Determinants to Tele-Mental Health Services Utilization Among California Adults: Do Immigration-Related Variables Matter?

J Immigr Minor Health. 2024 Dec;26(6):966-976. doi: 10.1007/s10903-024-01628-z. Epub 2024 Sep 5.

Abstract

To investigate the relationship of predisposing, enabling, need, and immigration-related factors to tele-mental health services utilization among California adults, we conducted a secondary analysis of two waves of the California Health Interview Survey (CHIS) collected between 2015 and 2018 (N = 78,345). A series of logistic regression models were conducted to examine correlates and predictors to tele-mental health services use. Approximately 1.3% reported the use of tele-mental health services. Overall, health insurance status, severe psychological distress, perceived need for mental health services, and identifying as Asian, remained strong predictors for tele-mental health service use. When accounting for all factors, we found that being a non-citizen was associated with lower odds of tele-mental health service use (AOR = 0.47, CI = 0.26, 0.87, p < 0.05). These findings suggest that citizenship, resources to access, and perceived need for mental health care collectively are the most significant factors driving the use of tele-mental health services. There is a need to address inequitable access to tele-mental health services among immigrants who do not qualify for healthcare coverage due to citizenship status.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • California
  • Emigrants and Immigrants* / psychology
  • Emigration and Immigration
  • Female
  • Health Services Accessibility*
  • Humans
  • Insurance, Health / statistics & numerical data
  • Logistic Models
  • Male
  • Mental Health Services* / statistics & numerical data
  • Middle Aged
  • Patient Acceptance of Health Care* / ethnology
  • Sociodemographic Factors
  • Socioeconomic Factors
  • Telemedicine*
  • Young Adult