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Racial/ethnic differences in unmet needs for mental health and substance use treatment in a community-based sample of sexual minority women.
J Clin Nurs. 2016 Dec; 25(23-24):3557-3569.JC

Abstract

AIMS AND OBJECTIVES

To examine the unmet needs for mental health and substance use treatment among a diverse sample of sexual minority women (lesbian, bisexual).

BACKGROUND

Sexual minority women are more likely than heterosexual women to report depression and hazardous drinking. However, relatively little is known about sexual minority women's use of mental health or substance use treatment services, particularly about whether use varies by race/ethnicity.

DESIGN

Cross-sectional analysis of existing data.

METHODS

Analyses included data from 699 Latina, African American and white sexual minority women interviewed in wave 3 of the 17-year Chicago Health and Life Experiences of Women study. Using logistic regression, we examined the associations among sexual identity, race/ethnicity, use of mental health and substance use treatment, as well as potential unmet need for treatment.

RESULTS

Overall, women in the study reported high levels of depression and alcohol dependence, and these varied by sexual identity and race/ethnicity. Use of mental health and substance use treatment also varied by race/ethnicity, as did potential unmet need for both mental health and substance use treatment.

CONCLUSIONS

Our findings that suggest although use of treatment among sexual minority women is high overall, there is a potentially sizable unmet need for mental health and substance use treatment that varies by race/ethnicity, with Latina women showing the greatest unmet need for treatment.

RELEVANCE TO CLINICAL PRACTICE

Nurses and other healthcare providers should be aware of the high rates of depression and hazardous drinking among sexual minority women, understand the factors that may increase the risk of these conditions among sexual minority women, the potentially high unmet need for mental health and substance use treatment - perhaps particularly among Latina women and be equipped to provide culturally sensitive care or refer to appropriate treatment services as needed.

Authors+Show Affiliations

College of Nursing, University of Illinois at Chicago, Chicago, IL, USA.College of Nursing, University of Illinois at Chicago, Chicago, IL, USA. Center for Research on Women and Gender, University of Illinois at Chicago, Chicago, IL, USA.College of Nursing, University of Illinois at Chicago, Chicago, IL, USA. Department of Behavioral Sciences, Rush University Medical Center, Chicago, IL, USA.College of Nursing, University of Illinois at Chicago, Chicago, IL, USA. Center for Research on Women and Gender, University of Illinois at Chicago, Chicago, IL, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27461857

Citation

Jeong, Yoo Mi, et al. "Racial/ethnic Differences in Unmet Needs for Mental Health and Substance Use Treatment in a Community-based Sample of Sexual Minority Women." Journal of Clinical Nursing, vol. 25, no. 23-24, 2016, pp. 3557-3569.
Jeong YM, Veldhuis CB, Aranda F, et al. Racial/ethnic differences in unmet needs for mental health and substance use treatment in a community-based sample of sexual minority women. J Clin Nurs. 2016;25(23-24):3557-3569.
Jeong, Y. M., Veldhuis, C. B., Aranda, F., & Hughes, T. L. (2016). Racial/ethnic differences in unmet needs for mental health and substance use treatment in a community-based sample of sexual minority women. Journal of Clinical Nursing, 25(23-24), 3557-3569. https://doi.org/10.1111/jocn.13477
Jeong YM, et al. Racial/ethnic Differences in Unmet Needs for Mental Health and Substance Use Treatment in a Community-based Sample of Sexual Minority Women. J Clin Nurs. 2016;25(23-24):3557-3569. PubMed PMID: 27461857.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Racial/ethnic differences in unmet needs for mental health and substance use treatment in a community-based sample of sexual minority women. AU - Jeong,Yoo Mi, AU - Veldhuis,Cindy B, AU - Aranda,Frances, AU - Hughes,Tonda L, Y1 - 2016/09/26/ PY - 2016/07/16/accepted PY - 2016/7/28/pubmed PY - 2017/2/25/medline PY - 2016/7/28/entrez KW - Sexual minority women KW - alcohol use KW - alcohol use treatment KW - bisexual women KW - depression KW - lesbian women KW - mental health treatment KW - unmet need SP - 3557 EP - 3569 JF - Journal of clinical nursing JO - J Clin Nurs VL - 25 IS - 23-24 N2 - AIMS AND OBJECTIVES: To examine the unmet needs for mental health and substance use treatment among a diverse sample of sexual minority women (lesbian, bisexual). BACKGROUND: Sexual minority women are more likely than heterosexual women to report depression and hazardous drinking. However, relatively little is known about sexual minority women's use of mental health or substance use treatment services, particularly about whether use varies by race/ethnicity. DESIGN: Cross-sectional analysis of existing data. METHODS: Analyses included data from 699 Latina, African American and white sexual minority women interviewed in wave 3 of the 17-year Chicago Health and Life Experiences of Women study. Using logistic regression, we examined the associations among sexual identity, race/ethnicity, use of mental health and substance use treatment, as well as potential unmet need for treatment. RESULTS: Overall, women in the study reported high levels of depression and alcohol dependence, and these varied by sexual identity and race/ethnicity. Use of mental health and substance use treatment also varied by race/ethnicity, as did potential unmet need for both mental health and substance use treatment. CONCLUSIONS: Our findings that suggest although use of treatment among sexual minority women is high overall, there is a potentially sizable unmet need for mental health and substance use treatment that varies by race/ethnicity, with Latina women showing the greatest unmet need for treatment. RELEVANCE TO CLINICAL PRACTICE: Nurses and other healthcare providers should be aware of the high rates of depression and hazardous drinking among sexual minority women, understand the factors that may increase the risk of these conditions among sexual minority women, the potentially high unmet need for mental health and substance use treatment - perhaps particularly among Latina women and be equipped to provide culturally sensitive care or refer to appropriate treatment services as needed. SN - 1365-2702 UR - https://www.unboundmedicine.com/medline/citation/27461857/Racial/ethnic_differences_in_unmet_needs_for_mental_health_and_substance_use_treatment_in_a_community_based_sample_of_sexual_minority_women_ L2 - https://doi.org/10.1111/jocn.13477 DB - PRIME DP - Unbound Medicine ER -