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Factors Influencing Stress and Mental Health Help-Seeking in Asian Americans: A Qualitative Study with a Focus on Karen Refugees
Factors Influencing Stress and Mental Health Help-Seeking in Asian Americans: A Qualitativ...
Factors Influencing Stress and Mental Health Help-Seeking in Asian Americans: A Qualitative Study with a Focus on Karen Refugees

상세정보

자료유형  
 학위논문 서양
최종처리일시  
20260202104727
ISBN  
9798291558171
DDC  
362
저자명  
Chen, Jian.
서명/저자  
Factors Influencing Stress and Mental Health Help-Seeking in Asian Americans: A Qualitative Study with a Focus on Karen Refugees
발행사항  
[Sl] : The University of North Carolina at Chapel Hill, 2025
발행사항  
Ann Arbor : ProQuest Dissertations & Theses, 2025
형태사항  
164 p
주기사항  
Source: Dissertations Abstracts International, Volume: 87-02, Section: B.
주기사항  
Advisor: Giscombe, Cheryl.
학위논문주기  
Thesis (Ph.D.)--The University of North Carolina at Chapel Hill, 2025.
초록/해제  
요약Suicide is the leading cause of death among Asian Americans aged 15-24 (US DHHS, 2020), with AANHPI groups experiencing some of the highest suicide rate increases from 2021 to 2022 (Centers for Disease Control and Prevention [CDC], 2024). Asian Americans have the lowest rates of mental health help-seeking and remain underrepresented in research (Lee et al., 2021; Satcher Institute, 2022). Addressing mental health disparities requires understanding the cultural, familial, and systemic factors that impact help-seeking. Conflicts between immigrant parents and their U.S.-born children, driven by cultural differences, significantly raise suicide risk-youth experiencing high parent-child conflict face a 30-fold increase in suicidal behavior (Lau et al., 2002). Additionally, rising anti-Asian discrimination since COVID-19 has worsened mental health, particularly among youth (Cheah et al., 2020; Hahm et al., 2021). Culturally responsive, community-based interventions are urgently needed. Given the diversity across 50+ Asian American groups speaking over 100 languages, it is crucial to consider varying needs- especially among underserved populations like the Karen refugees. In North Carolina, Karen youth identified mental health as their top concern (Budiman & Ruiz, 2021; Lin et al., 2024).This dissertation aimed to explore Asian American experiences and perspectives on mental health and help-seeking:Aim 1: Synthesize the current literature on mental health help-seeking among Asian Americans, with a specific focus on identifying the interpersonal, intrapersonal, cultural, systemic, and societal factors that influence help-seeking. Aim 2: Describe the experiences of stress and mental health help-seeking among Karen refugee parents in North Carolina through individual semi-structured interviews. Aim 3: Describe the experiences of stress and mental health help-seeking among Karen refugee youth in North Carolina through individual, semi-structured interviews.
일반주제명  
Mental health
일반주제명  
Asian American studies
일반주제명  
Nursing
일반주제명  
Behavioral psychology
키워드  
Asian Americans refugees
키워드  
Asian refugee parents
키워드  
Health disparity
키워드  
Informal help-seeking
키워드  
Stress
키워드  
Mental illness
기타저자  
The University of North Carolina at Chapel Hill Nursing
기본자료저록  
Dissertations Abstracts International. 87-02B.
전자적 위치 및 접속  
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MARC

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■0820  ▼a362
■1001  ▼aChen,  Jian.
■24510▼aFactors  Influencing  Stress  and  Mental  Health  Help-Seeking  in  Asian  Americans:  A  Qualitative  Study  with  a  Focus  on  Karen  Refugees
■260    ▼a[Sl]▼bThe  University  of  North  Carolina  at  Chapel  Hill▼c2025
■260  1▼aAnn  Arbor▼bProQuest  Dissertations  &  Theses▼c2025
■300    ▼a164  p
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  87-02,  Section:  B.
■500    ▼aAdvisor:  Giscombe,  Cheryl.
■5021  ▼aThesis  (Ph.D.)--The  University  of  North  Carolina  at  Chapel  Hill,  2025.
■520    ▼aSuicide  is  the  leading  cause  of  death  among  Asian  Americans  aged  15-24  (US  DHHS,  2020),  with  AANHPI  groups  experiencing  some  of  the  highest  suicide  rate  increases  from  2021  to  2022  (Centers  for  Disease  Control  and  Prevention  [CDC],  2024).  Asian  Americans  have  the  lowest  rates  of  mental  health  help-seeking  and  remain  underrepresented  in  research  (Lee  et  al.,  2021;  Satcher  Institute,  2022).  Addressing  mental  health  disparities  requires  understanding  the  cultural,  familial,  and  systemic  factors  that  impact  help-seeking.  Conflicts  between  immigrant  parents  and  their  U.S.-born  children,  driven  by  cultural  differences,  significantly  raise  suicide  risk-youth  experiencing  high  parent-child  conflict  face  a  30-fold  increase  in  suicidal  behavior  (Lau  et  al.,  2002).  Additionally,  rising  anti-Asian  discrimination  since  COVID-19  has  worsened  mental  health,  particularly  among  youth  (Cheah  et  al.,  2020;  Hahm  et  al.,  2021).  Culturally  responsive,  community-based  interventions  are  urgently  needed.  Given  the  diversity  across  50+  Asian  American  groups  speaking  over  100  languages,  it  is  crucial  to  consider  varying  needs-  especially  among  underserved  populations  like  the  Karen  refugees.  In  North  Carolina,  Karen  youth  identified  mental  health  as  their  top  concern  (Budiman  &  Ruiz,  2021;  Lin  et  al.,  2024).This  dissertation  aimed  to  explore  Asian  American  experiences  and  perspectives  on  mental  health  and  help-seeking:Aim  1:  Synthesize  the  current  literature  on  mental  health  help-seeking  among  Asian  Americans,  with  a  specific  focus  on  identifying  the  interpersonal,  intrapersonal,  cultural,  systemic,  and  societal  factors  that  influence  help-seeking.  Aim  2:  Describe  the  experiences  of  stress  and  mental  health  help-seeking  among  Karen  refugee  parents  in  North  Carolina  through  individual  semi-structured  interviews.  Aim  3:  Describe  the  experiences  of  stress  and  mental  health  help-seeking  among  Karen  refugee  youth  in  North  Carolina  through  individual,  semi-structured  interviews.
■590    ▼aSchool  code:  0153.
■650  4▼aMental  health
■650  4▼aAsian  American  studies
■650  4▼aNursing
■650  4▼aBehavioral  psychology
■653    ▼aAsian  Americans  refugees
■653    ▼aAsian  refugee  parents
■653    ▼aHealth  disparity
■653    ▼aInformal  help-seeking
■653    ▼aStress
■653    ▼aMental  illness
■690    ▼a0347
■690    ▼a0343
■690    ▼a0569
■690    ▼a0384
■71020▼aThe  University  of  North  Carolina  at  Chapel  Hill▼bNursing.
■7730  ▼tDissertations  Abstracts  International▼g87-02B.
■790    ▼a0153
■791    ▼aPh.D.
■792    ▼a2025
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17358618▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.

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