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Racial/ethnic differences in unmet needs for mental health and substance use treatment in a community‐based sample of sexual minority women

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  • Yoo Mi Jeong
  • Cindy B Veldhuis
  • Frances Aranda
  • Tonda L Hughes

Abstract

Aims and objectives To examine the unmet needs for mental health and substance use treatment among a diverse sample of sexual minority women (lesbian, bisexual). Background Sexual minority women are more likely than heterosexual women to report depression and hazardous drinking. However, relatively little is known about sexual minority women's use of mental health or substance use treatment services, particularly about whether use varies by race/ethnicity. Design Cross‐sectional analysis of existing data. Methods Analyses included data from 699 Latina, African American and white sexual minority women interviewed in wave 3 of the 17‐year Chicago Health and Life Experiences of Women study. Using logistic regression, we examined the associations among sexual identity, race/ethnicity, use of mental health and substance use treatment, as well as potential unmet need for treatment. Results Overall, women in the study reported high levels of depression and alcohol dependence, and these varied by sexual identity and race/ethnicity. Use of mental health and substance use treatment also varied by race/ethnicity, as did potential unmet need for both mental health and substance use treatment. Conclusions Our findings that suggest although use of treatment among sexual minority women is high overall, there is a potentially sizable unmet need for mental health and substance use treatment that varies by race/ethnicity, with Latina women showing the greatest unmet need for treatment. Relevance to clinical practice Nurses and other healthcare providers should be aware of the high rates of depression and hazardous drinking among sexual minority women, understand the factors that may increase the risk of these conditions among sexual minority women, the potentially high unmet need for mental health and substance use treatment – perhaps particularly among Latina women and be equipped to provide culturally sensitive care or refer to appropriate treatment services as needed.

Suggested Citation

  • Yoo Mi Jeong & Cindy B Veldhuis & Frances Aranda & Tonda L Hughes, 2016. "Racial/ethnic differences in unmet needs for mental health and substance use treatment in a community‐based sample of sexual minority women," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(23-24), pages 3557-3569, December.
    • Handle: RePEc:wly:jocnur:v:25:y:2016:i:23-24:p:3557-3569
    DOI: 10.1111/jocn.13477
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    References listed on IDEAS

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    1. Conron, K.J. & Mimiaga, M.J. & Landers, S.J., 2010. "A population-based study of sexual orientation identity and gender differences in adult health," American Journal of Public Health, American Public Health Association, vol. 100(10), pages 1953-1960.
    2. Bostwick, W.B. & Boyd, C.J. & Hughes, T.L. & McCabe, S.E., 2010. "Dimensions of sexual orientation and the prevalence of mood and anxiety disorders in the United States," American Journal of Public Health, American Public Health Association, vol. 100(3), pages 468-475.
    3. McCabe, S.E. & Bostwick, W.B. & Hughes, T.L. & West, B.T. & Boyd, C.J., 2010. "The relationship between discrimination and substance use disorders among lesbian, gay, and bisexual adults in the United States," American Journal of Public Health, American Public Health Association, vol. 100(10), pages 1946-1952.
    4. Verissimo, A.D.O. & Grella, C.E. & Amaro, H. & Gee, G.C., 2014. "Discrimination and substance use disorders among latinos: The role of gender, nativity, and ethnicity," American Journal of Public Health, American Public Health Association, vol. 104(8), pages 1421-1428.
    5. Sabin, J.A. & Riskind, R.G. & Nosek, B.A., 2015. "Health care providers' implicit and explicit attitudes toward lesbian women and gay men," American Journal of Public Health, American Public Health Association, vol. 105(9), pages 1831-1841.
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    1. Jenni Ija Ilona Soinio & Eija Paavilainen & Jari Pekka Olavi Kylmä, 2020. "Lesbian and bisexual women’s experiences of health care: “Do not say, ‘husband’, say, ‘spouse’”," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(1-2), pages 94-106, January.

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