Evidence map›Paper›PMID 27476805›Full record

ArticlePsychiatric services (Washington, D.C.)2017

Trends in Racial-Ethnic Disparities in Access to Mental Health Care, 2004-2012.

Benjamin Lê Cook, Nhi-Ha Trinh, Zhihui Li, Sherry Shu-Yeu Hou, Ana M Progovac

2 registry-linked trialsAbstract read
In one paragraph

Article in Psychiatric services (Washington, D.C.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 280 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
280citing papers in PubMed, 3 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.

NCT05027113 nacompletednot on this mapstarted 2021, after this paper: background citation

App-Based Mindfulness Meditation for People of Color Who Experience Race-Related Stress: A Randomized Control Trial

TypeinterventionalSponsorUniversity of California, Los AngelesRan2021 to 2022Enrolled155ConditionsStress, Psychological, Anxiety, Depression, RuminationArmsMindfulness meditation
NCT06122688 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

By Youth, For Youth: Digital Supported Peer Navigation for Addressing Child Mental Health Care

TypeinterventionalSponsorUniversity of California, RiversideRan2026 to 2029Enrolled8,360ConditionsAnxiety, Depression, Mental Health IssueArmsNavigator Plus App Intervention
3 · Its place in the literature

Who cites it

280 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  4. Biomarkers of Nicotine and Tobacco Carcinogen Exposure in Socioeconomically Disadvantaged Black Adults Receiving a Brief Smoking Reduction Intervention.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
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  13. Scaling Out the SafeCare Parenting Program: Comparing Task-Shifted and Standard Implementation in a Refugee Community.Prevention science : the official journal of the Society for Prevention Research · 2026
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220 more citing papers are in PubMed but not listed here.

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.

Benjamin Lê CookDr. Cook is with the Department of Psychiatry, Harvard Medical School, Boston (e-mail: bcook@cha.harvard.edu ). He is also with the Center for Multicultural Mental Health Research, Cambridge Health Alliance, Cambridge, Massachusetts, where Ms. Hou and Dr. Progovac are affiliated. Dr. Progovac is also with the Department of Health Care Policy, Harvard Medical School, Boston. Dr. Trinh is with the Department of Psychiatry, Massachusetts General Hospital, Boston. Ms. Li is with the Department of Global Health and Population, Harvard School of Public Health, Boston.
Nhi-Ha TrinhDr. Cook is with the Department of Psychiatry, Harvard Medical School, Boston (e-mail: bcook@cha.harvard.edu ). He is also with the Center for Multicultural Mental Health Research, Cambridge Health Alliance, Cambridge, Massachusetts, where Ms. Hou and Dr. Progovac are affiliated. Dr. Progovac is also with the Department of Health Care Policy, Harvard Medical School, Boston. Dr. Trinh is with the Department of Psychiatry, Massachusetts General Hospital, Boston. Ms. Li is with the Department of Global Health and Population, Harvard School of Public Health, Boston.
Zhihui LiDr. Cook is with the Department of Psychiatry, Harvard Medical School, Boston (e-mail: bcook@cha.harvard.edu ). He is also with the Center for Multicultural Mental Health Research, Cambridge Health Alliance, Cambridge, Massachusetts, where Ms. Hou and Dr. Progovac are affiliated. Dr. Progovac is also with the Department of Health Care Policy, Harvard Medical School, Boston. Dr. Trinh is with the Department of Psychiatry, Massachusetts General Hospital, Boston. Ms. Li is with the Department of Global Health and Population, Harvard School of Public Health, Boston.
Sherry Shu-Yeu HouDr. Cook is with the Department of Psychiatry, Harvard Medical School, Boston (e-mail: bcook@cha.harvard.edu ). He is also with the Center for Multicultural Mental Health Research, Cambridge Health Alliance, Cambridge, Massachusetts, where Ms. Hou and Dr. Progovac are affiliated. Dr. Progovac is also with the Department of Health Care Policy, Harvard Medical School, Boston. Dr. Trinh is with the Department of Psychiatry, Massachusetts General Hospital, Boston. Ms. Li is with the Department of Global Health and Population, Harvard School of Public Health, Boston.
Ana M ProgovacDr. Cook is with the Department of Psychiatry, Harvard Medical School, Boston (e-mail: bcook@cha.harvard.edu ). He is also with the Center for Multicultural Mental Health Research, Cambridge Health Alliance, Cambridge, Massachusetts, where Ms. Hou and Dr. Progovac are affiliated. Dr. Progovac is also with the Department of Health Care Policy, Harvard Medical School, Boston. Dr. Trinh is with the Department of Psychiatry, Massachusetts General Hospital, Boston. Ms. Li is with the Department of Global Health and Population, Harvard School of Public Health, Boston.

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
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 T32 MH019733
6 · The paper itself

Abstract

objectiveThis study compared trends in racial-ethnic disparities in mental health care access among whites, blacks, Hispanics, and Asians by using the Institute of Medicine definition of disparities as all differences except those due to clinical appropriateness, clinical need, and patient preferences.

methodsRacial-ethnic disparities in mental health care access were examined by using data from a nationally representative sample of 214,597 adults from the 2004-2012 Medical Expenditure Panel Surveys. The main outcome measures included three mental health care access measures (use of any mental health care, any outpatient care, and any psychotropic medication in the past year).

resultsSignificant disparities were found in 2004-2005 and in 2011-2012 for all three racial-ethnic minority groups compared with whites in all three measures of access. Between 2004 and 2012, black-white disparities in any mental health care and any psychotropic medication use increased, respectively, from 8.2% to 10.8% and from 7.6% to 10.0%. Similarly, Hispanic-white disparities in any mental health care and any psychotropic medication use increased, respectively, from 8.4% to 10.9% and 7.3% to 10.3%.

conclusionsNo reductions in racial-ethnic disparities in access to mental health care were identified between 2004 and 2012. For blacks and Hispanics, disparities were exacerbated over this period. Clinical interventions that improve identification of symptoms of mental illness, expansion of health insurance, and other policy interventions that remove financial barriers to access may help to reduce these disparities.

Indexed as

AdolescentAdultAgedAged, 80 and overBlack or African AmericanFemaleHealthcare DisparitiesHealth Services AccessibilityHispanic or LatinoHumansMaleMental Health ServicesMiddle AgedUnited StatesYoung Adult

Identifiers

PMID27476805
PMCPMC5895177

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Registered trials

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.