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Racial/ethnic differences in perception of need for mental health treatment in a US national sample.
Soc Psychiatry Psychiatr Epidemiol. 2017 08; 52(8):929-937.SP

Abstract

PURPOSE

To resolve contradictory evidence regarding racial/ethnic differences in perceived need for mental health treatment in the USA using a large and diverse epidemiologic sample.

METHODS

Samples from 6 years of a repeated cross-sectional survey of the US civilian non-institutionalized population were combined (N = 232,723). Perceived need was compared across three non-Hispanic groups (whites, blacks and Asian-Americans) and two Hispanic groups (English interviewees and Spanish interviewees). Logistic regression models were used to test for variation across groups in the relationship between severity of mental illness and perceived need for treatment.

RESULTS

Adjusting statistically for demographic and socioeconomic characteristics and for severity of mental illness, perceived need was less common in all racial/ethnic minority groups compared to whites. The prevalence difference (relative to whites) was smallest among Hispanics interviewed in English, -5.8% (95% CI -6.5, -5.2%), and largest among Hispanics interviewed in Spanish, -11.2% (95% CI -12.4, -10.0%). Perceived need was significantly less common among all minority racial/ethnic groups at each level of severity. In particular, among those with serious mental illness, the largest prevalence differences (relative to whites) were among Asian-Americans, -23.3% (95% CI -34.9, -11.7%) and Hispanics interviewed in Spanish, 32.6% (95% CI -48.0, -17.2%).

CONCLUSIONS

This study resolves the contradiction in empirical evidence regarding the existence of racial/ethnic differences in perception of need for mental health treatment; differences exist across the range of severity of mental illness and among those with no mental illness. These differences should be taken into account in an effort to reduce mental health-care disparities.

Authors+Show Affiliations

RAND Corporation, 4570 Fifth Avenue, Pittsburgh, PA, 15213, USA. jbreslau@rand.org.RAND Corporation, 1776 Main Street, Santa Monica, California, USA.RAND Corporation, 1776 Main Street, Santa Monica, California, USA.RAND Corporation, 1776 Main Street, Santa Monica, California, USA.RAND Corporation, 4570 Fifth Avenue, Pittsburgh, PA, 15213, USA.City University of New York School of Public Health, New York, USA.RAND Corporation, 1776 Main Street, Santa Monica, California, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28550518

Citation

Breslau, Joshua, et al. "Racial/ethnic Differences in Perception of Need for Mental Health Treatment in a US National Sample." Social Psychiatry and Psychiatric Epidemiology, vol. 52, no. 8, 2017, pp. 929-937.
Breslau J, Cefalu M, Wong EC, et al. Racial/ethnic differences in perception of need for mental health treatment in a US national sample. Soc Psychiatry Psychiatr Epidemiol. 2017;52(8):929-937.
Breslau, J., Cefalu, M., Wong, E. C., Burnam, M. A., Hunter, G. P., Florez, K. R., & Collins, R. L. (2017). Racial/ethnic differences in perception of need for mental health treatment in a US national sample. Social Psychiatry and Psychiatric Epidemiology, 52(8), 929-937. https://doi.org/10.1007/s00127-017-1400-2
Breslau J, et al. Racial/ethnic Differences in Perception of Need for Mental Health Treatment in a US National Sample. Soc Psychiatry Psychiatr Epidemiol. 2017;52(8):929-937. PubMed PMID: 28550518.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Racial/ethnic differences in perception of need for mental health treatment in a US national sample. AU - Breslau,Joshua, AU - Cefalu,Matthew, AU - Wong,Eunice C, AU - Burnam,M Audrey, AU - Hunter,Gerald P, AU - Florez,Karen R, AU - Collins,Rebecca L, Y1 - 2017/05/26/ PY - 2017/02/20/received PY - 2017/05/18/accepted PY - 2017/5/28/pubmed PY - 2018/3/29/medline PY - 2017/5/28/entrez KW - Cultural psychiatry KW - Epidemiology KW - Mental health treatment KW - Perceived need KW - Race/ethnicity SP - 929 EP - 937 JF - Social psychiatry and psychiatric epidemiology JO - Soc Psychiatry Psychiatr Epidemiol VL - 52 IS - 8 N2 - PURPOSE: To resolve contradictory evidence regarding racial/ethnic differences in perceived need for mental health treatment in the USA using a large and diverse epidemiologic sample. METHODS: Samples from 6 years of a repeated cross-sectional survey of the US civilian non-institutionalized population were combined (N = 232,723). Perceived need was compared across three non-Hispanic groups (whites, blacks and Asian-Americans) and two Hispanic groups (English interviewees and Spanish interviewees). Logistic regression models were used to test for variation across groups in the relationship between severity of mental illness and perceived need for treatment. RESULTS: Adjusting statistically for demographic and socioeconomic characteristics and for severity of mental illness, perceived need was less common in all racial/ethnic minority groups compared to whites. The prevalence difference (relative to whites) was smallest among Hispanics interviewed in English, -5.8% (95% CI -6.5, -5.2%), and largest among Hispanics interviewed in Spanish, -11.2% (95% CI -12.4, -10.0%). Perceived need was significantly less common among all minority racial/ethnic groups at each level of severity. In particular, among those with serious mental illness, the largest prevalence differences (relative to whites) were among Asian-Americans, -23.3% (95% CI -34.9, -11.7%) and Hispanics interviewed in Spanish, 32.6% (95% CI -48.0, -17.2%). CONCLUSIONS: This study resolves the contradiction in empirical evidence regarding the existence of racial/ethnic differences in perception of need for mental health treatment; differences exist across the range of severity of mental illness and among those with no mental illness. These differences should be taken into account in an effort to reduce mental health-care disparities. SN - 1433-9285 UR - https://www.unboundmedicine.com/medline/citation/28550518/Racial/ethnic_differences_in_perception_of_need_for_mental_health_treatment_in_a_US_national_sample_ L2 - https://dx.doi.org/10.1007/s00127-017-1400-2 DB - PRIME DP - Unbound Medicine ER -