{"id":"https://openalex.org/W7212012477","doi":"https://doi.org/10.64898/2026.09.05.26362356","title":"Mental Health Stigma and Help-Seeking among South Asian American Young Adults in Texas: A Mixed-Methods Community-Based Needs Assessment","display_name":"Mental Health Stigma and Help-Seeking among South Asian American Young Adults in Texas: A Mixed-Methods Community-Based Needs Assessment","publication_year":2026,"publication_date":"2026-09-08","ids":{"openalex":"https://openalex.org/W7212012477","doi":"https://doi.org/10.64898/2026.09.05.26362356"},"language":"en","primary_location":{"id":"doi:10.64898/2026.09.05.26362356","doi":"https://doi.org/10.64898/2026.09.05.26362356","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.09.05.26362356","pdf_url":null,"source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"},"volume":null,"type":"preprint","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://doi.org/10.64898/2026.09.05.26362356","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5150919027","display_name":"Sophia M. Khan","orcid":"https://orcid.org/0009-0002-5652-9993","observed_orcids":["https://orcid.org/0009-0002-5652-9993"]},"institutions":[{"id":"https://openalex.org/I191429286","display_name":"Sam Houston State University","ror":"https://ror.org/00yh3cz06","country_code":"US","type":"education","lineage":["https://openalex.org/I191429286"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sophia Khan","raw_affiliation_strings":["Sam Houston State University College of Osteopathic Medicine, Conroe, Texas, USA"],"raw_orcid":"https://orcid.org/0009-0002-5652-9993","affiliations":[{"raw_affiliation_string":"Sam Houston State University College of Osteopathic Medicine, Conroe, Texas, USA","institution_ids":["https://openalex.org/I191429286"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5101463929","display_name":"Xuewei Chen","orcid":"https://orcid.org/0000-0001-6391-1459","observed_orcids":["https://orcid.org/0000-0001-6391-1459","https://orcid.org/0009-0008-7028-7947"]},"institutions":[{"id":"https://openalex.org/I191429286","display_name":"Sam Houston State University","ror":"https://ror.org/00yh3cz06","country_code":"US","type":"education","lineage":["https://openalex.org/I191429286"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Xuewei Chen","raw_affiliation_strings":["Department of Biomedical & Digital Health Intelligence in Clinical Systems, Sam Houston State University College of Osteopathic Medicine, Conroe, Texas, USA"],"raw_orcid":"https://orcid.org/0000-0001-6391-1459","affiliations":[{"raw_affiliation_string":"Department of Biomedical & Digital Health Intelligence in Clinical Systems, Sam Houston State University College of Osteopathic Medicine, Conroe, Texas, USA","institution_ids":["https://openalex.org/I191429286"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I191429286"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10272","display_name":"Mental Health Treatment and Access","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10272","display_name":"Mental Health Treatment and Access","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10652","display_name":"Racial and Ethnic Identity Research","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/3312","display_name":"Sociology and Political Science"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12194","display_name":"Cultural Competency in Health Care","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/mental-health-stigma","display_name":"mental health stigma","score":0.9980000257492065},{"id":"https://openalex.org/keywords/help-seeking","display_name":"help-seeking","score":0.8529999852180481},{"id":"https://openalex.org/keywords/south-asian-americans","display_name":"South Asian Americans","score":0.8529999852180481},{"id":"https://openalex.org/keywords/young-adults","display_name":"young adults","score":0.9769999980926514},{"id":"https://openalex.org/keywords/family-pressure","display_name":"family pressure","score":0.8700000047683716},{"id":"https://openalex.org/keywords/barriers-to-mental-health-care","display_name":"barriers to mental health care","score":0.9739999771118164},{"id":"https://openalex.org/keywords/attitudes-toward-mental-health","display_name":"mental health attitudes","score":0.7979999780654907},{"id":"https://openalex.org/keywords/cultural-barriers","display_name":"cultural barriers","score":0.4580000042915344},{"id":"https://openalex.org/keywords/mental-health-literacy","display_name":"mental health literacy","score":0.7929999828338623},{"id":"https://openalex.org/keywords/culturally-responsive-care","display_name":"culturally responsive care","score":0.9610000252723694},{"id":"https://openalex.org/keywords/mental-health-education","display_name":"mental