“…Factors that may help explain this study finding include clinician bias (e.g., underdiagnosis in Asians and NHOPI because they are "problem-free"), 6,8,11 stigma, 6,8,11,17,57 loss of face, 11,57 financial cost, 11 limited English, 6,8,11 different cultural expressions and perceptions of problems, 6,8,11 availability and accessibility of services, 8,57 and lack of culturally appropriate services. 6,8,11,[16][17][18]57 Further research is needed to identify factors related to the underutilization of mental health/ substance abuse services among depressed Asian and NHOPI mothers.…”