Doctor of Philosophy, The Ohio State University, 2022, Public Health
Asian-Americans and Native Hawaiian/Other Pacific Islanders (NHOPIs) experience health and healthcare disparities compared to their white counterparts. In both communities, which are often jointly described as Asian-American Pacific Islanders (AAPIs), college students represent a vulnerable subpopulation in regard to mental health outcomes and healthcare. Unfortunately, relatively little is known about the mental health outcomes and experiences of Asian-American and NHOPI undergraduate students. This dissertation sought to evaluate how race, gender, and the intersection of the two affect the mental health outcomes and lived experiences of Asian-American and NHOPI undergraduate students.
Three separate, but interconnected, studies using both qualitative and quantitative methods were completed. First, a secondary data analysis of the Healthy Minds dataset (2018-2019) provided a characterization of depression, anxiety, and psychological well-being outcomes for Asian-American and NHOPI undergraduate students across the United States. Second, a qualitative semi-structured interview study was conducted among Asian-American undergraduate students; this allowed me to explore and analyze their lived experiences of filial piety and how it intersected with mental health, race, gender, and other macro-level factors. Finally, a cross-sectional quantitative survey of Asian-American and white undergraduate students was launched. This survey was developed using survey input from research experts in public health, survey methodology, and/or Asian-American health and input from focus groups with Asian-American undergraduates. The survey collected information on filial piety and mental health to determine how race, gender, and the intersection of the two impacted filial piety, depression, anxiety, and psychological well-being.
This research had three main conclusions. First, the mental health outcomes of AAPI undergraduate students are heterogenous. Differences between Asian-Amer (open full item for complete abstract)
Committee: Mira Katz (Advisor); Daniel Strunk (Committee Member); Paul Reiter (Committee Member); Rebecca Andridge (Committee Member)
Subjects: Asian American Studies; Gender; Health; Health Care; Minority and Ethnic Groups; Psychology; Public Health