National Trends in Ethnic Disparities in Mental Health Care
Bibliographic Data
| ID | 9102981 |
|---|---|
| Authors | Carlos Blanco (0000-0001-6187-3057, Columbia University, corresponding author), Sapana R Patel (0000-0003-4498-4294, corresponding author), Linxu Liu (corresponding author), Huiping Jiang (0000-0001-9539-1662, corresponding author), Roberto Lewis-Fernández (0000-0003-1305-7471, corresponding author), Andrew B Schmidt (0000-0002-2596-0839, corresponding author), Michael R Liebowitz (0000-0002-8990-8845, corresponding author), Mark Olfson (0000-0002-3958-5662, corresponding author) |
| Year | 2007 |
| Volume | 45 |
| Issue | 11 |
| Pages | 1012-1019 |
| Publication date | 2007-11-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0b013e3180ca95d3 |
| PMID | 18049340 |
| OpenAlex | W2040583922 |
| Language | EN |
| Citations received | 30 |
| References cited | 32 |
OBJECTIVE: To compare trends in office-based treatment of mental disorders between Hispanics and non-Hispanics. DESIGN, SETTING, AND PARTICIPANTS: Analysis of a nationally representative sample of visits to office-based physicians conducted between 1993 and 2002 (N = 251,905). Visits were grouped into 3 discrete time periods, 1993-1996, 1997-1999 and 2000-2002. MAIN OUTCOME MEASURES: Rate of diagnosis, type of mental health visit, type of treatment received (medication or psychotherapy), rate of psychotropic medications prescription, and specialty of the treating physician. RESULTS: From 1993-1996 to 2000-2002, the proportion of office visits in which mental health care was provided decreased for Hispanics from 12.2% to 11.7% while it increased from 13.1% to 15.7% for non-Hispanics (P < 0.05). Visits with a diagnosis of mental disorder decreased from 5.2% to 5.1% in Hispanics but increased from 6.0% to 8.8% in non-Hispanics (P < 0.05). Visits resulting in prescription of a psychotropic medication decreased from 10.2% to 9.3% in Hispanics, while they increased from 10.2% to 12.5% in non-Hispanics (P < 0.05). Psychotherapy visits decreased from 2.4% to 1.3% in Hispanics (P < 0.05), whereas they remained constant (2.5%) in non-Hispanics. Visits to a psychiatrist decreased from 2.5% to 1.3% in Hispanics (P < 0.05), while they increased (nonsignificantly) from 3.1% to 3.5% for non-Hispanics. Most differences persisted after adjusting for age and insurance status. CONCLUSIONS: From 1993 to 2002, there was an increase in mental health care disparities between Hispanics and non-Hispanics treated by office-based physicians. Improvement of the mental health care for Hispanics continues to be an important public health priority, with clear opportunities and challenges for health care policy-makers and practitioners
Ethnic group · Medical prescription · Mental health · Mental health care · Psychiatry · Specialty · Demography · Medicine · Mental Health Treatment and Access · Migration, Health and Trauma · Schizophrenia research and treatment · Gerontology
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| Unique citing works | 30 |
|---|---|
| Citations per year | 1,58 |
| Citation span | 2007 - 2025 (19) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 26 |