Racial/Ethnic Differences in Mental Health Service Use among Adolescents with Major Depression

Autor/inn/en	Cummings, Janet R.; Druss, Benjamin G.
Titel	Racial/Ethnic Differences in Mental Health Service Use among Adolescents with Major Depression
Quelle	In: Journal of the American Academy of Child & Adolescent Psychiatry, 50 (2011) 2, S.160-170 (11 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0890-8567
DOI	10.1016/j.jaac.2010.11.004
Schlagwörter	Health Services; Family Income; Mental Health Programs; Health Conditions; Health Insurance; Adolescents; Whites; Depression (Psychology); Racial Differences; African Americans; Hispanic Americans; Asian Americans; Access to Health Care; National Surveys; Drug Therapy; Child Health; Comparative Analysis; Ethnic Groups; Health Needs + Suchen Sie Ihr Suchwort? Health service; Gesundheitsdienst; Gesundheitswesen; Familieneinkommen; Krankenversicherung; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; White; Weißer; Rassenunterschied; Afroamerikaner; Hispanic; Hispanoamerikaner; Asian immigrant; United States; Asiatischer Einwanderer; USA; Ethnie
Abstract	Objective: Little is known about racial/ethnic differences in the receipt of treatment for major depression in adolescents. This study examined differences in mental health service use in non-Hispanic white, black, Hispanic, and Asian adolescents who experienced an episode of major depression. Method: Five years of data (2004-2008) were pooled from the National Survey on Drug Use and Health to derive a nationally representative sample of 7,704 adolescents (12-17 years old) diagnosed with major depression in the past year. Racial/ethnic differences were estimated with weighted probit regressions across several measurements of mental health service use controlling for demographics and health status. Additional models assessed whether family income and health insurance status accounted for these differences. Results: The adjusted percentages of blacks (32%), Hispanics (31%), and Asians (19%) who received any treatment for major depression were significantly lower than those of non-Hispanic whites (40%; p less than 0.001). Black, Hispanic, and Asian adolescents were also significantly less likely than non-Hispanic whites to receive prescription medication for major depression, to receive treatment for major depression from a mental health specialist or medical provider, and to receive any mental health treatment in an outpatient setting (p less than 0.01). These differences persisted after adjusting for family income and insurance status. Conclusion: Results indicated low rates of mental health treatment for major depression in all adolescents. Improving access to mental health care for adolescents will also require attention to racial/ethnic subgroups at highest risk for nonreceipt of services. (Contains 4 tables and 1 figure.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10