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