While the number of Asian international students has increased in postsecondary institutions in the United States over the last two decades, unlike their American peers, these students were reported to have more severe mental health issues with less help-seeking intentions and behavior. This study drew the national data collected by American College Health Association-National College Health Assessment (ACHA-NCHA) from 2011 to 2014 to examine how various factors were associated with help-seeking intentions and behavior among Asian International Students (AIS) in the U.S. After case-wise deletion of missing data, the dataset used in regression analyses included 97,259 college students, including 2999 AISs, who were randomly drawn within the 62 participated postsecondary institutions. The study performed a series of logistic regression with complex survey design that controlled for institutional clustering effects to analyze the relationship between various factors and AISs’ help-seeking intentions and behavior. The results showed that AIS utilized significantly less services and were less willing to seek mental health services than not only American domestic students but also other international students. Variables related to institutional characteristics, demographic information, academic status, and health conditions were found to significantly influence AISs’ help-seeking intentions and behavior. College mental health professionals and university stakeholders need to pay more attention to the mental health needs of AIS. Implications for college mental health professionals and university stakeholders are discussed.

在过去的二十年中，尽管亚洲的国际学生在美国的高等教育机构中的人数有所增加，但与美国的同龄人不同，据报道，这些学生的心理健康问题更为严重，寻求帮助的意图和行为较少。这项研究借鉴了美国大学健康协会-美国大学健康评估（ACHA-NCHA）从2011年至2014年收集的国家数据，以研究各种因素如何与美国亚裔国际学生（AIS）的求助意图和行为相关联在逐案删除缺失的数据之后，用于回归分析的数据集包括97259名大学生，其中包括2999名AIS，他们是在62所参与的大专院校中随机抽取的。该研究进行了一系列具有复杂调查设计的逻辑回归，控制了机构集群效应，以分析各种因素与AIS寻求帮助的意图和行为之间的关系。结果表明，与美国国内学生和其他国际学生相比，AIS使用的服务少得多，并且不愿意寻求心理健康服务。发现与机构特征，人口统计学信息，学业状况和健康状况有关的变量会严重影响AIS的求助意图和行为。高校精神卫生专业人员和大学利益相关者需要更加关注AIS的精神卫生需求。讨论了对大学心理健康专业人员和大学利益相关者的影响。