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Preventing Filipino Mental Health Disparities: Perspectives From Adolescents, Caregivers, Providers, and Advocates

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Joyce R Javier at Kaiser Permanente Bernard J. Tyson School of Medicine
Joyce R Javier
  • Kaiser Permanente Bernard J. Tyson School of Medicine
Jocelyn Supan
Jocelyn Supan
Jocelyn Supan
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Anjelica Lansang
Anjelica Lansang
Anjelica Lansang
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William Beyer
William Beyer
William Beyer
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Abstract

Filipino Americans are the second largest immigrant population and second largest Asian ethnic group in the U.S. Disparities in youth behavioral health problems and the receipt of mental health services among Filipino youth have been documented previously. However, few studies have elicited perspectives from community stakeholders regarding how to prevent mental health disparities among Filipino youth. The purpose of the current study is to identify intervention strategies for implementing mental health prevention programs among Filipino youth. We conducted semi-structured interviews (n=33) with adolescents, caregivers, advocates, and providers and focus groups (n=18) with adolescents and caregivers. Interviews were audio taped and transcribed verbatim. Transcripts were analyzed using a methodology of "coding consensus, co-occurrence, and comparison" and was rooted in grounded theory. Four recommendations were identified when developing mental health prevention strategies among Filipino populations: address the intergenerational gap between Filipino parents and children, provide evidence-based parenting programs, collaborate with churches in order to overcome stigma associated with mental health, and address mental health needs of parents. Findings highlight the implementation of evidence-based preventive parenting programs in faith settings as a community-identified and culturally appropriate strategy to prevent Filipino youth behavioral health disparities.
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... Culturally safe family-based interventions. Eight studies highlighted culturally tailored family-based interventions for Asian immigrant youth and their families [108, 129,[148][149][150][151][152][153]. Highlighted interventions and their effects are outlined in Table 2. ...
... Program recommendation of preventive parenting programs in faith settings [153]. ...
... Healthcare providers recommended implementing preventive parenting programs in faith settings as a community-centred and culturally safe strategy to prevent Filipino youth mental health inequities [153]. ...
Understanding the factors related to how East and Southeast Asian immigrant youth and families access mental health and substance use services: A scoping review
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... Community-based participatory research (CBPR) is a research approach that fosters equitable relationships between academic and community as research partners, and ensures mutual benefit and longterm commitment to the communities and the organizations that serve them (Wallerstein & Duran, 2006). Community engagement is essential to determine the most acceptable approaches to working with historically marginalized communities where health disparities persist (Javier et al., 2010(Javier et al., , 2014Wallerstein & Duran, 2006) ...
... The Health literacy remains a major barrier to accessing health services for Filipinos in Hawai'i, as indicated by previous literature Sanchez & Gaw, 2007;Sentell et al., 2013). Services offered in Filipino languages needs to be expanded, and the community needs access to translated health promotion materials and prevention guidance such as cancer screening guidelines consistent with previous findings (Maneze et al., 2018;Yu et al., 2004 Partnership based on CBPR approaches and principles (Javier et al., 2010(Javier et al., , 2014Wallerstein & Duran, 2006 ...
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... Although our study found that there was a lower incidence of postoperative complication rate for NHPI patients, NHPI patients still suffer from disproportionate burdens of many chronic health conditions compared to non-Hispanic Whites. [53][54][55] While this may not have increased the complication rate relative to non-Hispanic White patients, due to lack of other available research, it is important to identify which health comorbidities lead to adverse surgical outcome. Again, this further supports the importance of disaggregating NHPI patients from Asian patients as well as not condensing all smaller minority groups together into a single "other" category in research studies. ...
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As low as the rate of mental health help-seeking is among Asian Americans, Filipino Americans seek mental health services at a much lower rate even compared with other Asian Americans. Despite the field’s progress in identifying and understanding factors that may influence mental health help-seeking attitudes among Asian Americans, despite research on other minority groups suggesting that cultural mistrust may influence attitudes toward seeking professional psychological help, and despite the abundance of literature documenting the historical and contemporary experiences of oppression by Filipino Americans, the possibility that cultural mistrust may play a significant role in Filipino Americans’ mental health help-seeking attitudes have yet to be empirically investigated. Thus, using a sample of 118 Filipino Americans, the current study demonstrates that higher levels of cultural mistrust is related to lower likelihood of seeking professional psychological help. Furthermore, cultural mistrust predicted variance in mental health help-seeking attitudes that are not accounted for by income, generational status, loss of face, and adherence to Asian cultural values. Implications for future research are discussed. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
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