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Accessing mental health care: A population-level exploration of the impact of immigration duration in the United States 2019–2023

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  • Suiqiong Fan
  • Evelyne Marie Piret

Abstract

Immigrant populations in the United States are known to experience worsening mental health as time since immigration increases, with consistently lower rates of mental health service engagement compared to their domestic-born counterparts. However, there is little evidence investigating how time since immigration affects mental health service use. Using 2019–2023 National Health Interview Survey data, this population-based study examines how time since immigration influences use of mental health services among immigrants reporting monthly or more depression or anxiety symptoms among civilian, non-institutionalized adults in the United States. Of the 6,201 participants (representing 11.9 million adults annually), 21.2% reported accessing medication or counselling. Multivariable logistic regression analyses found that recent immigrants (

Suggested Citation

  • Suiqiong Fan & Evelyne Marie Piret, 2025. "Accessing mental health care: A population-level exploration of the impact of immigration duration in the United States 2019–2023," PLOS Mental Health, Public Library of Science, vol. 2(7), pages 1-15, July.
    • Handle: RePEc:plo:pmen00:0000339
    DOI: 10.1371/journal.pmen.0000339
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    1. Steven Kennedy & James Ted McDonald & Nicholas Biddle, 2006. "The Healthy Immigrant Effect and Immigrant Selection: Evidence from Four Countries," Social and Economic Dimensions of an Aging Population Research Papers 164, McMaster University.
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