Summary
Researchers investigate the relationship of predisposing, enabling, need, and immigration-related factors to tele-mental health services utilization among California adults. They conducted a secondary analysis of two waves of the California Health Interview Survey (CHIS) collected between 2015 and 2018.
A series of logistic regression models were conducted to examine correlates and predictors to tele-mental health services use.
Findings: 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, authors found that being a noncitizen was associated with lower odds of tele-mental health service use. 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 health care coverage due to citizenship status.
