Racial/Ethnic Disparities in the Use of Mental Health Services in Poverty Areas

Chow, Iree; Jaffee, Kim D.; Snowden, Lonnie R.

doi:10.2105/ajph.93.5.792

Cited by 360 publications

(256 citation statements)

References 31 publications

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“…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.…”

Section: Discussionmentioning

confidence: 99%

“…[13][14][15] Similarly, evidence shows that racial minorities have lower rates of health care utilization for mental disorders compared to whites because of factors such as stigma and financial costs. 8,11,16,17 Most prior research has not focused on Asians and Native Hawaiian/Other Pacific Islanders (NHOPI) or has combined Asians and NHOPI in reporting findings. Asians and NHOPI are often perceived as "model minorities," which stereotypes them as successful racial minorities compared with other racial minorities.…”

Section: Introductionmentioning

confidence: 99%

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Disparities in Use of Mental Health and Substance Abuse Services by Asian and Native Hawaiian/Other Pacific Islander Women

Juon

Gielen

et al. 2007

J Behav Health Serv Res

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The purpose of this study was to determine if disparities exist in lifetime utilization of mental health/ substance abuse services among Asian, Native Hawaiian/Other Pacific Islander (NHOPI) and white mothers. The study sample was comprised of mothers assessed to be at-risk (n=491) and not at-risk (n=218) for child maltreatment in the Hawaii Healthy Start Program study. Multiple logistic regression models were used to test the effects of predisposing, need, and enabling factors on utilization of services. Results revealed that, among mothers with depressive symptoms, compared with whites, Asians and NHOPI were significantly less likely to have received services. There were no significant racial differences in use of mental health/substance use services by other factors. These results suggest that racial disparities exist in utilization of mental health/substance abuse services among mothers with depressive symptoms. Future research is needed to identify barriers and facilitators to accessing needed services for Asian and NHOPI women.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Disparities in Use of Mental Health and Substance Abuse Services by Asian and Native Hawaiian/Other Pacific Islander Women

Juon

Gielen

et al. 2007

J Behav Health Serv Res

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“…However, in western side there are studies that show, racial disparity existed in patterns of how mental health services were utilized which could be the other reason. 21,22 Majority of patients were from Kathmandu itself. Tribhuvan University Teaching Hospital, located in Kathmandu is semi government tertiary care hospital that have been providing best care within affordable expenses including comprehensive psychiatric services, this could be the reason for majority of patients being from the city.…”

Section: Total 340 100mentioning

confidence: 99%

Profile of Patients Attending as Psychiatric Emergency at General Hospital

Tulachan

Chapagain

Ojha

et al. 2015

J Psychiatr Assoc Nepal

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“…Race/ethnic disparities in mental health care access exist, with African American and Hispanic/Latino youth being less likely to receive mental health services than whites [4,5]. Specific segments of the population including the poor and ethnic minorities rely more heavily on emergency and psychiatric emergency services (PES) due to social circumstances [6][7][8]. Several recent studies demonstrate an increase in pediatric psychiatric visits in general and psychiatric emergency settings (PES) over the past couple of decades [1,[9][10][11], suggesting that PES is a likely entry point for many youth entering the mental health system [12], especially non-white youth.…”

Section: Introductionmentioning

confidence: 99%

The role of race in diagnostic and disposition decision making in a pediatric psychiatric emergency service

Muroff

Edelsohn

Joe

et al. 2008

General Hospital Psychiatry

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Objective-We investigated the influence of race/ethnicity in diagnostic and disposition decisionmaking for children and adolescents presenting to an urban psychiatric emergency service (PES).Method-Medical records were reviewed for 2991 child and adolescent African American, Hispanic/Latino, and White patients, treated in an urban PES between October 2001 and September 2002. A series of bivariate and binomial logistic regression analyses were employed to delineate the role of race in the patterns and correlates of psychiatric diagnostic and treatment disposition decisions.Results-Binomial logistic regression analyses reveal that African American (OR=2.28, p<.001), and Hispanic/Latino (OR=2.35, p<.05) patients are more likely to receive a psychotic disorder and behavioral disorders diagnoses (African American:OR=1.66, p<.001; Hispanic/Latino:OR=1.36, p<. 05) than White children/adolescents presenting to PES. African American youth compared to White youth are also less likely to receive depressive disorder (OR=0.78, p<.05), bipolar disorder (OR=. 44, p<.001), and alcohol/substance abuse disorder (OR=.18, p<.01) diagnoses. African American pediatric PES patients are also more likely to be hospitalized (OR=1.50, p<.05), controlling for other socio-demographic and clinical factors (e.g., GAF). Conclusions-The results highlight that non-clinical factors such as race/ethnicity are associated with clinical diagnostic decisions as early as childhood suggesting the pervasiveness of such disparities.

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Racial/Ethnic Disparities in the Use of Mental Health Services in Poverty Areas

Abstract: Neighborhood poverty is a key to understanding racial/ethnic disparities in the use of mental health services.

Cited by 360 publications

References 31 publications

Disparities in Use of Mental Health and Substance Abuse Services by Asian and Native Hawaiian/Other Pacific Islander Women

Disparities in Use of Mental Health and Substance Abuse Services by Asian and Native Hawaiian/Other Pacific Islander Women

Profile of Patients Attending as Psychiatric Emergency at General Hospital

The role of race in diagnostic and disposition decision making in a pediatric psychiatric emergency service

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