Asian Americans may face discrimination, racism, and barriers every day. However, it is often overlooked that they also face unique challenges regarding substance abuse.
In 2022, 9% (1.5 million) of Asian Americans 12 years or older had a substance use disorder (SUD) in the past year, according to the National Survey on Drug Use and Health. While this is under the national rate of 17.3%, only 1.5% of the 1.5 million Asian Americans with SUDs received treatment. Those between the ages of 18 and 25 were the most likely to have an SUD.
Though some Asian people did receive treatment for their substance abuse problem, it’s important to note that not all treatment is created equal. Asian people are less likely to receive effective and satisfactory care compared to white people and often experience poorer health outcomes.
Many factors put Asian Americans at risk for developing an alcohol or drug abuse problem. Some of these include socioeconomic factors, the stress of immigration status, cultural and familial factors, and cultural adaptation.
Asian Americans are more likely to experience poverty than other groups, which is a risk factor for substance abuse. On top of that, many struggle with the impact of their immigration status and the fear of legal consequences. This stress can encourage people to reach for addictive substances or develop mental illnesses that increase the likelihood of addiction.
As for cultural and familial factors, mental health is a very taboo topic among the Asian-American community. As a result, some people may use alcohol or drugs to cope as they feel they have no outlet or cannot ask for help.
Finally, the stress of acculturation and adapting to U.S. culture can drive people to develop mental health conditions or substance abuse problems. Asian Americans face systemic racism and discrimination that force them to abandon their culture and try to adapt to American culture to fit in.
Let’s take a look at some specific barriers to addiction treatment next.