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1.
Community Ment Health J ; 49(2): 157-65, 2013 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-22015960

RESUMO

This study describes a culturally relevant intervention using a collaborative depression care model to integrate mental health and primary care services for depressed low income Chinese-Americans at a community health center. A total of 6,065 patients were screened for depression. Of the 341 who screened positive, 57 participated and were randomly assigned to receive either enhanced physician care with care management (32) or enhanced physician care only (25). All enrolled participants were assessed at baseline and 4 monthly follow-up visits for depression, physical and mental health functioning, and perceived stigma toward receiving depression care, to determine the impact, if any, of their mental health treatment. Both groups reported significant reduction of depressive symptoms and improved mental health functioning from baseline to follow-up assessments although there was no significant difference between the two groups. Although the study found no advantage to adding the care management component in the treatment of depression, screening and assertive treatment of immigrant Chinese Americans who tend to underutilize mental health services is important and consistent with the increased adoption of team based care models in patient centered medical homes. High refusal rates for enrollment in the study have implications for future study designs for this group.


Assuntos
Asiático/psicologia , Prestação Integrada de Cuidados de Saúde/organização & administração , Depressão/etnologia , Depressão/terapia , Atenção Primária à Saúde/organização & administração , Adulto , Comportamento Cooperativo , Competência Cultural , Prestação Integrada de Cuidados de Saúde/estatística & dados numéricos , Depressão/diagnóstico , Estudos de Viabilidade , Feminino , Acessibilidade aos Serviços de Saúde , Humanos , Masculino , Serviços de Saúde Mental/organização & administração , Serviços de Saúde Mental/estatística & dados numéricos , Aceitação pelo Paciente de Cuidados de Saúde/etnologia , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Equipe de Assistência ao Paciente , Projetos Piloto , Atenção Primária à Saúde/estatística & dados numéricos , Fatores Socioeconômicos , Resultado do Tratamento
2.
J Soc Work Disabil Rehabil ; 11(2): 81-99, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22630598

RESUMO

In this study the authors assessed the effects of disability beliefs, conceptualization and labeling of emotional disabilities, and perceived barriers on help-seeking behaviors among depressed Chinese Americans in a primary care setting. Forty-two Chinese Americans participated in semistructured interviews using established psychological measures and open-ended questions adapted from the Explanatory Model Interview Catalogue. The authors found that care utilization appears to be complicated by somatization of emotional problems, variations in causal attribution to depression, barriers to receiving mental health care, and the burden of comorbid physical conditions. Their findings highlight the importance of addressing these issues and educating patients about body-mind dialectic common to depression.


Assuntos
Asiático/psicologia , Depressão/epidemiologia , Conhecimentos, Atitudes e Prática em Saúde , Satisfação do Paciente , Atenção Primária à Saúde/métodos , China/etnologia , Formação de Conceito , Cultura , Depressão/psicologia , Emigrantes e Imigrantes/psicologia , Feminino , Indicadores Básicos de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Psicometria , Autoimagem , Transtornos Somatoformes , Estados Unidos/epidemiologia
3.
J Immigr Minor Health ; 11(5): 337-41, 2009 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-19156523

RESUMO

Childhood obesity has been a growing concern in recent years. The extent of obesity in various ethnic pediatric populations including Chinese Americans has not been fully explored. In this study, the prevalence of overweight and obesity in a Chinese American pediatric population (6-19 years) was determined through a chart review of 4,695 patients from a large community health center in New York City. Demographic characteristics including sex, age and immigrant status were used in a logistic regression to determine risk factors for obesity in this community. Overall, 24.6% of the children studied were overweight or obese (defined as BMI > or = 85th percentile for age and sex). Among US born boys aged 6-12 years, the combined prevalence of overweight and obesity was found to be as high as 40%. Further studies are needed to understand the complex interplay of factors that contribute to obesity in pediatric immigrant groups.


Assuntos
Asiático/estatística & dados numéricos , Obesidade/epidemiologia , Adolescente , Adulto , Índice de Massa Corporal , Criança , China/etnologia , Intervalos de Confiança , Emigrantes e Imigrantes , Etnicidade , Feminino , Humanos , Masculino , Cidade de Nova Iorque/epidemiologia , Razão de Chances , Sobrepeso/epidemiologia , Prevalência , Fatores de Risco , Adulto Jovem
4.
Soc Work Health Care ; 48(3): 348-59, 2009.
Artigo em Inglês | MEDLINE | ID: mdl-19360534

RESUMO

A survey was administered to 219 Chinese immigrant women receiving prenatal and postnatal care in a community health center in New York City to examine the practice of and factors associated with "reverse-migration"-sending American-born children to China to be raised by extended family members, and bringing them back upon reaching school age. Results suggest that this practice was common (57%), and was significantly associated with certain maternal and family sociodemographic characteristics. Reasons leading to and perceived impact of reverse-migration separation were also explored. The long-term consequences of reverse-migration separation on child development or family dynamics are unknown. Further research is indicated on larger samples of low-income Chinese immigrant families to explore the prevalence and consequences of this practice.


Assuntos
Emigrantes e Imigrantes , Emigração e Imigração , Poder Familiar , Classe Social , Adulto , China/epidemiologia , Coleta de Dados , Feminino , Humanos , Mães/psicologia , Cidade de Nova Iorque , Cuidado Pós-Natal , Gravidez , Cuidado Pré-Natal , Adulto Jovem
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