Evidence map›Paper›PMID 25772763›Full record

ArticlePsychiatric services (Washington, D.C.)2015

Relationship Between General Illness and Mental Health Service Use and Expenditures Among Racially-Ethnically Diverse Adults ≥65 Years.

Daniel E Jimenez, Benjamin Lê Cook, Giyeon Kim, Charles F Reynolds, Margarita Alegría, Sarah Coe-Odess, Stephen J Bartels

Open access · greenAbstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Psychiatric services (Washington, D.C.), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.7field-weighted citation impact, top 14% of its field
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

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Identifying Targets on Which to Intervene in Order to Reduce and Ultimately Eliminate Disparities in Mental Health Services.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2017
    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

7 authors at 2 institutions in 2 countries.

Daniel E JimenezDr. Jimenez is with the Department of Psychiatry, University of Miami Center on Aging, Miami, Florida (e-mail: dej18@med.miami.edu ). Dr. Cook is with the Department of Psychiatry, Harvard Medical School, Cambridge, Massachusetts. Dr. Kim is with the Department of Psychology, Center for Mental Health and Aging, University of Alabama, Tuscaloosa. Dr. Reynolds is with the Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh. Dr. Alegría is with the Center for Multicultural Mental Health Research, Cambridge Health Alliance, Somerville, Massachusetts. Ms. Coe-Odess is an undergraduate at Swarthmore College, Swarthmore, Pennsylvania. Dr. Bartels is with the Department of Psychiatry, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire.
Benjamin Lê CookDr. Jimenez is with the Department of Psychiatry, University of Miami Center on Aging, Miami, Florida (e-mail: dej18@med.miami.edu ). Dr. Cook is with the Department of Psychiatry, Harvard Medical School, Cambridge, Massachusetts. Dr. Kim is with the Department of Psychology, Center for Mental Health and Aging, University of Alabama, Tuscaloosa. Dr. Reynolds is with the Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh. Dr. Alegría is with the Center for Multicultural Mental Health Research, Cambridge Health Alliance, Somerville, Massachusetts. Ms. Coe-Odess is an undergraduate at Swarthmore College, Swarthmore, Pennsylvania. Dr. Bartels is with the Department of Psychiatry, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire.
Giyeon KimDr. Jimenez is with the Department of Psychiatry, University of Miami Center on Aging, Miami, Florida (e-mail: dej18@med.miami.edu ). Dr. Cook is with the Department of Psychiatry, Harvard Medical School, Cambridge, Massachusetts. Dr. Kim is with the Department of Psychology, Center for Mental Health and Aging, University of Alabama, Tuscaloosa. Dr. Reynolds is with the Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh. Dr. Alegría is with the Center for Multicultural Mental Health Research, Cambridge Health Alliance, Somerville, Massachusetts. Ms. Coe-Odess is an undergraduate at Swarthmore College, Swarthmore, Pennsylvania. Dr. Bartels is with the Department of Psychiatry, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire.
Charles F ReynoldsDr. Jimenez is with the Department of Psychiatry, University of Miami Center on Aging, Miami, Florida (e-mail: dej18@med.miami.edu ). Dr. Cook is with the Department of Psychiatry, Harvard Medical School, Cambridge, Massachusetts. Dr. Kim is with the Department of Psychology, Center for Mental Health and Aging, University of Alabama, Tuscaloosa. Dr. Reynolds is with the Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh. Dr. Alegría is with the Center for Multicultural Mental Health Research, Cambridge Health Alliance, Somerville, Massachusetts. Ms. Coe-Odess is an undergraduate at Swarthmore College, Swarthmore, Pennsylvania. Dr. Bartels is with the Department of Psychiatry, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire.
Margarita AlegríaDr. Jimenez is with the Department of Psychiatry, University of Miami Center on Aging, Miami, Florida (e-mail: dej18@med.miami.edu ). Dr. Cook is with the Department of Psychiatry, Harvard Medical School, Cambridge, Massachusetts. Dr. Kim is with the Department of Psychology, Center for Mental Health and Aging, University of Alabama, Tuscaloosa. Dr. Reynolds is with the Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh. Dr. Alegría is with the Center for Multicultural Mental Health Research, Cambridge Health Alliance, Somerville, Massachusetts. Ms. Coe-Odess is an undergraduate at Swarthmore College, Swarthmore, Pennsylvania. Dr. Bartels is with the Department of Psychiatry, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire.
Sarah Coe-OdessDr. Jimenez is with the Department of Psychiatry, University of Miami Center on Aging, Miami, Florida (e-mail: dej18@med.miami.edu ). Dr. Cook is with the Department of Psychiatry, Harvard Medical School, Cambridge, Massachusetts. Dr. Kim is with the Department of Psychology, Center for Mental Health and Aging, University of Alabama, Tuscaloosa. Dr. Reynolds is with the Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh. Dr. Alegría is with the Center for Multicultural Mental Health Research, Cambridge Health Alliance, Somerville, Massachusetts. Ms. Coe-Odess is an undergraduate at Swarthmore College, Swarthmore, Pennsylvania. Dr. Bartels is with the Department of Psychiatry, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire.
Stephen J BartelsDr. Jimenez is with the Department of Psychiatry, University of Miami Center on Aging, Miami, Florida (e-mail: dej18@med.miami.edu ). Dr. Cook is with the Department of Psychiatry, Harvard Medical School, Cambridge, Massachusetts. Dr. Kim is with the Department of Psychology, Center for Mental Health and Aging, University of Alabama, Tuscaloosa. Dr. Reynolds is with the Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh. Dr. Alegría is with the Center for Multicultural Mental Health Research, Cambridge Health Alliance, Somerville, Massachusetts. Ms. Coe-Odess is an undergraduate at Swarthmore College, Swarthmore, Pennsylvania. Dr. Bartels is with the Department of Psychiatry, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire.
Dartmouth Hospital · GBSwarthmore College · US

