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Depression among Asian-American Adults in the Community: Systematic Review and Meta-Analysis.

By Hee Jun Kim, EunMi Park, Carla L Storr, Katherine Tran and Hee-Soon Juon


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

Topics: Division of Population Science, Department of Medical Oncology, Thomas Jefferson University; adult; Asian American; Beck Depression Inventory; Center for Epidemiological Studies Depression Scale; Chinese; depression; depression assessment; DSM-IV; ethnic difference; ethnicity; Filipino (people); Geriatric Depression Scale; help seeking behavior; high risk population; Hopkins Symptom Check List; human; Japanese (people); Korean (people); mental health; meta analysis; Postpartum Depression Screening Scale; prevalence; public health; race difference; Review; risk assessment; systematic review, Oncology
Publisher: Jefferson Digital Commons
Year: 2015
OAI identifier: oai:jdc.jefferson.edu:medoncfp-1042

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