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Inequalities in use of specialty mental health services among Latinos, African Americans, and non-Latino whites.
Psychiatr Serv. 2002 Dec; 53(12):1547-55.PS

Abstract

OBJECTIVE

The authors investigated whether there are disparities in the rates of specialty mental health care for Latinos and African Americans compared with non-Latino whites in the United States.

METHODS

Data were analyzed from the 1990-1992 National Comorbidity Survey, which surveyed a probability sample of 8,098 English-speaking respondents aged 15 to 54 years. Respondents self-identified their race or ethnicity, yielding a sample of 695 Latinos, 987 African Americans, and 6,026 non-Latino whites. Data on demographic characteristics, insurance status, psychiatric morbidity, whether the respondent lived in an urban or a rural area, geographic location, income, and use of mental health services were determined for each ethnic or racial group. Logistic regression analyses were used to examine the associations between ethnic or racial group and use of specialty services, with relevant covariates adjusted for.

RESULTS

Significant differences between ethnic groups were found in demographic characteristics, geographic location, zone of residence, insurance status, income, wealth, and use of mental health services. The results indicated that poor Latinos (family income of less than $15,000) have lower access to specialty care than poor non-Latino whites. African Americans who were not classified as poor were less likely to receive specialty care than their white counterparts, even after adjustment for demographic characteristics, insurance status, and psychiatric morbidity.

CONCLUSIONS

To understand ethnic or racial disparities in specialty care, the effects of ethnicity or race should be analyzed in combination with variables related to poverty status and environmental context. Further research needs to address the complex construct of social position in order to bridge the gap in unmet need in specialty care.

Authors+Show Affiliations

Center for Multicultural Mental Health Research, Cambridge Health Alliance, 120 Beacon Street Fourth Floor, Somerville, MA 02143, USA. malegria@charesearch.orgNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

12461214

Citation

Alegría, Margarita, et al. "Inequalities in Use of Specialty Mental Health Services Among Latinos, African Americans, and non-Latino Whites." Psychiatric Services (Washington, D.C.), vol. 53, no. 12, 2002, pp. 1547-55.
Alegría M, Canino G, Ríos R, et al. Inequalities in use of specialty mental health services among Latinos, African Americans, and non-Latino whites. Psychiatr Serv. 2002;53(12):1547-55.
Alegría, M., Canino, G., Ríos, R., Vera, M., Calderón, J., Rusch, D., & Ortega, A. N. (2002). Inequalities in use of specialty mental health services among Latinos, African Americans, and non-Latino whites. Psychiatric Services (Washington, D.C.), 53(12), 1547-55.
Alegría M, et al. Inequalities in Use of Specialty Mental Health Services Among Latinos, African Americans, and non-Latino Whites. Psychiatr Serv. 2002;53(12):1547-55. PubMed PMID: 12461214.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Inequalities in use of specialty mental health services among Latinos, African Americans, and non-Latino whites. AU - Alegría,Margarita, AU - Canino,Glorisa, AU - Ríos,Ruth, AU - Vera,Mildred, AU - Calderón,José, AU - Rusch,Dana, AU - Ortega,Alexander N, PY - 2002/12/4/pubmed PY - 2003/3/22/medline PY - 2002/12/4/entrez SP - 1547 EP - 55 JF - Psychiatric services (Washington, D.C.) JO - Psychiatr Serv VL - 53 IS - 12 N2 - OBJECTIVE: The authors investigated whether there are disparities in the rates of specialty mental health care for Latinos and African Americans compared with non-Latino whites in the United States. METHODS: Data were analyzed from the 1990-1992 National Comorbidity Survey, which surveyed a probability sample of 8,098 English-speaking respondents aged 15 to 54 years. Respondents self-identified their race or ethnicity, yielding a sample of 695 Latinos, 987 African Americans, and 6,026 non-Latino whites. Data on demographic characteristics, insurance status, psychiatric morbidity, whether the respondent lived in an urban or a rural area, geographic location, income, and use of mental health services were determined for each ethnic or racial group. Logistic regression analyses were used to examine the associations between ethnic or racial group and use of specialty services, with relevant covariates adjusted for. RESULTS: Significant differences between ethnic groups were found in demographic characteristics, geographic location, zone of residence, insurance status, income, wealth, and use of mental health services. The results indicated that poor Latinos (family income of less than $15,000) have lower access to specialty care than poor non-Latino whites. African Americans who were not classified as poor were less likely to receive specialty care than their white counterparts, even after adjustment for demographic characteristics, insurance status, and psychiatric morbidity. CONCLUSIONS: To understand ethnic or racial disparities in specialty care, the effects of ethnicity or race should be analyzed in combination with variables related to poverty status and environmental context. Further research needs to address the complex construct of social position in order to bridge the gap in unmet need in specialty care. SN - 1075-2730 UR - https://www.unboundmedicine.com/medline/citation/12461214/Inequalities_in_use_of_specialty_mental_health_services_among_Latinos_African_Americans_and_non_Latino_whites_ DB - PRIME DP - Unbound Medicine ER -