Intersection of race-ethnicity and gender in depression care: screening, access, and minimally adequate treatment

Psychiatric Services : a Journal of the American Psychiatric Association
Hyeouk Chris HahmMargarita Alegría

Abstract

This study examined the interaction of race-ethnicity and gender in depression screening, receipt of any mental health care, and receipt of adequate care. Data from electronic health records (2010-2012) of adult primary care patients from a New England urban health care system were used (N=65,079). Multivariate logit regression models were estimated to assess associations between race-ethnicity, gender, and other covariates and depression screening, any depression care among those with a positive screen, and adequate depression care. To measure disparities in utilization, we controlled for need variables but not for non-need variables, including insurance, marital status, and socioeconomic status. Among males and females, blacks and Asians were less likely and Latinos were more likely to be screened for depression compared with whites. Among those with moderate or severe depression, black males and females, Latino males, and Asian males and females were less likely than whites to receive any mental health care. The disparity in screening between blacks and whites was greater among females compared with males. The disparity between Latinos and whites in receipt of any mental health care and of adequate care was greater among mal...Continue Reading

Citations

Aug 18, 2016·Social Psychiatry and Psychiatric Epidemiology·John W JacksonTyler J VanderWeele
Aug 29, 2017·Socius : Sociological Research for a Dynamic World·Shawn Bauldry, Magdalena Szaflarski
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