PMID- 23889338
OWN - NLM
STAT- MEDLINE
DCOM- 20150603
LR  - 20221207
IS  - 1364-6915 (Electronic)
IS  - 1360-7863 (Print)
IS  - 1360-7863 (Linking)
VI  - 18
IP  - 1
DP  - 2014
TI  - Mental health service utilization among Korean elders in Korean churches: 
      preliminary findings from the Memory and Aging Study of Koreans in Maryland 
      (MASK-MD).
PG  - 102-9
LID - 10.1080/13607863.2013.814099 [doi]
AB  - BACKGROUND: Korean Americans (KA) comprise the fourth largest Asian-American 
      subgroup, with a population estimated at nearly 1.7 million, and the vast 
      majority (up to 85%) of KA elders attends ethnic churches. Despite the rapid 
      increase of the KA elderly population, data on mental health service utilization 
      among KA elders are scarce. METHOD: Based on a cluster sampling method, the 
      Memory and Aging Study among Koreans in Maryland (MASK-MD) recruited and assessed 
      630 KA elders (mean age: 70.9 +/- 6.1 years; 68.9% female) in KA churches for 
      depression, dementia, and level of mental health service utilization. The Korean 
      versions of the Patient Health Questionnaire (PHQ-9K) and Mini-mental Status 
      Examination (MMSE-KC) were administered by trained community health workers. 
      RESULTS: Of the 630 participants, 23.2% and 7.3% had PHQ-9 scores of 5 ('mild 
      depression') or above and 10 or above ('clinical depression'), respectively. In 
      addition, 7.0% scored below the age- and education-specific cutoff values for 
      probable dementia based on the MMSE-KC. Of the 92 participants with 'clinical 
      depression' or having thoughts of death or self-injury, only 16 (17%) reported 
      utilizing mental health services. Likewise, of 56 participants with probable 
      dementia, only 3 (7.3%) sought treatment from a health care provider. CONCLUSION: 
      The prevalence of depression and cognitive impairment are high in 
      community-dwelling KA elders attending KA churches, but the rate of mental health 
      service utilization among depressed or cognitively impaired Korean elders is low. 
      Further research is warranted to identify barriers to and strategies for adequate 
      mental health care for Korean immigrant elders.
FAU - Lee, Hochang Benjamin
AU  - Lee HB
AD  - a School of Medicine, Yale University , New Haven , CT , USA.
FAU - Han, Hae-Ra
AU  - Han HR
FAU - Huh, Bo-Yun
AU  - Huh BY
FAU - Kim, Kim B
AU  - Kim KB
FAU - Kim, Miyong T
AU  - Kim MT
LA  - eng
GR  - R01 HL085567/HL/NHLBI NIH HHS/United States
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20130726
PL  - England
TA  - Aging Ment Health
JT  - Aging & mental health
JID - 9705773
SB  - IM
MH  - Aged
MH  - Asian/*psychology/statistics & numerical data
MH  - Chronic Disease/ethnology
MH  - Clergy
MH  - Cluster Analysis
MH  - Dementia/diagnosis/*ethnology
MH  - Depression/diagnosis/*ethnology
MH  - Female
MH  - Geriatric Assessment
MH  - Humans
MH  - Male
MH  - Maryland/epidemiology
MH  - Mental Health Services/*statistics & numerical data
MH  - Patient Acceptance of Health Care/ethnology/psychology
MH  - Socioeconomic Factors
MH  - Surveys and Questionnaires
PMC - PMC4519089
MID - NIHMS710255
EDAT- 2013/07/31 06:00
MHDA- 2015/06/04 06:00
PMCR- 2015/07/29
CRDT- 2013/07/30 06:00
PHST- 2013/07/30 06:00 [entrez]
PHST- 2013/07/31 06:00 [pubmed]
PHST- 2015/06/04 06:00 [medline]
PHST- 2015/07/29 00:00 [pmc-release]
AID - 10.1080/13607863.2013.814099 [doi]
PST - ppublish
SO  - Aging Ment Health. 2014;18(1):102-9. doi: 10.1080/13607863.2013.814099. Epub 2013 
      Jul 26.