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- Title
Geographic variation in mental health care disparities among racially/ethnically diverse adults with psychiatric disorders.
- Authors
Kim, Giyeon; Dautovich, Natalie; Ford, Katy-Lauren; Jimenez, Daniel; Cook, Benjamin; Allman, Richard; Parmelee, Patricia; Jimenez, Daniel E; Allman, Richard M
- Abstract
<bold>Purpose: </bold>The main purpose of this paper is to examine geographic variation in unmet need for mental health care among racially/ethnically diverse adults with psychiatric disorders in the US.<bold>Methods: </bold>Drawn from the Collaborative Psychiatric Epidemiology Surveys (CPES; 2001-2003), adults with any past year psychiatric disorder diagnosis (n = 3211) from diverse racial/ethnic backgrounds were selected for analyses. Using weighted data, descriptive analyses and logistic regression analyses were conducted.<bold>Results: </bold>Two-thirds of the total sample had unmet mental health care need, which differed significantly by race/ethnicity (p < .001). Logistic regression analyses show regional variation of the effect of race/ethnicity in unmet need: after adjusting for covariates, Latinos in the South, Blacks and Latinos in the Midwest, and Latinos and Asians in the West had higher unmet need than non-Hispanic Whites, whereas no significant racial/ethnic effects were found in the Northeast.<bold>Conclusions: </bold>Findings suggest that geographic region plays an important role in the sufficient use of mental health services among racial/ethnic minorities. Further research should elucidate reasons for geographic disparities in mental health care among racial/ethnic minority adults to reduce disparities.
- Subjects
UNITED States; PATHOLOGICAL psychology; MEDICAL care; MENTAL health; LOGISTIC regression analysis; HEALTH equity; MENTAL illness treatment; STATISTICS on Black people; STATISTICS on minorities; STATISTICS on Hispanic Americans; ASIANS; HEALTH services accessibility; HEALTH status indicators; PSYCHOLOGY of Hispanic Americans; MENTAL health services; MENTAL illness; PSYCHOLOGY of Minorities; POPULATION geography; RESEARCH funding; SURVEYS; WHITE people; PSYCHOLOGY of Black people; SOCIOECONOMIC factors; PSYCHOLOGY
- Publication
Social Psychiatry & Psychiatric Epidemiology, 2017, Vol 52, Issue 8, p939
- ISSN
0933-7954
- Publication type
journal article
- DOI
10.1007/s00127-017-1401-1