1. Geographic variation in mental health care disparities among racially/ethnically diverse adults with psychiatric disorders.
- Author
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Kim, Giyeon, Dautovich, Natalie, Ford, Katy-Lauren, Jimenez, Daniel, Cook, Benjamin, Allman, Richard, Parmelee, Patricia, Jimenez, Daniel E, and Allman, Richard M
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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 - 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. [ABSTRACT FROM AUTHOR]- Published
- 2017
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