This research proposal requests five years of funding for a community epidemiological study to investigate the psychiatric problems and assess the need for mental health services among Chinese Americans. Very little information is available about the distribution of psychiatric disorders in Asian American communities. The proposed study has two specific aims: (a) estimate the prevalence of selected mental disorders among Chinese Americans; and (b) identify the factors associated with mental health problems among Chinese Americans. This prospective study will obtain 1,700 completed household interviews with Chinese Americans residing in Los Angeles county. A follow-up interview with the same respondents will be conducted one year later. The target population for the proposed study includes Chinese immigrants and native-born residents of the United States. The study is limited to adults (eighteen and older) who reside in Los Angeles County who speak Mandarin, Cantonese, or English. Mandarin and Cantonese are the most common Chinese dialects. The proposed research will use a multi-stage sampling design to select respondents. The interview instrument will include the following: (a) socio-demographic information including age, sex, educational level, household income, number of household members, year of immigration, country of origin, marital status, and English-proficiency; (b) Diagnostic Interview Schedule questions related to mood, anxiety, and somatic disorders; (c) questions related to stressors including major life events and daily hassles; (d) information on social support and hardiness; and (e) help-seeking behavior questions.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
5R01MH047460-02
Application #
3387285
Study Section
Epidemiologic and Services Research Review Committee (EPS)
Project Start
1991-09-01
Project End
1996-08-31
Budget Start
1992-09-30
Budget End
1993-08-31
Support Year
2
Fiscal Year
1992
Total Cost
Indirect Cost
Name
University of California Los Angeles
Department
Type
Schools of Arts and Sciences
DUNS #
119132785
City
Los Angeles
State
CA
Country
United States
Zip Code
90095
Hwang, Wei-Chin; Chun, Chi-Ah; Takeuchi, David T et al. (2005) Age of first onset major depression in Chinese Americans. Cultur Divers Ethnic Minor Psychol 11:16-27
Spencer, Michael S; Chen, Juan (2004) Effect of discrimination on mental health service utilization among Chinese Americans. Am J Public Health 94:809-14
Lim, Brian R; Tan, Siang-Yang; Zheng, Yan-Ping et al. (2003) Psychosocial factors in chronic fatigue syndrome among Chinese Americans: a longitudinal community-based study. Transcult Psychiatry 40:429-41
Shen, B J; Takeuchi, D T (2001) A structural model of acculturation and mental health status among Chinese Americans. Am J Community Psychol 29:387-418
Hwang, W C; Myers, H F; Takeuchi, D T (2000) Psychosocial predictors of first-onset depression in Chinese Americans. Soc Psychiatry Psychiatr Epidemiol 35:133-45
Takeuchi, D T; Cheung, M K (1998) Coercive and voluntary referrals: how ethnic minority adults get into mental health treatment. Ethn Health 3:149-58
Takeuchi, D T; Chung, R C; Lin, K M et al. (1998) Lifetime and twelve-month prevalence rates of major depressive episodes and dysthymia among Chinese Americans in Los Angeles. Am J Psychiatry 155:1407-14
Zheng, Y P; Lin, K M; Takeuchi, D et al. (1997) An epidemiological study of neurasthenia in Chinese-Americans in Los Angeles. Compr Psychiatry 38:249-59
Sue, S; Sue, D W; Sue, L et al. (1995) Psychopathology among Asian Americans: a model minority? Cult Divers Ment Health 1:39-51