Evidence map›Paper›PMID 21459992›Full record

ArticlePsychiatric services (Washington, D.C.)2011

Effects of sexual orientation and gender on perceived need for treatment by persons with and without mental disorders.

Christine E Grella, Susan D Cochran, Lisa Greenwell, Vickie M Mays

Abstract readComparative Study
In one paragraph

Article in Psychiatric services (Washington, D.C.), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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

15 citing papers in PubMed.

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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.

Christine E GrellaIntegrated Substance Abuse Programs, University of California, Los Angeles, Los Angeles, CA 90025, USA. grella@ucla.edu
Susan D Cochran
Lisa Greenwell
Vickie M Mays

Funding

UCLA Center for Minority Health DisparitiesP60MD000508 · NIMHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MAYS, VICKIE M · 2003 to 2006
$4.6M
Mental health disorders in a sexual minority populationR01DA015539 · NIDA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI COCHRAN, SUSAN D · 2002 to 2005
$2.8M
Drug Use, HIV, and Other Comorbidities In A Vulnerable PopulationR01DA020826 · NIDA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI COCHRAN, SUSAN D · 2006 to 2010
$2.2M
NIDA NIH HHS DA-15539NIDA NIH HHS DA-20826NIDA NIH HHS R01 DA015539NIDA NIH HHS R01 DA020826NIMHD NIH HHS MD-000508NIMHD NIH HHS P60 MD000508
6 · The paper itself

Abstract

objectiveResearch has shown that sexual minority groups have higher prevalence rates of psychiatric disorders (both mental and substance use disorders) and that they may seek treatment at higher rates than heterosexuals. However, relationships between treatment need and treatment use are not well understood. This study examined the relationship of sexual orientation and gender to perceived need for treatment and treatment use among individuals with and without mental or substance use disorders.

methodsData were obtained from a probability sample of California residents that oversampled for persons from sexual minority groups (unweighted N=2,079). Bivariate analyses compared perceived treatment need and treatment use among groups defined by sexual orientation, gender, and presence of a mood, anxiety, or substance use disorder. Logistic regression models that controlled for sociodemographic factors were used to predict no use of treatment among those who perceived a need for it (unmet need), testing the interactive effects of gender, disorder, and sexual orientation.

resultsWomen from sexual minority groups had about half the odds of unmet treatment need as heterosexual women, but no interaction was found for men between sexual minority status and unmet need. Among individuals without any of the disorders assessed, men and women from sexual minority groups had lower odds of unmet need for treatment than heterosexual men and women.

conclusionsSexual orientation and gender differentially influenced treatment utilization, particularly among those who did not have a diagnosed disorder but perceived a need for treatment. Diagnostic criteria appear to be less relevant to understanding treatment use in sexual minority populations.

Indexed as

Health Services Needs and DemandMental DisordersSexual BehaviorAdolescentAdultAgedFemaleHealth SurveysHumansLogistic ModelsMaleMiddle AgedSex FactorsYoung Adult

Identifiers

PMID21459992
PMCPMC3189382

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Registered trials

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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.