Abstract
In this study we explore the existing research on Asian Americans and helpseeking behavior, focusing primarily on Filipino Americans and the cultural variables of face and language. Although some important and specific cultural factors have been hypothesized to affect the helpseeking behaviors of ethnic minorities, very few empirical studies have been conducted to specifically test these hypotheses. To fill the gaps in previous research, we examined the influence of concern with face and of language abilities on helpseeking behavior for mental health problems among Filipino Americans. In addition, to obtain a more comprehensive understanding of helpseeking behavior, we divided the mental health care systems into four categories: lay, mental health specialty, general practitioner, and folk systems. Data are from the Filipino American Epidemiological Study (FACES) survey. The main statistical method we employed was logistic regression. Results from the descriptive analyses reveal that the lay system is the most frequently used source of care compared with the other systems of professional and folk systems for Filipino Americans. Furthermore, findings from the main effects models suggest that face and language are important cultural factors that contribute to the helpseeking behavior of Filipino Americans, but they have different influences on the four types of mental health care systems. The interaction analyses indicate that concern with face interacts with language abilities when predicting use of the lay system and the general medical sector. Despite these findings, to fully understand the dynamics of helpseeking, other cultural factors and longitudinal studies are needed. Β© 2003 Wiley Periodicals, Inc. J Comm Psychol 31: 469β488, 2003.