Reducing racial/ethnic disparities in mental health service use among emerging adults: community-level supply factors

NeMoyer, Amanda; Cruz-Gonzalez, Mario; Álvarez, Kiara; Kessler, Ronald C.; Sampson, Nancy A.; Green, Jennifer; Alegrı́a, Margarita

doi:10.1080/13557858.2020.1814999

Cited by 15 publications

(7 citation statements)

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“…Surveillance of the high prevalences of food insecurity, psychosocial distress, and unhealthy behaviors among emerging adulthood populations has also identified evidence of disparities (Krueger et al, 2020; Marrast et al, 2016; Massetti et al, 2017; NeMoyer et al, 2020; Strutz et al, 2015; VanKim et al, 2012; VanKim & Laska, 2012). Historical accounts of previous pandemics and research conducted prior to the COVID-19 pandemic have documented the consequences of structural racism for health outcomes and evidence of glaring disparities by ethnicity, race, and SES among U.S. emerging adult populations (Hutchins et al, 2009; Krishnan et al, 2020; Marrast et al, 2016; Nelson Laska M et al, 2010; VanKim et al, 2012; VanKim & Laska, 2012).…”

Section: Discussionmentioning

confidence: 99%

“…Historical accounts of previous pandemics and research conducted prior to the COVID-19 pandemic have documented the consequences of structural racism for health outcomes and evidence of glaring disparities by ethnicity, race, and SES among U.S. emerging adult populations (Hutchins et al, 2009; Krishnan et al, 2020; Marrast et al, 2016; Nelson Laska M et al, 2010; VanKim et al, 2012; VanKim & Laska, 2012). Young people from low SES and ethnically/racially minoritized backgrounds are more likely to experience food insecurity, consume fast food and sugar-sweetened beverages, participate in inadequate physical activity, have a high body mass index, and lack access to mental health care (Éliás & Jámbor, 2021; Marrast et al, 2016; NeMoyer et al, 2020; VanKim & Laska, 2012). Additionally, young people of low SES have been found to more often use unhealthy weight control behaviors, have fewer family meals, and have poorer fruit and vegetable intakes (Utter et al, 2018; VanKim et al, 2012; VanKim & Laska, 2012).…”

Section: Discussionmentioning

confidence: 99%

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Implications of the COVID-19 Pandemic for the Well-Being of Emerging Adult Populations: A Synthesis of Findings From the COVID-19 Eating and Activity Over Time (C-EAT) Study

et al. 2023

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Research addressing the impact of the COVID-19 pandemic on psychosocial well-being and health behavior is accumulating; however, implications for emerging adult populations are underexplored. This manuscript synthesizes findings from a mixed-methods study of well-being, eating and activity behaviors, and food insecurity among a diverse, longitudinal cohort of emerging adults. The review includes findings from 11 original studies that involved collecting online surveys from 720 emerging adults and in-depth, virtual interviews with 33 respondents who were food insecure. Findings indicated the pandemic had widespread impacts on well-being. Population groups at greatest risk for poor outcomes included women; those who identified as Black, Indigenous, or a Person of Color; persons in households of low socioeconomic status; parents of young children; and persons who previously experienced mental health challenges or weight stigma. Further research will be needed to evaluate efforts to improve the well-being of emerging adults in the aftermath of the pandemic.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Implications of the COVID-19 Pandemic for the Well-Being of Emerging Adult Populations: A Synthesis of Findings From the COVID-19 Eating and Activity Over Time (C-EAT) Study

et al. 2023

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“…Men who were randomized to receive loans demonstrated lower depressive symptoms scores than those who did not, although this effect was not present among women [73]. Outside South Africa, existing research within the US has identified several different approaches for improving access to and efficacy of mental health treatment within racial minority groups, including hospital-based child wellness programs, linguistic/translational services, and community-based programs that foster positive psychological processes, including purpose and mastery [74][75][76][77].…”

Section: Geographic Differences In Psychological Distress Of Africansmentioning

confidence: 99%

Racial disparities in psychological distress in post-apartheid South Africa: results from the SANHANES-1 survey

