Evidence map›Paper›PMID 27147641›Full record

ArticleMedical care research and review : MCRR2017

Assessing the Individual, Neighborhood, and Policy Predictors of Disparities in Mental Health Care.

Benjamin L Cook, Samuel H Zuvekas, Jie Chen, Ana Progovac, Alisa K Lincoln

Open access · greenAbstract read
In one paragraph

Article in Medical care research and review : MCRR, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
8.4field-weighted citation impact, top 3% 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

40 citing papers in PubMed, 87 citations in OpenAlex.

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  13. Global Is Local: Leveraging Global Mental-Health Methods to Promote Equity and Address Disparities in the United States.Clinical psychological science : a journal of the Association for Psychological Science · 2024
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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

5 authors at 5 institutions in 1 country.

Benjamin L Cook1 Harvard Medical School, Boston, MA, USA.
Samuel H Zuvekas3 Agency for Healthcare Research and Quality, Rockville, MD, USA.
Jie Chen4 University of Maryland, College Park, MD, USA.
Ana Progovac1 Harvard Medical School, Boston, MA, USA.
Alisa K Lincoln5 Northeastern University, Boston, MA, USA.
Agency for Healthcare Research and Quality · USCambridge Health Alliance · USHarvard University · USNortheastern University · USUniversity of Maryland, College Park · US

Funding

Health Policy Training Program: Promoting Outcomes, Quality, Equity and Diffusion of AdvancesT32MH019733 · NIMH · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI Benjamin Le Cook, Haiden A Huskamp · 1993 to 2026
$7.0M
Understanding Mechanisms of Mental Health Care DisparitiesR01MH091042 · NIMH · CAMBRIDGE HEALTH ALLIANCE · PI COOK, BENJAMIN LE · 2010 to 2012
$986k
Comparative Effectiveness Research Diffusion and Mental Health Care DisparitiesR01HS021486 · AHRQ · CAMBRIDGE HEALTH ALLIANCE · PI COOK, BENJAMIN LE · 2013 to 2015
$725k
AHRQ HHS R01 HS021486NIMH NIH HHS R01 MH091042NIMH NIH HHS T32 MH019733
6 · The paper itself

Abstract

This study assesses individual- and area-level predictors of racial/ethnic disparities in mental health care episodes for adults with psychiatric illness. Multilevel regression models are estimated using data from the Medical Expenditure Panel Surveys linked to area-level data sets. Compared with Whites, Blacks and Latinos live in neighborhoods with higher minority density, lower average education, and greater specialist mental health provider density, all of which predict lesser mental health care initiation. Neighborhood-level variables do not have differential effects on mental health care by race/ethnicity. Racial/ethnic disparities arise because minorities are more likely to live in neighborhoods where treatment initiation is low, rather than because of a differential influence of neighborhood disadvantage on treatment initiation for minorities compared with Whites. Low rates of initiation in neighborhoods with a high density of specialists suggest that interventions to increase mental health care specialists, without a focus on treating racial/ethnic minorities, may not reduce access disparities.

Indexed as

AdultAgedEthnicityFemaleHealthcare DisparitiesHealth Care SurveysHealth Services AccessibilityHumansMaleMental DisordersMental Health ServicesMiddle AgedRacial GroupsResidence CharacteristicsSocioeconomic Factorsdisparitiesmental health caremultilevel modeling

Identifiers

PMID27147641
PMCPMC5865608
OpenAlexW2346716356

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.