Access to Mental Health Treatment by English Language Proficiency and Race/Ethnicity
Bibliographic Data
| ID | 23328341 |
|---|---|
| Authors | Tetine Sentell (0000-0003-3548-1281, University of California, San Francisco, corresponding author), Martha Shumway (0000-0002-6753-1485, University of California, San Francisco), L R Snowden (0000-0003-1722-699X, University of California, Berkeley), Lonnie Snowden |
| Year | 2007 |
| Volume | 22 |
| Issue | S2 |
| Pages | 289-293 |
| Publication date | 2007-11-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Journal of General Internal Medicine (JOURNAL) |
| Journal identifiers | ISSN: 0884-8734 • E-ISSN: 1525-1497 |
| Publisher | Springer Science and Business Media LLC (PUBLISHER) |
| DOI | 10.1007/s11606-007-0345-7 |
| PMID | 17957413 |
| PMCID | PMC2150610 |
| OpenAlex | W2070732705 |
| Language | EN |
| Citations received | 100 |
| References cited | 12 |
BACKGROUND: Limited English proficiency (LEP) may contribute to mental health care disparities, yet empirical data are limited. OBJECTIVE: To quantify the language barriers to mental health care by race/ethnicity using a direct measure of LEP is the objective of the study. DESIGN: Cross-sectional analysis of the 2001 California Health Interview Survey is the study's design. PARTICIPANTS: Adults aged 18 to 64 who provided language data (n = 41,984) were the participants of the study. MEASUREMENT: Participants were categorized into three groups by self-reported English proficiency and language spoken at home: (1) English-speaking only, (2) Bilingual, and (3) Non-English speaking. Mental health treatment was measured by self-reported use of mental health services by those reporting a mental health need. RESULTS: Non-English speaking individuals had lower odds of receiving needed services (OR: 0.28; 95% CI: 0.17-0.48) than those who only spoke English, when other factors were controlled. The relationship was even more dramatic within racial/ethnic groups: non-English speaking Asian/PIs (OR = 0.15; 95% CI: 0.30-0.81) and non-English speaking Latinos (OR: 0.19; 95% CI: 0.09-0.39) had significantly lower odds of receiving services compared to Asian/PIs and Latinos who spoke only English. CONCLUSIONS: LEP is associated with lower use of mental health care. Since LEP is concentrated among Asian/PIs and Latinos, it appears to contribute to racial/ethnic disparities in mental health care. Heightened attention to LEP is warranted in both mental health practice and policy.
Ethnic group · Health care · Health equity · Language barrier · Language proficiency · Limited English proficiency · Linguistics · Logistic regression · Mental health · Odds · Odds ratio · Psychiatry · Public health · Race and health · Cultural Competency in Health Care · Interpreting and Communication in Healthcare · Medicine · Migration, Health and Trauma · Nursing · Psychology · Gerontology
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| Unique citing works | 100 |
|---|---|
| Citations per year | 5,26 |
| Citation span | 2007 - 2026 (20) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 89 |