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Social Psychiatry and Psychiatric Epidemiology
Published in: Social Psychiatry and Psychiatric Epidemiology 8/2017

01-08-2017 | Original Paper

Geographic variation in mental health care disparities among racially/ethnically diverse adults with psychiatric disorders

Authors: Giyeon Kim, Natalie Dautovich, Katy-Lauren Ford, Daniel E. Jimenez, Benjamin Cook, Richard M. Allman, Patricia Parmelee

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 8/2017

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Abstract

Purpose

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.

Methods

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.

Results

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.

Conclusions

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.
Appendix
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Literature
1.
2.
3.
4.
Kataoka SH, Zhang L, Wells KB (2002) Unmet need for mental health care among US children: variation by ethnicity and insurance status. Am J Psychiatry 159:1548–1555CrossRefPubMed
5.
Jimenez DE, Cook B, Bartels SJ, Alegría M (2013) Disparities in mental health service use of racial and ethnic minority elderly adults. J Am Geriatr Soc 61:18–25CrossRefPubMed
6.
Wells K, Klap R, Koike A, Sherbourne C (2001) Ethnic disparities in unmet need for alcoholism, drug abuse, and mental health care. Am J Psychiatry 158:2027–2032CrossRefPubMed
7.
Sturm R, Ringel JS, Andreyeva T (2003) Geographic disparities in children’s mental health care. Pediatrics 112:e308–e315CrossRefPubMed
8.
9.
Cook BL, Doksum T, Chen CN, Carle A, Alegría M (2013) The role of provider supply and organization in reducing racial/ethnic disparities in mental health care in the US. Soc Sci Med 84:102–109CrossRefPubMedPubMedCentral
10.
Kim G, Parton JM, DeCoster J, Bryant AN, Ford KL, Parmelee P (2013) Regional variation of racial disparities in mental health service use among older adults. Gerontologist 53:618–626CrossRefPubMed
11.
Kim G, Parton JM, Ford KL, Bryant AN, Shim R, Parmelee P (2014) Geographic variation of racial and ethnic differences in satisfaction with and perceived benefits from mental health services. Psychiatr Serv 65:1474–1482CrossRefPubMedPubMedCentral
12.
Heeringa SG, Wagner J, Torres M, Duan N, Adams T, Berglund P (2004) Sample designs and sampling methods for the Collaborative Psychiatric Epidemiology Studies (CPES). Int J Method Psych 13:221–240CrossRef
13.
Kessler RC, Usturn T (2004) The World Mental Health (WMH) Survey Initiative Version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI). Int J Method Psychiatr 13:93–121CrossRef
14.
Kim G, Aguado Loi CX, Chiriboga DA, Jang Y, Parmelee P, Allen RS (2011) Limited English proficiency as a barrier to mental health service use: a study of Latino and Asian immigrants with psychiatric disorders. J Psychiatr Res 45:104–110CrossRefPubMed
15.
16.
Kim G, Chiriboga DA, Jang Y, Lee S, Huang CH, Parmelee P (2010) Health status of older Asian Americans in California. J Am Geriatr Soc 58:2003–2008CrossRefPubMed
17.
Ellis A, Konrad T, Thomas K, Morrissey J (2009) County-level estimates of mental health professional supply in the United States. Psychiatr Serv 60(10):1315–1322CrossRefPubMed
18.
Robiner WN (2006) The mental health professions: workforce supply and demand, issues, and challenges. Clin Psychol Rev 26(5):600–625CrossRefPubMed
19.
20.
21.
Braveman P (2006) Health disparities and health equity: concepts and measurement. Annu Rev Public Health 27:167–194CrossRefPubMed
22.
Whitehead M (1992) The concepts and principles of equity and health. Int J Health Serv 22(3):429–445CrossRefPubMed
23.
Braveman PA, Kumanyika S, Fielding J, LaVeist T, Borrell LN, Manderscheid R, Troutman A (2011) Health disparities and health equity: the issue is justice. Am J Public Health 101(S1):S149–S155CrossRefPubMedPubMedCentral
24.
Woolf SH, Braveman P (2011) Where health disparities begin: the role of social and economic determinants—and why current policies may make matters worse. Health Aff 30(10):1852–1859CrossRef
25.
Borrell LN, Crawford ND (2009) All-cause mortality among Hispanics in the United States: exploring heterogeneity by nativity status, country of origin, and race in the National Health Interview Survey-linked mortality files. Ann Epidemiol 19:336–343CrossRefPubMed
26.
Anglin D, Link B, Phelan J (2006) Racial differences in stigmatizing attitudes toward people with mental illness. Psychiatr Serv 57(6):857–862CrossRefPubMed
27.
Gary FA (2005) Stigma: barrier to mental health care among ethnic minorities. Issues Ment Health Nurs 26(10):979–999CrossRefPubMed
28.
Rao D, Feinglass J, Corrigan P (2007) Racial and ethnic disparities in mental illness stigma. J Nerv Ment Dis 195(12):1020–1023CrossRefPubMed
Metadata
Title
Geographic variation in mental health care disparities among racially/ethnically diverse adults with psychiatric disorders
Authors
Giyeon Kim
Natalie Dautovich
Katy-Lauren Ford
Daniel E. Jimenez
Benjamin Cook
Richard M. Allman
Patricia Parmelee
Publication date
01-08-2017
Publisher
Springer Berlin Heidelberg
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 8/2017
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-017-1401-1

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