The influence of race and ethnicity on psychiatric diagnoses and clinical characteristics of children and adolescents in children's services.

Nguyen, Linda; Huang, Larke; Arganza, Girlyn F.; Liao, Qinghong

doi:10.1037/1099-9809.13.1.18

Cited by 98 publications

(76 citation statements)

References 33 publications

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“…15,16 For example, although African American children are more likely to exhibit symptoms of ADHD and depression, they are less likely to receive a diagnosis of ADHD or to use mental health services than white children. 16 African American and Asian/Pacific Islander children are nearly twice to 5 times as likely as white children to report no mental health care in the past 12 months. 14 A few studies address racial and ethnic differences specifically for ASD.…”

Section: Discussionmentioning

confidence: 99%

Racial and Ethnic Differences in Subspecialty Service Use by Children With Autism

et al. 2013

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WHAT'S KNOWN ON THIS SUBJECT: Racial and ethnic differences exist in age at diagnosis and early access to mental and behavioral health services among children with autism spectrum disorders (ASDs). ASDs are also associated with increased rates of other medical comorbidities that may require specialty care.WHAT THIS STUDY ADDS: Significant racial and ethnic differences in use of specialty care and specialty procedures exist among children with documented ASD. abstract OBJECTIVE: To describe racial differences in use of specialty care among children with autism spectrum disorder. METHODS:We identified patients ages 2 to 21 years with an International Classification of Diseases, Ninth Revision code of autism (299.0) seen from 2000 to 2011 at a major academic health center by using a research patient data repository and determined rates of specialty provider visits and procedures by race. We then used logistic regression to determine the associations of rates of subspecialty visits and procedures with race and ethnicity, controlling for gender, age, and payer type. RESULTS:We identified 3615 patients (2935 white, 243 Hispanic, 188 African American, and 249 other). The most striking differences were in use of gastroenterology (GI)/nutrition services. Nonwhite children were less likely to use GI/nutrition specialty providers (African American, odds ratio = 0. CONCLUSIONS:We found racial and ethnic differences among children diagnosed with autism in use of care and procedures. Possible explanations for these findings include differences in presentation, referral rates, or referral follow through. Pediatrics 2013;132:94-100

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Section: Discussionmentioning

confidence: 99%

Racial and Ethnic Differences in Subspecialty Service Use by Children With Autism

et al. 2013

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“…16,17 Literature on adult mental illness and racial/ethnic prejudice provides a broad array of relatable stereotypes and misconceptions, e.g., associating mental illness with minority racial/ ethnic status, poverty, unpredictability, character defect or mental retardation. [29][30][31][32] Therefore, the focus on dangerousness might skew stigma research towards certain mental disorders, particularly those characterized by externalizing problems. 33 However, youth in the study reported by Walker and colleagues 34 considered other youth with attention deficit hyperactivity disorder (ADHD) and depression to be potentially violent and likely to engage in antisocial behavior.…”

Section: The Dimensions Of Stigmamentioning

confidence: 99%

The Stigma of Childhood Mental Disorders: A Conceptual Framework

Mukolo

Heflinger

Wallston

2010

Journal of the American Academy of Child & Adolescent Psych

119

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Objective-To describe the state of the literature on stigma associated with children's mental disorders and highlight gaps in empirical work.Method-We reviewed child mental illness stigma articles in (English only) peer-reviewed journals available through Medline and PsychInfo. We augmented these with adult-oriented stigma articles that focus on theory and measurement. 145 articles in PsychInfo and 77 articles in MEDLINE met search criteria. The review process involved identifying and appraising literature convergence on the definition of critical dimensions of stigma, antecedents, and outcomes reported in empirical studies.Results-We found concurrence on three dimensions of stigma (negative stereotypes, devaluation and discrimination), two contexts of stigma (self, general public), and two targets of stigma (self/ individual, family). Theory and empirics on institutional and self stigma in child populations were sparse. Literature reports few theoretic frameworks and conceptualizations of child mental illness stigma. One model of help-seeking (the FINIS) explicitly acknowledges the role of stigma in children's access and utilization of mental health services.Conclusions-Compared to adults, children are subject to unique stigmatizing contexts that have not been adequately studied. The field needs conceptual frameworks that get closer to stigma experiences that are causally linked to how parents/caregivers cope with children's emotional and behavioral problems such as seeking professional help. To further research in child mental illness, we suggest an approach to adapting current theoretical frameworks and operationalizing stigma highlighting three dimensions of stigma, three contexts of stigma (including institutions), and three targets of stigma (self/child, family and services).

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“…Therefore, it seems reasonable to assume that the factors that affect the health of immigrant children, and in particular of Latino immigrant children, are and will be an area of importance in the coming years. Research on immigrants and Latinos, in particular, has not kept pace with the increasing numbers [5]. Further complicating existing research is the fact that many studies pool Latinos together as one group.…”

Section: Introductionmentioning

confidence: 99%

Latino Immigrant Children's Health: Effects of Sociodemographic Variables and of a Preventive Intervention Program

Rausch

McCord

Batista

et al. 2012

International Journal of Population Research

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The number of Latino immigrant children is expanding rapidly, and the factors that affect their health are multiple and interlinked. We therefore propose to describe the sociodemographic characteristics of a mostly Dominican immigrant population, to examine to what extent immigrant status and other factors play a role in determining measures of their children's health and well-being, and finally to investigate whether a home visiting intervention modified any of these factors. The data were collected as part of an evaluation of a primary prevention home visitation program for high-risk mothers and their children. Bivariate and multivariate models were constructed to investigate the factors that affected the outcome variables. We found that numerous factors, especially a composite for overall stress, affected the health and well-being of participant children. We also demonstrated that the visitation program had a positive effect on many of these outcomes. Future program planners will need to understand the strengths and weaknesses of the specific population they serve.

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The influence of race and ethnicity on psychiatric diagnoses and clinical characteristics of children and adolescents in children's services.

Cited by 98 publications

References 33 publications

Racial and Ethnic Differences in Subspecialty Service Use by Children With Autism

Racial and Ethnic Differences in Subspecialty Service Use by Children With Autism

The Stigma of Childhood Mental Disorders: A Conceptual Framework

Latino Immigrant Children's Health: Effects of Sociodemographic Variables and of a Preventive Intervention Program

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