'Depression is not an illness. It's up to you to make yourself happy': Perceptions of Chinese health professionals and community workers about older Chinese immigrants' experiences of depression and anxiety

Australas J Ageing. 2016 Dec;35(4):249-254. doi: 10.1111/ajag.12306. Epub 2016 Mar 11.

Abstract

Aim: The aim of this study was to improve our understanding of depression and anxiety among older immigrant Chinese Australians.

Methods: The study was based on the National Ageing Research Institute's Cultural Exchange Model, an iterative process of exchange between researchers and stakeholders. The project involved a range of components including consultations with health professionals and community workers about perceptions of depression and anxiety within the Chinese community. This paper reports on these consultation findings.

Results: Thematic analysis generated five main categories to explain participants' perceptions of depression and anxiety within the Chinese community. Themes included: lack of knowledge; personal weakness rather than illness; stigma; somatisation; and experience of migration in later life. Responses to questions about education and information dissemination were collated separately and reported.

Conclusion: Views of depression and anxiety among older Chinese people suggest that educating the community may be an important way to improve mental health literacy and help-seeking behaviour.

Keywords: anxiety; depression; older Chinese immigrant.

MeSH terms

  • Age Factors
  • Anxiety / diagnosis
  • Anxiety / ethnology
  • Anxiety / psychology*
  • Asian People / psychology*
  • Attitude of Health Personnel / ethnology*
  • Australia / epidemiology
  • China / ethnology
  • Community Health Workers / psychology*
  • Consumer Health Information
  • Cultural Characteristics
  • Depression / diagnosis
  • Depression / ethnology
  • Depression / psychology*
  • Emigrants and Immigrants / psychology*
  • Focus Groups
  • Health Knowledge, Attitudes, Practice / ethnology*
  • Health Personnel / psychology*
  • Humans
  • Information Dissemination
  • Interviews as Topic
  • Patient Education as Topic
  • Perception*
  • Prejudice / ethnology
  • Prejudice / psychology
  • Somatoform Disorders / ethnology
  • Somatoform Disorders / psychology
  • Stereotyping