Disparity in Depression Treatment Among Racial and Ethnic Minority Populations in the United States
Top Cited Papers
- 1 November 2008
- journal article
- research article
- Published by American Psychiatric Association Publishing in Psychiatric Services
- Vol. 59 (11), 1264-1272
- https://doi.org/10.1176/ps.2008.59.11.1264
Abstract
Prior research on racial and ethnic disparities in depression treatment has been limited by the scarcity of national samples that include an array of diagnostic and quality indicators and substantial numbers of non-English-speaking individuals from minority groups. Using nationally representative data for 8,762 persons, the authors evaluated differences in access to and quality of depression treatments between patients in racial-ethnic minority groups and non-Latino white patients. Access to mental health care was assessed by past-year receipt of any mental health treatment. Adequate treatment for acute depression was defined as four or more specialty or general health provider visits in the past year plus antidepressant use for 30 days or more or eight or more specialty mental health provider visits lasting at least 30 minutes, with no antidepressant use. For persons with past-year depressive disorder, 63.7% of Latinos, 68.7% of Asians, and 58.8% of African Americans, compared with 40.2% of non-Latino whites, did not access any past-year mental health treatment (significantly different at p<.001). Disparities in the likelihood of both having access to and receiving adequate care for depression were significantly different for Asians and African Americans in contrast to non-Latino whites. Simply relying on present health care systems without consideration of the unique barriers to quality care that ethnic and racial minority populations face is unlikely to affect the pattern of disparities observed. Populations reluctant to visit a clinic for depression care may have correctly anticipated the limited quality of usual care.Keywords
This publication has 39 references indexed in Scilit:
- Rethinking a universal framework in the psychiatric symptom-disorder relationship.Published by SAGE Publications ,2003
- Improving Care for Minorities: Can Quality Improvement Interventions Improve Care and Outcomes For Depressed Minorities? Results of a Randomized, Controlled TrialHealth Services Research, 2003
- Unequal treatment: confronting racial and ethnic disparities in health care.2002
- African-Caribbean interactions with mental health services in the UK: experiences and expectations of exclusion as (re)productive of health inequalitiesSocial Science & Medicine, 2002
- Ethnic Disparities in Unmet Need for Alcoholism, Drug Abuse, and Mental Health CareAmerican Journal of Psychiatry, 2001
- Cultural mistrust of white mental health clinicians among African Americans with severe mental illness.American Journal of Orthopsychiatry, 2001
- Priority issues in Latino mental health services research.Mental Health Services Research, 2001
- Race and discretion in American medicine.2001
- Recent care of common mental disorders in the united statesJournal of General Internal Medicine, 2000
- Impact of Disseminating Quality Improvement Programs for Depression in Managed Primary CareJAMA, 2000