Abstract
Objective: To investigate race disparities in the US Military among Asian, White, Black, Native American and Other, seeking mental health care in the context of stigma defined by perceived damage to career.Design: Using 2008 survey data taken from US military personnel, mental disorders including depression, generalized anxiety disorder, suicidal ideation, suicidal attempt and post-traumatic stress disorder serious psychological distress (as defined in Kessler - 6), as well as seeking mental health care in past 12 months and stigma were dichotomized and weighted logistic regression models were used.Results: A significant race disparity existed in seeking mental health care when data were stratified by stigma and depression adjusted for demographic variables. Compared to Asians with depression that perceived stigma, Blacks were more likely to seek mental health care (OR with 95% confidence interval for Asians: 3.97[2.21, 7.15], Black: 9.25[6.02, 14.20], p < .005) adjusting for demographic variables. Similar results held for other mental disorders with the exception of suicide attempts and serious psychological distress. Compared to Asians with serious psychological distress who did not perceive stigma, only Whites were more like...Continue Reading
References
Mar 1, 1993·Medical Care·K RostG R Smith
Dec 16, 1997·The American Journal of Psychiatry·D F ZatzickK B Wells
Nov 24, 1999·JAMA : the Journal of the American Medical Association·R L SpitzerJ B Williams
Aug 2, 2001·Behaviour Research and Therapy·D ForbesD Biddle
Jan 31, 2003·Psychological Bulletin·Emily J OzerDaniel S Weiss
Feb 13, 2003·Archives of General Psychiatry·Ronald C KesslerAlan M Zaslavsky
Jul 2, 2004·The New England Journal of Medicine·Charles W HogeRobert L Koffman
Jan 29, 2005·Annals of the New York Academy of Sciences·Joseph A Boscarino
Mar 2, 2006·JAMA : the Journal of the American Medical Association·Charles W HogeCharles S Milliken
Mar 14, 2007·Archives of Internal Medicine·Karen H SealCharles Marmar
Mar 16, 2007·Military Medicine·Tiffany M Greene-ShortridgeCarl Andrew Castro
Aug 19, 2007·Military Medicine·Racheli MagneziGad Lubin
Nov 15, 2007·JAMA : the Journal of the American Medical Association·Charles S MillikenCharles W Hoge
Jan 17, 2008·BMJ : British Medical Journal·Tyler C SmithUNKNOWN Millennium Cohort Study Team
Feb 1, 2008·The New England Journal of Medicine·Charles W HogeCarl A Castro
Apr 22, 2008·American Journal of Epidemiology·Aaron I SchneidermanHan K Kang
Oct 5, 2011·Archives of General Psychiatry·Christopher H WarnerCharles Hoge
Jan 19, 2012·Journal of Mental Health·Dror Ben-ZeevLinda Langford
Feb 22, 2012·Military Medicine·Jack Tsai, Rajiv Radhakrishnan
Mar 7, 2012·American Journal of Public Health·Jeffrey HymanLinda Cottrell
Mar 7, 2012·American Journal of Public Health·Joseph LoganGregory A Gahm
Oct 11, 2012·The American Psychologist·Stanley SueJoyce P Chu
Dec 4, 2012·Military Medicine·Jack Tsai, Grace Kong
Mar 3, 2015·Journal of Abnormal Psychology·Carla SharpLee Anna Clark
Citations
Feb 20, 2020·Military Medicine·François L ThériaultIan Colman
Jan 1, 2020·Military Medicine·David L Chin, John E Zeber
Jun 19, 2021·Tobacco Prevention & Cessation·Case H KeltnerJames D Mancuso
Sep 7, 2021·Death Studies·Donna L SchumanChristopher Flaherty