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J Behav Health Serv Res. 2018 Jul;45(3):454-468. doi: 10.1007/s11414-017-9584-5.

Depression and Help-Seeking Among Native Hawaiian Women.

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School of Nursing, Department of Community Health Systems, University of California at San Francisco, 2 Koret Way, San Francisco, CA, 94143-0608, USA.
Department of Native Hawaiian Health, University of Hawai'i at Mānoa, Honolulu, HI, USA.
Dimensions Center, Central, Hong Kong.
Department of Public Health Sciences, University of Hawai'i at Mānoa, Honolulu, HI, USA.


The purpose of this mixed-methods study was to gain insight about Native Hawaiian (NH) women's experiences with, and viewpoints of, depression and help-seeking behaviors (N = 30: 10 from the university and 20 from the community). More women reported depression in the interviews than through their Center for Epidemiologic Studies Depression Scale (CES-D) responses. Quantitative data revealed 57% of the women had ever received mental health help (80% of university vs. 45% of community sample). There was a range of satisfaction reported for various types of mental health care, with satisfaction being the highest for spiritual/religious advisor/folk healer. During the interviews, one woman reported that she is currently receiving professional care and five women are seeking help from their family/social network. Future research should explore reasons for the differences in the quantitative and qualitative findings regarding depression and associated help-seeking as well as in the satisfaction levels by type of help-seeking.

[Indexed for MEDLINE]

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