Julian Chun-Chung Chow1, Kim Jaffee, Lonnie Snowden. 1. School of Social Welfare, University of California at Berkeley, 209 Haviland Hall No. 7400, Berkeley, CA 94720, USA. jchow99@uclink.berkeley.edu
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.
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.
Authors: Michael S Spencer; Juan Chen; Gilbert C Gee; Cathryn G Fabian; David T Takeuchi Journal: Am J Public Health Date: 2010-03-18 Impact factor: 9.308
Authors: Lynn M Wielen; Emma C Gilchrist; Molly A Nowels; Stephen M Petterson; George Rust; Benjamin F Miller Journal: J Health Care Poor Underserved Date: 2015-08