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

2010/11/06 by Amy M. Bauer, Chih‐Nan Chen, Chih-Nan Chen +2 · 169 citations
Health Professions · Medicine · Psychology · #Context (archaeology) #Embarrassment #Ethnic group #Family medicine #Gerontology #Health care #Interpreting and Communication in Healthcare #Medicine #Mental Health Treatment and Access #Mental health #Migration, Health and Trauma #Psychiatry #Psychological intervention #Psychology #Receipt

paper · open access · doi:10.1097/mlr.0b013e3181f80749

published in Medical Care 48(12), 1097-1104 (Lippincott Williams & Wilkins)

openalex publication_date 2010/11/06 · openalex created_date 2025/10/10 · openalex updated_date 2026/08/01

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.

Citations

• Mental health literacy

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