Evidence map›Paper›PMID 20565045›Full record

ArticleInternational journal of psychiatry in medicine2010

Ethnic disparities in accessing treatment for depression and substance use disorders in an integrated health plan.

Derek D Satre, Cynthia I Campbell, Nancy S Gordon, Constance Weisner

Abstract readComparative Study
In one paragraph

Article in International journal of psychiatry in medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Failure to get into substance abuse treatment.Journal of substance abuse treatment · 2017
    Article
  9. Racial and Ethnic Disparity in Major Depressive Disorder.Journal of racial and ethnic health disparities · 2016
    Article
  10. Article
  11. Article
  12. Observational
  13. Article
  14. Ethnicity and cultural issues.Depression research and treatment · 2011
    Article
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Derek D SatreDepartment of Psychiatry, University of California, San Francisco 94143, USA. dereks@lppi.ucsf.edu
Cynthia I Campbell
Nancy S Gordon
Constance Weisner

Funding

TREATMENTS FOR COMPLEX PATIENTS IN NEW SETTINGSP50DA009253 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SORENSEN, JAMES L · 1994 to 2014
$28.2M
Integrated Drug and Medical Care-Cost and EffectivenessR37DA010572 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI WEISNER, CONSTANCE M. · 2001 to 2010
$4.7M
Improving Alcohol and Drug Services for Older AdultsK23AA015411 · NIAAA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SATRE, DEREK D · 2005 to 2009
$684k
NIAAA NIH HHS K23 AA015411NIDA NIH HHS P50 DA009253NIDA NIH HHS R37 DA010572
6 · The paper itself

Abstract

objectiveThis study examined ethnic differences in accessing treatment for depression and substance use disorders (SUDs) among men and women in a large integrated health plan, and explored factors potentially contributing to health care disparities.

methodsParticipants were 22,543 members ages 20 to 65 who responded to health surveys in 2002 and 2005. Survey questions were linked to provider-assigned diagnoses, electronic medication, psychiatry, and chemical dependency program records.

resultsAmong women diagnosed with depression, Latinas (p < .01) and Asian-Americans (p < .001) were less likely than Whites to fill an antidepressant prescription. Among men diagnosed with depression, African Americans (p < .01) were less likely than Whites to do so. Among women diagnosed with an SUD, African Americans (p < .05) were less likely than Whites to have one or more chemical dependency program visits.

conclusionsResults demonstrated ethnic differences in accessing depression and SUD treatment among patients diagnosed with these disorders, which persisted after controlling for education, income, having a regular health care provider and length of health plan enrollment. Findings highlight potential gender differences in ethnic disparities, lower antidepressant utilization among Asian Americans, and the effects of co-occurring disorders in accessing behavioral health care.

Indexed as

Delivery of Health Care, IntegratedAdultAgedCaliforniaDepressive DisorderFemaleHumansLogistic ModelsMaleManaged Care ProgramsMiddle AgedPatient Acceptance of Health CareSubstance-Related Disorders

Identifiers

PMID20565045
PMCPMC2922921

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.