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Racial/Ethnic Disparities in the Use of Mental Health Services in Poverty Areas

Author

Listed:
  • Chow, J.C.-C.
  • Jaffee, K.
  • Snowden, L.

Abstract

Objectives. This study examined racial/ethnic disparities in mental health service access and use at different poverty levels. Methods. We compared demographic and clinical characteristics and service use patterns of Whites, Blacks, Hispanics, and Asians living in low-poverty and high-poverty areas. Logistic regression models were used to assess service use patterns of minority racial/ethnic groups compared with Whites in different poverty areas. Results. Residence in a poverty neighborhood moderates the relationship between race/ethnicity and mental health service access and use. Disparities in using emergency and inpatient services and having coercive referrals were more evident in low-poverty than in high-poverty areas. Conclusions. Neighborhood poverty is a key to understanding racial/ethnic disparities in the use of mental health services.

Suggested Citation

  • Chow, J.C.-C. & Jaffee, K. & Snowden, L., 2003. "Racial/Ethnic Disparities in the Use of Mental Health Services in Poverty Areas," American Journal of Public Health, American Public Health Association, vol. 93(5), pages 792-797.
    • Handle: RePEc:aph:ajpbhl:2003:93:5:792-797_3
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    Cited by:

    1. Bunger, Alicia C. & Chuang, Emmeline & McBeath, Bowen, 2012. "Facilitating mental health service use for caregivers: Referral strategies among child welfare caseworkers," Children and Youth Services Review, Elsevier, vol. 34(4), pages 696-703.
    2. Hamovitch, Emily K. & Acri, Mary C. & Bornheimer, Lindsay A., 2018. "Who is accessing family mental health programs? Demographic differences before and after system reform," Children and Youth Services Review, Elsevier, vol. 85(C), pages 239-244.
    3. Choy-Brown, Mimi & Hamovitch, Emily K. & Bornheimer, Lindsay A. & Acri, Mary C. & McKay, Mary M., 2020. "Getting to the table: Agency characteristics and evidence-based intervention adoption in children’s mental health care," Children and Youth Services Review, Elsevier, vol. 110(C).
    4. Cook, Benjamin Lê & Doksum, Teresa & Chen, Chih-nan & Carle, Adam & Alegría, Margarita, 2013. "The role of provider supply and organization in reducing racial/ethnic disparities in mental health care in the U.S," Social Science & Medicine, Elsevier, vol. 84(C), pages 102-109.
    5. Anitha Jeyagurunathan & Edimansyah Abdin & Saleha Shafie & Peizhi Wang & Sherilyn Chang & Hui Lin Ong & Restria Fauziana Abdul Rahman & Vathsala Sagayadevan & Ellaisha Samari & Yi Chian Chua & Janhavi, 2018. "Pathways to care among psychiatric outpatients in a tertiary mental health institution in Singapore," International Journal of Social Psychiatry, , vol. 64(6), pages 554-562, September.
    6. Ilan Kwon & Oejin Shin & Sojung Park & Goeun Kwon, 2019. "Multi-Morbid Health Profiles and Specialty Healthcare Service Use: A Moderating Role of Poverty," IJERPH, MDPI, vol. 16(11), pages 1-14, June.
    7. Lippman, Angie Del Prado, 2010. "The current status and impact of US National Policy on the help-seeking behavior of adolescents," Children and Youth Services Review, Elsevier, vol. 32(6), pages 822-828, June.
    8. Niec, Larissa N. & Egan, Ryan & Schoonover, Ciera & Brodd, Irene, 2020. "Selection and training of paraprofessionals in core parent-child interaction therapy skills," Children and Youth Services Review, Elsevier, vol. 111(C).

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