Depression among Asian-American Adults in the Community: Systematic Review and Meta-Analysis.
OBJECTIVES:In this systematic review, we provide an overview of the literature on depression among Asian-Americans and explore the possible variations in depression prevalence estimates by methodological and demographic factors. METHODS:Six databases were used to identify studies reporting a prevale...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2015-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0127760 |
| _version_ | 1828958293483061248 |
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| author | Hee Jun Kim EunMi Park Carla L Storr Katherine Tran Hee-Soon Juon |
| author_facet | Hee Jun Kim EunMi Park Carla L Storr Katherine Tran Hee-Soon Juon |
| author_sort | Hee Jun Kim |
| collection | DOAJ |
| description | OBJECTIVES:In this systematic review, we provide an overview of the literature on depression among Asian-Americans and explore the possible variations in depression prevalence estimates by methodological and demographic factors. METHODS:Six databases were used to identify studies reporting a prevalence estimate for depression in Asian-American adults in non-clinical settings. Meta-analysis was used to calculate pooled estimates of rates of depression by assessment type. Statistical heterogeneity was assessed for subgroup analyses by gender, age, ethnicity, and other participant characteristics. RESULTS:A total of 58 studies met the review criteria (n = 21.731 Asian-American adults). Heterogeneity across the studies was considerably high. The prevalence of major depression assessed via standardized clinical interviews ranged between 4.5% and 11.3%. Meta-analyses revealed comparable estimated prevalence rates of depression as measured by the Center for Epidemiologic Studies Depression Scale (35.6%, 95% CI 27.6%-43.7%) and the Geriatric Depression Scale (33.1%, 95% CI 14.9%-51.3%). Estimates varied by Asian racial/ethnic group and other participant characteristics. Estimates of depression among special populations, which included maternity, caregivers, and homosexuals, were significantly higher than estimates obtained from other samples (58.8% vs 29.3%, p = .003). Estimates of depression among Korean and Filipino-Americans were similar (33.3%-34.4%); however, the estimates were twice as high as those for Chinese-Americans (15.7%; p = .012 for Korean, p = .049 for Filipino). CONCLUSION:There appears to be wide variability in the prevalence rates of depression among Asian-Americans in the US. Practitioners and researchers who serve Asian-American adults need to be sensitive to the potential diversity of the expression of depression and treatment-seeking across Asian-American subgroups. Public health policies to increase Asian-American access to mental health care, including increased screening, are necessary. Further work is needed to determine whether strategies to reduce depression among specific Asian racial/ethnic groups is warranted. |
| first_indexed | 2024-12-14T08:46:01Z |
| format | Article |
| id | doaj.art-5e22613995c342978a32059de31808f1 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-14T08:46:01Z |
| publishDate | 2015-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-5e22613995c342978a32059de31808f12022-12-21T23:09:10ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-01106e012776010.1371/journal.pone.0127760Depression among Asian-American Adults in the Community: Systematic Review and Meta-Analysis.Hee Jun KimEunMi ParkCarla L StorrKatherine TranHee-Soon JuonOBJECTIVES:In this systematic review, we provide an overview of the literature on depression among Asian-Americans and explore the possible variations in depression prevalence estimates by methodological and demographic factors. METHODS:Six databases were used to identify studies reporting a prevalence estimate for depression in Asian-American adults in non-clinical settings. Meta-analysis was used to calculate pooled estimates of rates of depression by assessment type. Statistical heterogeneity was assessed for subgroup analyses by gender, age, ethnicity, and other participant characteristics. RESULTS:A total of 58 studies met the review criteria (n = 21.731 Asian-American adults). Heterogeneity across the studies was considerably high. The prevalence of major depression assessed via standardized clinical interviews ranged between 4.5% and 11.3%. Meta-analyses revealed comparable estimated prevalence rates of depression as measured by the Center for Epidemiologic Studies Depression Scale (35.6%, 95% CI 27.6%-43.7%) and the Geriatric Depression Scale (33.1%, 95% CI 14.9%-51.3%). Estimates varied by Asian racial/ethnic group and other participant characteristics. Estimates of depression among special populations, which included maternity, caregivers, and homosexuals, were significantly higher than estimates obtained from other samples (58.8% vs 29.3%, p = .003). Estimates of depression among Korean and Filipino-Americans were similar (33.3%-34.4%); however, the estimates were twice as high as those for Chinese-Americans (15.7%; p = .012 for Korean, p = .049 for Filipino). CONCLUSION:There appears to be wide variability in the prevalence rates of depression among Asian-Americans in the US. Practitioners and researchers who serve Asian-American adults need to be sensitive to the potential diversity of the expression of depression and treatment-seeking across Asian-American subgroups. Public health policies to increase Asian-American access to mental health care, including increased screening, are necessary. Further work is needed to determine whether strategies to reduce depression among specific Asian racial/ethnic groups is warranted.https://doi.org/10.1371/journal.pone.0127760 |
| spellingShingle | Hee Jun Kim EunMi Park Carla L Storr Katherine Tran Hee-Soon Juon Depression among Asian-American Adults in the Community: Systematic Review and Meta-Analysis. PLoS ONE |
| title | Depression among Asian-American Adults in the Community: Systematic Review and Meta-Analysis. |
| title_full | Depression among Asian-American Adults in the Community: Systematic Review and Meta-Analysis. |
| title_fullStr | Depression among Asian-American Adults in the Community: Systematic Review and Meta-Analysis. |
| title_full_unstemmed | Depression among Asian-American Adults in the Community: Systematic Review and Meta-Analysis. |
| title_short | Depression among Asian-American Adults in the Community: Systematic Review and Meta-Analysis. |
| title_sort | depression among asian american adults in the community systematic review and meta analysis |
| url | https://doi.org/10.1371/journal.pone.0127760 |
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