directions are discussed.
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Two articles (25%) that did not support perceived behavioral control as a predictor of help-seeking behavior only examined one component of this construct, control factors [55, 64].
“Two of the articles (25%), which did not support perceived behavioral control as a predictor of help-seeking behavior only examined one component of this construct, control factors, which may account for the insignificant findings [55, 64].”
From Explaining adults’ mental health help-seeking through the lens of the theory of planned behavior: A scoping review (2022) · cites this paper as [64]
Cultural factors such as race, ethnicity, and religion have been shown to influence help-seeking intentions and behavior.
“Indeed, cultural factors such as race, ethnicity, and religion have been shown to influence help-seeking intentions and behavior.”
From Explaining adults’ mental health help-seeking through the lens of the theory of planned behavior: A scoping review (2022) · cites this paper as [64]
Mental health problems are commonly stigmatized in Chinese societies, which hinders people's intentions to seek help for fear of social rejection.
“For example, mental health problems are commonly stigmatized in Chinese societies, which hinders people’s intentions to seek help for fear of social rejection [50, 64].”
From Explaining adults’ mental health help-seeking through the lens of the theory of planned behavior: A scoping review (2022) · cites this paper as [64]
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Adams, C., Gringart, E., & Strobel, N. (2022) · Systematic Reviews · doi:10.1186/s13643-022-02034-y · Cited by 115 · see citing works
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- Authors
- Lee, A. M.-S.
- Corresponding author
- Lee, Andrea Ming-Si
- Venue
- Université d'Ottawa / University of Ottawa
- Publisher
- Université d'Ottawa / University of Ottawa
- Published
- 2016
- OpenAlex
- W2252346466
- Cited by
- 3
- References
- 31
- Citations by year
- 2022: 3
- Type
- dissertation
- Language
- en
- Open access
- green
- doi.org
- Locations
- uO Research (University of Ottawa) (submittedVersion, public-domain)
- University of Ottawa - Library
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Keywords
- help-seeking intentions, theory of planned behavior, mental health service utilization, self-stigma, self-concealment, Asian values, Chinese identity, Canadian national identity, family connectedness, self-efficacy, perceived behavioral control
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