health education","score":0.8429999947547913},{"id":"https://openalex.org/keywords/community-based-intervention","display_name":"community-based intervention","score":0.46799999475479126},{"id":"https://openalex.org/keywords/texas","display_name":"Texas","score":0.5180000066757202}],"concepts":[{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.8027999997138977},{"id":"https://openalex.org/C2776087414","wikidata":"https://www.wikidata.org/wiki/Q6817469","display_name":"Mental health literacy","level":4,"score":0.6909000277519226},{"id":"https://openalex.org/C74196892","wikidata":"https://www.wikidata.org/wiki/Q7781188","display_name":"Thematic analysis","level":3,"score":0.6172000169754028},{"id":"https://openalex.org/C168285401","wikidata":"https://www.wikidata.org/wiki/Q1427245","display_name":"Stigma (botany)","level":2,"score":0.48739999532699585},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.484499990940094},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.4700999855995178},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.4390999972820282},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.426800012588501},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4154999852180481},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.40549999475479126},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.37459999322891235},{"id":"https://openalex.org/C2781437451","wikidata":"https://www.wikidata.org/wiki/Q1137326","display_name":"Social stigma","level":3,"score":0.3619999885559082},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.3564000129699707},{"id":"https://openalex.org/C2779116948","wikidata":"https://www.wikidata.org/wiki/Q17118983","display_name":"Help-seeking","level":3,"score":0.3416999876499176},{"id":"https://openalex.org/C137403100","wikidata":"https://www.wikidata.org/wiki/Q41710","display_name":"Ethnic group","level":2,"score":0.33970001339912415},{"id":"https://openalex.org/C3019166669","wikidata":"https://www.wikidata.org/wiki/Q727928","display_name":"Asian americans","level":3,"score":0.33169999718666077},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.32850000262260437},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.32580000162124634},{"id":"https://openalex.org/C2776674806","wikidata":"https://www.wikidata.org/wiki/Q12135","display_name":"Mental illness","level":3,"score":0.323199987411499},{"id":"https://openalex.org/C2992545881","wikidata":"https://www.wikidata.org/wiki/Q6817473","display_name":"Mental health care","level":3,"score":0.2985000014305115},{"id":"https://openalex.org/C2250968","wikidata":"https://www.wikidata.org/wiki/Q1512929","display_name":"Health equity","level":3,"score":0.2890999913215637},{"id":"https://openalex.org/C2778843546","wikidata":"https://www.wikidata.org/wiki/Q3097973","display_name":"Health literacy","level":3,"score":0.2858999967575073},{"id":"https://openalex.org/C28718268","wikidata":"https://www.wikidata.org/wiki/Q4118620","display_name":"Needs assessment","level":2,"score":0.2806999981403351},{"id":"https://openalex.org/C2775951005","wikidata":"https://www.wikidata.org/wiki/Q3473024","display_name":"Community health","level":3,"score":0.2784999907016754},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.2782999873161316},{"id":"https://openalex.org/C105538184","wikidata":"https://www.wikidata.org/wiki/Q16253960","display_name":"Middle Eastern Mental Health Issues & Syndromes","level":4,"score":0.27309998869895935},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2711000144481659}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.64898/2026.09.05.26362356","doi":"https://doi.org/10.64898/2026.09.05.26362356","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.09.05.26362356","pdf_url":null,"source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"}],"best_oa_location":{"id":"doi:10.64898/2026.09.05.26362356","doi":"https://doi.org/10.64898/2026.09.05.26362356","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.09.05.26362356","pdf_url":null,"source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"},{"display_name":"Reduced