Prevalence and Correlates of Four Social Determinants in a Statewide Survey of Licensed Mental Health Services

Ehntholt, Amy; Frimpong, Eric; Compton, Michael T.; Rowan-Szal, Grace A.; Ferdousi, Wahida; Swetnam, Hannah; Chaudhry, Sahil; Radigan, Marleen; Smith, Thomas E.; Rotter, Merrill

doi:10.1176/appi.ps.202100380

Cited by 2 publications

(4 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As noted previously (Ehntholt et al, 2022), the four social determinants of interest in this analysis were 1) educational attainment (<12th grade, 12th grade or high school graduate equivalent, or >12th grade), 2) employment status (unemployed, working part-time, or working full-time), 3) presence or absence of a history of homelessness in past 6 months, and 4) presence or absence of current criminal/legal involvement ( e.g. , being in prison, on probation, on parole, in an alternative to incarceration program or mental health court).…”

Section: Methodssupporting

confidence: 70%

“…Associations reported here could potentially differ by drug class. Fourth, as pointed out previously (Ehntholt et al, 2022), analyses involving race/ ethnicity were limited by the categories available, and race and ethnicity were combined (e.g., someone identified as Black and Latino would have been categorized as Hispanic). The category of "other" is also problematic as it captures multiple racial and ethnic identities (e.g., all Asian people), making interpretations involving that category nearly impossible.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…As detailed in a prior report (Ehntholt et al, 2022), data for this analysis came from the 2017 New York State Office of Mental Health (the state's mental health agency) Patient Characteristics Survey. The survey is conducted biennially during one specified week (in this case, October 23–29, 2017) when the >4,000 mental health programs operated, licensed, and/or funded by the Office of Mental Health collect data on all patients served in that week.…”

Section: Methodsmentioning

confidence: 99%

See 3 more Smart Citations

Associations Between Cumulative Social Adversities and Substance Use Comorbidity in a Statewide Sample of Individuals in Treatment for Mental Illnesses

Compton

Frimpong

et al. 2023

J Nerv Ment Dis

Self Cite

View full text Add to dashboard Cite

We sought to investigate associations of cumulative social adversities in four areas (low education, unemployment, homelessness, and criminal/legal involvement) with presence of comorbid alcohol and drug use disorders among individuals in treatment for mental illnesses. Using data from 103,416 adults in mental health treatment, generalized estimating equation modified Poisson models were used to estimate increased risk of having comorbid substance use disorders based on individual and/or cumulative number of social adversities present. Controlling for effects of sex, race/ethnicity, and region (New York City vs. the rest of the State), as well as for the other social adversities, each of four social adversities was associated with presence of substance use comorbidity. Relative to having none of the social adversities, the presence of one, two, three, or four was associated with an increased prevalence ratio (PR) of having substance use comorbidity: 1.44, 2.10, 2.66, and 2.92; all p's < 0.0001. PRs were greater among female patients, and among Hispanics and those classified as other or multiracial compared with non-Hispanic Whites or non-Hispanic Blacks. Findings indicate substantial associations between four social adversities and presence of substance use comorbidity; the strength of association with the four social adversities is cumulative.

show abstract

Section: Methodssupporting

confidence: 70%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations