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Exploring Discrimination as a Social Determinant of Mental Health Access Among Asian American Cancer Survivors

Award Number: F31NR022015
ORGANIZATION: NATIONAL INSTITUTE OF NURSING RESEARCH
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: FELLOWSHIP/SCHOLARSHIP/STUDENT LOANS
PERIOD OF PERFORMANCE START DATE: 12/30/2026
PERIOD OF PERFORMANCE END DATE: 12/29/2027

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Exploring Discrimination as a Social Determinant of Mental Health Access Among Asian American Cancer Survivors - PROJECT SUMMARY/ABSTRACT Cancer is the leading cause of illness and death among Asian Americans. Around 40% of Asian Americans report feeling depressed, and over 50% have unmet mental health needs. Only 6% to 22% of Asian American cancer survivors have received mental health treatment, the lowest percentage among major racial minority groups. Barriers to mental healthcare access for Asian Americans are not well understood due to their historical underrepresentation in health research. Discrimination is a crucial yet understudied barrier impacting mental healthcare access for Asian Americans. Over 50% of Asian Americans report experiencing discrimination, with incidents rising to more overt forms since the COVID-19 pandemic. While everyday and healthcare discrimination are known to be associated with service avoidance and poor mental health outcomes, how these experiences affect mental healthcare access among Asian American cancer survivors remains unknown. This F31 study aims to explore two forms of discrimination—everyday and healthcare—and their relationship with mental healthcare access among Asian American cancer survivors. The study will use survey and electronic health record data from the NIH-supported All of Us Research Program to investigate barriers to mental healthcare access among Asian American cancer survivors from a social determinants of health framework, applying the Gelberg and Andersen Behavioral Model for Vulnerable Populations. The specific aims are to: 1) examine differences in the type, frequency, and overlap of everyday and healthcare discrimination among Asian American cancer survivors, compared with other racial/ethnic minorities, 2) investigate the relationship between discrimination experiences and mental healthcare access among Asian American cancer survivors, and 3) rank the relative importance of discrimination and other social determinants of health in explaining mental healthcare access in Asian American cancer survivors using an exploratory random forest machine learning approach. The training goals for this project are to develop knowledge and skills in health equity research, data science methods, and academic career preparation as part of a long-term research trajectory to become an independent scientist studying the mental health of cancer survivors. This study offers robust training opportunities, and the research aims align with the goals of the NINR strategic plan improve population health under the Systems and Models of Care lens by identifying mechanisms through which discrimination influences mental healthcare access in an understudied population. Investigating multiple forms of discrimination that Asian American cancer survivors experience holds significant potential to explain mental healthcare access disparities and develop targeted interventions to improve access.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $46,271 )
2026	2026	UNIVERSITY OF CALIFORNIA, LOS ANGELES	10889 WILSHIRE BLVD STE 700	LOS ANGELES	CA	90024	LOS ANGELES	USA	Nursing Research	000	1	7/2/2026	NEW	$46,271
														Subtotal = $46,271

Grand Total All Awards = $46,271

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Exploring Discrimination as a Social Determinant of Mental Health Access Among Asian American Cancer Survivors

Award Number: F31NR022015

ORGANIZATION: NATIONAL INSTITUTE OF NURSING RESEARCH

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: FELLOWSHIP/SCHOLARSHIP/STUDENT LOANS

PERIOD OF PERFORMANCE START DATE: 12/30/2026

PERIOD OF PERFORMANCE END DATE: 12/29/2027

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