{"id":"https://openalex.org/W7212079596","doi":"https://doi.org/10.64898/2026.09.05.26362357","title":"Beyond Stigma: Family, Culture, and Mental Health Help-Seeking Among South Asian American Young Adults","display_name":"Beyond Stigma: Family, Culture, and Mental Health Help-Seeking Among South Asian American Young Adults","publication_year":2026,"publication_date":"2026-09-08","ids":{"openalex":"https://openalex.org/W7212079596","doi":"https://doi.org/10.64898/2026.09.05.26362357"},"language":"en","primary_location":{"id":"doi:10.64898/2026.09.05.26362357","doi":"https://doi.org/10.64898/2026.09.05.26362357","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.09.05.26362357","pdf_url":"https://www.medrxiv.org/content/medrxiv/early/2026/09/08/2026.09.05.26362357.full.pdf","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":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"},"volume":null,"type":"preprint","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.medrxiv.org/content/medrxiv/early/2026/09/08/2026.09.05.26362357.full.pdf","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":true,"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":["https://openalex.org/A5150919027"],"corresponding_institution_ids":["https://openalex.org/I191429286"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"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":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10272","display_name":"Mental Health Treatment and Access","score":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10652","display_name":"Racial and Ethnic Identity Research","score":0.002099999925121665,"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":0.0003000000142492354,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/south-asian-americans","display_name":"South Asian Americans","score":0.8420000076293945},{"id":"https://openalex.org/keywords/mental-health-help-seeking","display_name":"mental health help-seeking","score":0.9760000109672546},{"id":"https://openalex.org/keywords/mental-health-stigma","display_name":"mental health stigma","score":0.9639999866485596},{"id":"https://openalex.org/keywords/young-adults","display_name":"young adults","score":0.656000018119812},{"id":"https://openalex.org/keywords/intergenerational-differences","display_name":"intergenerational differences","score":0.8980000019073486},{"id":"https://openalex.org/keywords/mental-health-literacy","display_name":"mental health literacy","score":0.9739999771118164},{"id":"https://openalex.org/keywords/cultural-humility","display_name":"cultural humility","score":0.6620000004768372},{"id":"https://openalex.org/keywords/culturally-responsive-care","display_name":"culturally responsive care","score":0.9860000014305115},{"id":"https://openalex.org/keywords/peer-support","display_name":"peer support","score":0.9430000185966492},{"id":"https://openalex.org/keywords/barriers-to-mental-health-care","display_name":"barriers to mental health care","score":0.8830000162124634},{"id":"https://openalex.org/keywords/perfectionism","display_name":"perfectionism","score":0.5789999961853027},{"id":"https://openalex.org/keywords/family-responsibilities","display_name":"family responsibilities","score":0.36800000071525574}],"concepts":[{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.7759000062942505},{"id":"https://openalex.org/C196187386","wikidata":"https://www.wikidata.org/wiki/Q1050187","display_name":"Sociocultural evolution","level":2,"score":0.5151000022888184},{"id":"https://openalex.org/C168285401","wikidata":"https://www.wikidata.org/wiki/Q1427245","display_name":"Stigma (botany)","level":2,"score":0.48500001430511475},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.4832000136375427},{"id":"https://openalex.org/C2776087414","wikidata":"https://www.wikidata.org/wiki/Q6817469","display_name":"Mental health literacy","level":4,"score":0.4156999886035919},{"id":"https://openalex.org/C84976871","wikidata":"https://www.wikidata.org/wiki/Q2015673","display_name":"Openness to experience","level":2,"score":0.35989999771118164},{"id":"https://openalex.org/C105538184","wikidata":"https://www.wikidata.org/wiki/Q16253960","display_name":"Middle Eastern Mental Health Issues & Syndromes","level":4,"score":0.35740000009536743},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.3555000126361847},{"id":"https://openalex.org/C2777274743","wikidata":"https://www.wikidata.org/wiki/Q6817452","display_name":"Mental distress","level":3,"score":0.3540000021457672},{"id":"https://openalex.org/C56995899","wikidata":"https://www.wikidata.org/wiki/Q1126687","display_name":"Focus group","level":2,"score":0.34689998626708984},{"id":"https://openalex.org/C2776674806","wikidata":"https://www.wikidata.org/wiki/Q12135","display_name":"Mental illness","level":3,"score":0.3391000032424927},{"id":"https://openalex.org/C2250968","wikidata":"https://www.wikidata.org/wiki/Q1512929","display_name":"Health equity","level":3,"score":0.3325999975204468},{"id":"https://openalex.org/C139265228","wikidata":"https://www.wikidata.org/wiki/Q5283089","display_name":"Distress","level":2,"score":0.3296000063419342},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.31850001215934753},{"id":"https://openalex.org/C106321089","wikidata":"https://www.wikidata.org/wiki/Q721790","display_name":"Extended family","level":2,"score":0.31470000743865967},{"id":"https://openalex.org/C137403100","wikidata":"https://www.wikidata.org/wiki/Q41710","display_name":"Ethnic group","level":2,"score":0.311599999666214},{"id":"https://openalex.org/C3019166669","wikidata":"https://www.wikidata.org/wiki/Q727928","display_name":"Asian americans","level":3,"score":0.2985000014305115},{"id":"https://openalex.org/C2781094116","wikidata":"https://www.wikidata.org/wiki/Q1569083","display_name":"Peer support","level":2,"score":0.2971000075340271},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.2946999967098236},{"id":"https://openalex.org/C125209646","wikidata":"https://www.wikidata.org/wiki/Q1338878","display_name":"Cultural diversity","level":2,"score":0.29089999198913574},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.290800005197525},{"id":"https://openalex.org/C2779017400","wikidata":"https://www.wikidata.org/wiki/Q5433390","display_name":"Family support","level":2,"score":0.2904999852180481},{"id":"https://openalex.org/C2781437451","wikidata":"https://www.wikidata.org/wiki/Q1137326","display_name":"Social stigma","level":3,"score":0.2671000063419342},{"id":"https://openalex.org/C169536714","wikidata":"https://www.wikidata.org/wiki/Q1666159","display_name":"Cultural competence","level":2,"score":0.25619998574256897},{"id":"https://openalex.org/C2778087770","wikidata":"https://www.wikidata.org/wiki/Q2297111","display_name":"Social support","level":2,"score":0.25450000166893005}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.64898/2026.09.05.26362357","doi":"https://doi.org/10.64898/2026.09.05.26362357","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.09.05.26362357","pdf_url":"https://www.medrxiv.org/content/medrxiv/early/2026/09/08/2026.09.05.26362357.full.pdf","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":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"}],"best_oa_location":{"id":"doi:10.64898/2026.09.05.26362357","doi":"https://doi.org/10.64898/2026.09.05.26362357","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.09.05.26362357","pdf_url":"https://www.medrxiv.org/content/medrxiv/early/2026/09/08/2026.09.05.26362357.full.pdf","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":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.98580002784729},{"display_name":"Reduced inequalities","id":"https://metadata.un.org/sdg/10","score":0.7578999996185303}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7212079596.pdf","grobid_xml":"https://content.openalex.org/works/W7212079596.grobid-xml"},"referenced_works_count":34,"referenced_works":["https://openalex.org/W1979290264","https://openalex.org/W2013168450","https://openalex.org/W2080382192","https://openalex.org/W2095399724","https://openalex.org/W2466127485","https://openalex.org/W2554931677","https://openalex.org/W2905022730","https://openalex.org/W2934314274","https://openalex.org/W2957648115","https://openalex.org/W2990820413","https://openalex.org/W3026147277","https://openalex.org/W3189116839","https://openalex.org/W4205212357","https://openalex.org/W4205407847","https://openalex.org/W4211173963","https://openalex.org/W4289783566","https://openalex.org/W4296420075","https://openalex.org/W4311674979","https://openalex.org/W4382344918","https://openalex.org/W4386407709","https://openalex.org/W4393579044