Harriman

Williams

Morgan

et al. 2021

Soc Psychiatry Psychiatr Epidemiol

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Purpose South Africa has long endured a high prevalence of mental disorders at the national level, and its unique social and historical context could be a contributor to an increased risk of mental health problems. Our current understanding is limited regarding the relative importance of various social determinants to mental health challenges in South Africa, and how existing racial inequities may be explained by these determinants. Methods This study attempted to elucidate potential social determinants of mental health in South Africa using data from the nationally representative South African National Health and Nutrition Examination Survey (SANHANES-1). The main outcome of interest was psychological distress, measured with the Kessler-10 scale. Hierarchical linear regression models included covariates for demographic and socioeconomic factors, count of traumatic events, and a series of stress-related constructs. Analyses were conducted on two populations: the entire sample (n = 15,981), and the African subpopulation (n = 10,723). Results Regression models on the entire sample indicated racial disparities in psychological distress, with Africans experiencing higher distress than White and Coloured individuals. Results within the African sub-population indicated geo-spatial disparities, with Africans in formal urban settings experiencing higher psychological distress than those living in formal and informal rural locales. Across both samples, results indicated a cumulative association between count of stressors and traumatic events and distress. ConclusionWe found racial disparities across several mental health-related domains. Africans had greater exposure to traumatic events, social stressors, and psychological distress. This research is a necessary foundation for public health interventions and policy change to effectively reduce inequities in psychological distress.

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“…Despite this growing problem, many A-YA do not access mental health services, and those that do access care often disengage prematurely and experience challenges with continuity (Substance Abuse and Mental Health Services Administration [SAMHSA], 2020 ). Rates of disengagement are higher among minoritized groups (Moore, 2018 ) many of whom are involved with public systems (Alvarez et al, 2022 ; NeMoyer et al, 2020 ) and experience environmental stressors. These concerns are multi-faceted and so must be our strategies to address them.…”

mentioning

confidence: 99%

A Systematic Review of Music-Based Interventions to Improve Treatment Engagement and Mental Health Outcomes for Adolescents and Young Adults

Rodwin

Shimizu

Travis

et al. 2022

Child Adolesc Soc Work J

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Mental health disorders and suicidality are rising among adolescents and young adults (A-YA) while rates of treatment engagement remain notoriously low. Emerging research supports the potential of music-based interventions to improve mental health, but their efficacy remains unclear for A-YA. This systematic review evaluates the evidence on music-based psychosocial interventions to improve engagement in treatment and/or mental health outcomes among A-YA. This review was prospectively registered with PROSPERO and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Twenty-six studies were extracted. There was heterogeneity of designs, populations, measures, and outcomes. A typology of music-based interventions emerged, which is characterized by combinations of three broad categories: 1) Somatosensory, 2) Social-Emotional, and 3) Cognitive-Reflective. Most interventions are Socio-Cognitive and Holistically Integrated (combines all three) followed by Socio-Somatic . All interventions involved Social-Emotional processes. Results indicate that most studies report significant effects for mental health outcomes related to social and emotional improvements and reductions of internalizing symptoms for adolescents. Few studies targeted young adults and effects on engagement were rarely measured. There is a need for more studies that use rigorous methods. This review illuminated a need for interventions that are developmentally and culturally tailored to subgroups. Finally, the field is ripe from more studies that apply experimental therapeutics to conceptualize, operationalize, and test mechanisms of change to improve the understanding of how and for whom music-based interventions work. Recommendations for embedding these innovative strategies into research and practice for A-YA are discussed. Supplementary Information The online version contains supplementary material available at 10.1007/s10560-022-00893-x.

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Reducing racial/ethnic disparities in mental health service use among emerging adults: community-level supply factors

Cited by 15 publications

References 50 publications

Implications of the COVID-19 Pandemic for the Well-Being of Emerging Adult Populations: A Synthesis of Findings From the COVID-19 Eating and Activity Over Time (C-EAT) Study

Implications of the COVID-19 Pandemic for the Well-Being of Emerging Adult Populations: A Synthesis of Findings From the COVID-19 Eating and Activity Over Time (C-EAT) Study

Racial disparities in psychological distress in post-apartheid South Africa: results from the SANHANES-1 survey

A Systematic Review of Music-Based Interventions to Improve Treatment Engagement and Mental Health Outcomes for Adolescents and Young Adults

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