inequalities","score":0.7578999996185303,"id":"https://metadata.un.org/sdg/10"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":43,"referenced_works":["https://openalex.org/W1223495369","https://openalex.org/W1494387481","https://openalex.org/W1979290264","https://openalex.org/W2007909468","https://openalex.org/W2093274439","https://openalex.org/W2169823481","https://openalex.org/W2554931677","https://openalex.org/W2566128749","https://openalex.org/W2936168575","https://openalex.org/W2944434778","https://openalex.org/W3026147277","https://openalex.org/W3042030677","https://openalex.org/W3100079507","https://openalex.org/W3135324177","https://openalex.org/W3146597681","https://openalex.org/W3164090540","https://openalex.org/W3189116839","https://openalex.org/W3200553774","https://openalex.org/W4281687410","https://openalex.org/W4307265295","https://openalex.org/W4313339938","https://openalex.org/W4313829421","https://openalex.org/W4378574446","https://openalex.org/W4386407709","https://openalex.org/W4391227032","https://openalex.org/W4392813464","https://openalex.org/W4400650590","https://openalex.org/W4400688859","https://openalex.org/W4401016993","https://openalex.org/W4403077098","https://openalex.org/W4403289055","https://openalex.org/W4403438590","https://openalex.org/W4408057818","https://openalex.org/W4409251038","https://openalex.org/W4410838066","https://openalex.org/W4414162120","https://openalex.org/W4414788447","https://openalex.org/W4415788988","https://openalex.org/W4416216330","https://openalex.org/W6959729972","https://openalex.org/W7130519491","https://openalex.org/W7153589517","https://openalex.org/W7166583871"],"related_works":["https://openalex.org/W7212079596","https://openalex.org/W6949639990","https://openalex.org/W1969960532","https://openalex.org/W4200627961","https://openalex.org/W7167856561","https://openalex.org/W2269519953","https://openalex.org/W7214230755","https://openalex.org/W2898858889","https://openalex.org/W7048193674","https://openalex.org/W4220740011"],"abstract_inverted_index":{"Abstract":[0],"Background":[1],"Although":[2],"barriers":[3,89,102,174,187,224],"to":[4,90,97,103,112,175,225],"mental":[5,24,83,104,113,139,147,162,217,234,258,279],"health":[6,25,84,105,114,140,148,163,218,235,259,280],"help-seeking":[7,193],"among":[8,33,220],"Asian":[9,35,59,248],"American":[10,36,60,249],"populations":[11],"are":[12],"well":[13],"documented,":[14],"less":[15,191],"is":[16],"known":[17],"about":[18],"how":[19],"favorable":[20,192,254],"individual":[21,294],"attitudes":[22,137,194,255,295],"toward":[23,138,256],"treatment":[26],"coexist":[27],"with":[28,160,190],"family":[29,155,211],"and":[30,71,88,107,124,142,151,172,215,232,242,265,277,287],"community":[31,209,244],"influences":[32],"South":[34,58,247],"young":[37,61,250],"adults":[38,62,251],"or":[39],"which":[40],"intervention":[41],"strategies":[42],"members":[43],"of":[44,146],"this":[45],"population":[46],"themselves":[47],"prioritize.":[48],"Methods":[49],"A":[50],"cross-sectional":[51],"mixed-methods":[52],"survey":[53],"was":[54,157],"completed":[55,78],"by":[56],"191":[57],"aged":[63],"18-30":[64],"years":[65],"residing":[66],"in":[67,130],"Texas":[68],"between":[69],"May":[70],"June":[72],"2026":[73],"using":[74,120],"convenience":[75],"sampling.":[76],"Participants":[77,133,227],"5-point":[79],"Likert-scale":[80],"measures":[81],"assessing":[82],"attitudes,":[85],"stigma,":[86],"help-seeking,":[87],"care.":[91,226],"144":[92],"participants":[93],"also":[94],"provided":[95],"responses":[96,126,203],"optional":[98],"open-ended":[99],"questions":[100],"exploring":[101],"care":[106,141,176,231,260,276],"recommendations":[108,272],"for":[109],"improving":[110],"access":[111],"support.":[115],"Quantitative":[116],"data":[117],"were":[118,188],"analyzed":[119],"IBM":[121],"SPSS":[122],"Statistics,":[123],"qualitative":[125],"underwent":[127],"thematic":[128],"analysis":[129],"MAXQDA.":[131],"Results":[132],"reported":[134],"generally":[135],"positive":[136],"high":[143],"perceived":[144,173,186],"importance":[145],"despite":[149],"family-":[150],"community-level":[152,278],"barriers.":[153],"Greater":[154],"pressure":[156],"strongly":[158],"associated":[159,189],"increased":[161],"stigma":[164],"(":[165,177,195],"r":[166,178,196],"=":[167,179,197,200],"0.711,":[168],"p":[169,181,199],"<":[170,182],"0.001)":[171],"0.654,":[180],"0.001),":[183],"while":[184,261],"greater":[185],"\u22120.158,":[198],"0.036).":[201],"Qualitative":[202],"contextualized":[204],"these":[205],"findings,":[206],"identifying":[207],"anticipated":[208],"judgment,":[210],"expectations,":[212],"privacy":[213],"concerns,":[214],"limited":[216],"literacy":[219],"older":[221],"generations":[222],"as":[223],"emphasized":[228],"culturally":[229,274],"responsive":[230,275],"recommended":[233],"education":[236,281],"involving":[237,282],"parents,":[238,283],"elders,":[239,284],"faith":[240,285],"leaders,":[241,286],"trusted":[243,288],"institutions.":[245],"Conclusions":[246],"may":[252,297],"hold":[253],"professional":[257],"navigating":[262],"family,":[263],"community,":[264],"cultural":[266],"contexts":[267],"that":[268,291],"constrain":[269],"help-seeking.":[270],"Participant-generated":[271],"prioritized":[273],"institutions,":[289],"suggesting":[290],"interventions":[292],"targeting":[293],"alone":[296],"be":[298],"insufficient.":[299]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-09-10T00:00:00"}