","https://openalex.org/W4400953511","https://openalex.org/W4403289055","https://openalex.org/W4410772882","https://openalex.org/W4411063850","https://openalex.org/W4414162120","https://openalex.org/W4415788240","https://openalex.org/W4415788988","https://openalex.org/W4416216330","https://openalex.org/W4416416050","https://openalex.org/W7118079267","https://openalex.org/W7128585922","https://openalex.org/W7138028218","https://openalex.org/W7167040919"],"related_works":["https://openalex.org/W7212012477","https://openalex.org/W6949639990","https://openalex.org/W3026147277","https://openalex.org/W1969960532","https://openalex.org/W7167856561","https://openalex.org/W4200627961","https://openalex.org/W4403051717","https://openalex.org/W7024277799","https://openalex.org/W7221420476","https://openalex.org/W4392255144"],"abstract_inverted_index":{"Abstract":[0],"South":[1,47,61,225,273,313],"Asian":[2,9,48,62,198,226,274,314],"Americans":[3],"are":[4],"often":[5],"aggregated":[6],"within":[7,224],"broader":[8,197],"American":[10,49,63,199,227,275,315],"research":[11],"on":[12],"mental":[13,43,73,86,143,161,221,235,238,279,292,306],"health":[14,44,74,87,144,162,222,236,239,280,293,307],"help-seeking,":[15,78,138],"potentially":[16],"obscuring":[17],"culturally":[18,181,231,288],"specific":[19],"family":[20,28,33,76,119,171,211,263],"and":[21,32,40,82,97,118,135,142,148,157,187,212,215,241,267,281,295,309],"community":[22,109,205,265],"processes.":[23],"This":[24,259],"study":[25,260],"examined":[26],"how":[27,204,262,272],"systems,":[29],"sociocultural":[30,213],"expectations,":[31,264],"roles":[34,218],"shape":[35,271],"recognition":[36,147],"of":[37,115,137,256],"emotional":[38],"distress":[39,123],"pathways":[41,248],"to":[42,80,249],"care":[45,183],"among":[46],"young":[50,64,276],"adults.":[51],"Five":[52],"semi-structured":[53],"virtual":[54],"focus":[55],"groups":[56,298],"were":[57,90],"conducted":[58],"with":[59,94,184],"23":[60],"adults":[65,277],"(ages":[66],"18-30)":[67],"residing":[68],"in":[69,219,312],"Texas.":[70],"Discussions":[71],"explored":[72],"stigma,":[75,266],"influences,":[77],"barriers":[79,134],"care,":[81,233,290],"strategies":[83,303],"for":[84,304],"improving":[85,305],"support.":[88,129,283],"Transcripts":[89],"analyzed":[91],"using":[92],"MAXQDA,":[93],"analytic":[95],"memos":[96],"reflexive":[98],"practices":[99],"informing":[100],"theme":[101],"development.":[102],"Nine":[103],"interconnected":[104],"themes":[105],"emerged.":[106],"Participants":[107,177],"described":[108,153,167],"stigma":[110,206],"becoming":[111],"internalized":[112,209],"through":[113,190,210],"expectations":[114,214],"self-reliance,":[116],"perfectionism,":[117],"responsibility,":[120],"shaping":[121,220],"whether":[122],"was":[124],"recognized":[125],"as":[126,132,159,246,301],"warranting":[127],"professional":[128],"Families":[130],"functioned":[131],"both":[133],"facilitators":[136],"while":[139,164],"intergenerational":[140],"differences":[141],"literacy":[145],"influenced":[146],"treatment":[149],"acceptance.":[150],"Older":[151],"siblings":[152,166],"greater":[154],"caregiving":[155],"responsibilities":[156],"serving":[158],"early":[160],"advocates,":[163],"younger":[165],"benefiting":[168],"from":[169],"increased":[170],"openness":[172],"established":[173],"by":[174,202],"older":[175],"siblings.":[176],"also":[178],"emphasized":[179],"privacy,":[180],"responsive":[182,232,289],"cultural":[185,268],"humility,":[186],"peer":[188,244,296],"support":[189,245,297],"shared":[191],"lived":[192],"experiences.":[193],"These":[194],"findings":[195,285],"extend":[196],"help-seeking":[200,308],"literature":[201],"identifying":[203],"may":[207],"become":[208],"highlighting":[216],"sibling":[217],"attitudes":[223],"families.":[228],"Findings":[229],"highlight":[230],"family-centered":[234,291],"education,":[237,294],"literacy,":[240],"professionally":[242],"facilitated":[243],"potential":[247,302],"care.":[250],"What":[251],"is":[252],"the":[253],"public":[254],"significance":[255],"this":[257],"article?":[258],"highlights":[261],"norms":[269],"can":[270],"understand":[278],"seek":[282],"The":[284],"show":[286],"that":[287],"could":[299],"serve":[300],"psychological":[310],"well-being":[311],"communities.":[316]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-09-10T00:00:00"}