ArticleJournal of the American Geriatrics Society2013
Disparities in mental health service use of racial and ethnic minority elderly adults.
Article in Journal of the American Geriatrics Society, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06493903 (Physical and Mental Health Intervention for Black Adults With Knee Osteoarthritis), which is not on this map. Cited by 73 papers.
What it found
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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.
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.
Physical and Mental Health Intervention for Black Adults With Knee Osteoarthritis: A Feasibility Study
Who cites it
73 citing papers in PubMed.
- "Caminando y socializando con Happy Older Latinos are Active (HOLA)": Results of a randomized clinical trial to promote health and prevent depression and anxiety in older Latinos.Journal of consulting and clinical psychology · 2025Trial
- Promoting mental and physical health of Vietnamese immigrants through a cultural movement intervention.Cultural diversity & ethnic minority psychology · 2025Trial
- Increasing the Repertoire for Depression Care: Methods and Challenges of a Randomized Controlled Trial of Peer Support for Vulnerable Older Adults.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2023Trial
- Effectiveness of a Disability Preventive Intervention for Minority and Immigrant Elders: The Positive Minds-Strong Bodies Randomized Clinical Trial.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2019Trial
- Comparative Effectiveness of a Technology-Facilitated Depression Care Management Model in Safety-Net Primary Care Patients With Type 2 Diabetes: 6-Month Outcomes of a Large Clinical Trial.Journal of medical Internet research · 2018Trial
- Trial
- Improving health-related quality of life in older African American and non-Latino White patients.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2015Trial
- Exploring the understanding and management of anxiety from cancer in Latino/a older adults and their caregivers.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Psychological and health consequences of difficult-to-translate concepts among immigrant older adults.The Gerontologist · 2026Article
- The effect of financial strain and language of interview on depressive symptoms in older Mexican Americans over 12 years of follow-up.Journal of psychiatric research · 2026Observational
- Mental health care utilization among middle-aged and older U.S. adults: Findings from the National Health Interview Survey.PLOS mental health · 2026Article
- Dispositional coping profiles moderate the links between racial discrimination and mental health in Black Americans.Cultural diversity & ethnic minority psychology · 2026Article
- Racial and ethnic disparities in mental health among breast cancer patients and survivors in the United States.Health services research · 2025Article
- Differences in Mental Health Symptoms and Inequities in Mental Health Service Use Among Black and White Populations and Asian and Latine Subpopulations.Journal of general internal medicine · 2025Article
- Psychiatric advance directives: privilege, inequity and the path toward justice in psychiatry.General psychiatry · 2025Article
- Perceived control moderates the internalized stigma model of seeking mental health services in distressed older adults.Journal of counseling psychology · 2024Article
- Assisted living residents with dementia: Disparities in mental health services pre and during COVID-19.Journal of the American Geriatrics Society · 2024Article
- Cardiovascular Disease, Depressive Symptoms, and Heart Failure in Mexican American Aged 75 Years and Older During 12 Years of Follow Up.Journal of affective disorders reports · 2024Article
- Impacts of the Affordable Care Act Medicaid Expansion on Mental Health Treatment Among Low-income Adults Across Racial/Ethnic Subgroups, 2010-2017.The journal of behavioral health services & research · 2024Article
- Racial inequalities in mental healthcare use and mortality: a cross-sectional analysis of 1.2 million low-income individuals in Rio de Janeiro, Brazil 2010-2016.BMJ global health · 2023Article
13 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
objectivesTo apply the Institute of Medicine definition of healthcare disparities, to measure disparities in different aspects of episodes of mental health care and to identify disparities in types of mental health services used.
designFour 2-year longitudinal datasets from Panels 9 to 13 (2004-2009) of the Medical Expenditure Panel Surveys were combined.
settingLarge-scale surveys of families and individuals and their medical providers across the United States.
participantsOne thousand six hundred fifty-eight participants (981 white, 303 black, and 374 Latino) aged 60 and older with probable mental healthcare needs. MEASUREMENTS: Mental healthcare need was defined as a Kessler-6 Scale score >12 and a Patient Health Questionnaire-2 score >2. Five aspects of mental healthcare episodes were analyzed: treatment initiation, adequacy of care, duration of care, number of visits, and expenditures. Whether episodes of care included only prescription drug fills, only outpatient visits, or both was assessed.
resultsTreatment initiation and adequacy were lower for blacks and Latinos than whites. Latinos experienced episodes of longer duration, more visits, and higher expenditures. Blacks and Latinos had significantly lower rates of episodes that consisted of only medication refills. Blacks had significantly greater rates of episodes with only outpatient care visits. Latinos had significantly higher rates of medication plus outpatient visits.
conclusionLow mental health treatment initiation and poor adequacy suggest the need for culturally appropriate interventions to engage older blacks and Latinos in mental health care. The surprising findings in blacks (higher rates of outpatient care visits) and Latinos (higher rates of medication plus outpatient visits) highlight the complexities of the older adult population and suggest new avenues for disparities research.
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