Funding

UNIVERSITY OF PITTSBURGH CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTE: BPCAUL1RR024153 · NCRR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2006 to 2011
$73.9M
University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
Research Education CoreP30AG031054 · NIA · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI DURANT, RAEGAN WINSTON · 2007 to 2025
$11.6M
RESEARCH TRAINING COREP60MD000207 · NIMHD · UNIV OF MARYLAND, COLLEGE PARK · PI THOMAS, STEPHEN B. · 2002 to 2011
$10.8M
RESEARCH METHODS COREP30MH090333 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REYNOLDS, CHARLES F · 2011 to 2015
$8.3M
The Center for the Global Demography of AgingP30AG024409 · NIA · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI BLOOM, DAVID E · 2004 to 2019
$7.9M
Understanding Mechanisms of Mental Health Care DisparitiesR01MH091042 · NIMH · CAMBRIDGE HEALTH ALLIANCE · PI COOK, BENJAMIN LE · 2010 to 2012
$986k
Exercise to prevent depression and anxiety in older HispanicsK23MH098025 · NIMH · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI JIMENEZ, DANIEL ENRIQUE · 2013 to 2016
$670k
Disparities in Mental Health Care: Age, Race/Ethnicity, and Geography EffectsK01AG045342 · NIA · UNIVERSITY OF ALABAMA IN TUSCALOOSA · PI KIM, GIYEON · 2013 to 2016
$468k
NCATS NIH HHS UL1 TR000005NCATS NIH HHS UL1TR000005NCRR NIH HHS UL1RR024153NIA NIH HHS K01 AG045342NIA NIH HHS P30 AG024409NIA NIH HHS P30 AG031054NIMHD NIH HHS P60 MD000207NIMH NIH HHS K23 MH098025NIMH NIH HHS P30 MH090333NIMH NIH HHS P30 MH90333NIMH NIH HHS R01 MH091042
6 · The paper itself

Abstract

objectivesThe association of general medical illness and mental health service use among older adults from racial-ethnic minority groups is an important area of study given the disparities in mental health and general medical services and the low use of mental health services in this population. The purpose of this report is to describe the impact of comorbid general medical illness on mental health service use and expenditures among older adults and to evaluate disparities in mental health service use and expenditures in a racially-ethnically diverse sample of older adults with and without comorbid general medical illness.

methodsData were obtained from the Medical Expenditure Panel Survey (years 2004-2011). The sample included 1,563 whites, 519 African Americans, and 642 Latinos (N=2,724) age ≥65 with probable mental illness. Two-part generalized linear models were used to estimate and compare mental health service use among adults with and without a comorbid general medical illness.

resultsMental health service use was more likely for older adults with comorbid general medical illness than for those without it. Once mental health services were accessed, no differences in mental health expenditures were found. Comorbid general medical illness increased the likelihood of mental health service use by older whites and Latinos. However, the presence of comorbidity did not affect racial-ethnic disparities in mental health service use.

conclusionsThis study highlighted the important role of comorbid general medical illness as a potential contributor to using mental health services and suggests intervention strategies to enhance engagement in mental health services by older adults from racial-ethnic minority groups.

Indexed as

ComorbidityAgedAged, 80 and overBlack or African AmericanFemaleHealthcare DisparitiesHealth ExpendituresHispanic or LatinoHumansLinear ModelsMaleMental Health ServicesSurveys and QuestionnairesUnited StatesWhite People

Identifiers

PMID25772763
PMCPMC4490047
OpenAlexW2071331165

What OpenQuestion holds

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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.