Evidence map›Paper›PMID 27565017›Full record

ArticleJournal of the American Geriatrics Society2016

Barriers to Mental Health Care for an Ethnically and Racially Diverse Sample of Older Adults.

Dara H Sorkin, Molly Murphy, Hannah Nguyen, Kelly A Biegler

Abstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing 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.

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

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

  1. Pooled it
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  4. Trial
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  6. Prevalence, Correlates, and Treatment of Major Depression Among Community-Dwelling Adults Aged ≥50 in the US.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2026
    Article
  7. 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 · 2026
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  20. Centering Culture in Mental Health: Differences in Diagnosis, Treatment, and Access to Care Among Older People of Color.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2022
    Review
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.

Dara H SorkinDepartment of Medicine, University of California, Irvine, Irvine, California. dsorkin@uci.edu.
Molly MurphyDepartment of Medicine, University of California, Irvine, Irvine, California.
Hannah NguyenDepartment of Human Services, California State University, Dominguez Hills, Carson, California.
Kelly A BieglerDepartment of Medicine, University of California, Irvine, Irvine, California.

Funding

University of California Health Participation in the National COVID Cohort Collaborative (N3C)UL1TR001414 · NCATS · UNIVERSITY OF CALIFORNIA-IRVINE · PI COOPER, DAN M, VILAIN, ERIC J. · 2015 to 2023
$35.1M
Depression Screening in Primary Care: Using HIT for Patients with Limited EnglishR01MH091221 · NIMH · UNIVERSITY OF CALIFORNIA-IRVINE · PI SORKIN, DARA H. · 2011 to 2013
$1.1M
NCATS NIH HHS UL1 TR001414NIMH NIH HHS R01 MH091221
6 · The paper itself

Abstract

objectivesThis study examined potential barriers to mental healthcare use of older adults from diverse ethnic and racial backgrounds.

designData were obtained from the 2007, 2009, 2011-12, and 2013-14 California Health Interview Survey (CHIS), a population-based survey representative of California's noninstitutionalized population.

participantsThe total sample consisted of 75,324 non-Hispanic white (NHW), 6,600 black, 7,695 Asian and Pacific Islander (API), and 4,319 Hispanic adults aged 55 and older.

resultsResults from logistic regression analyses that controlled for multiple demographic and health status characteristics revealed ethnic and racial differences in reasons for not seeking treatment and for terminating treatment. Specifically, API and Hispanic adults had greater odds than NHWs of endorsing feeling uncomfortable talking to a professional as a reason for not seeking treatment. Hispanic respondents had lower odds of endorsing concerns about someone finding out than APIs, and APIs and blacks had significantly greater odds of endorsing this concern as a reason for not seeking treatment than NHWs. When asked about reasons for no longer receiving treatment, all respondents, irrespective of race or ethnicity, endorsed that they no longer needed treatment as the most frequent reason for terminating treatment, although specific ethnic and racial differences emerged with respect to perceptions of not getting better, lack of time or transportation, and lack of insurance coverage as reasons for no longer seeking treatment.

conclusionUnderstanding how barriers to mental health treatment differ for older adults from diverse ethnic and racial backgrounds is an important step toward designing interventions to overcome these obstacles and improve mental health outcomes.

Indexed as

Communication BarriersHelp-Seeking BehaviorMental HealthPatient ComplianceAgedCaliforniaCross-Cultural ComparisonDemographyEthnicityFemaleHealth Status DisparitiesHumansIndependent LivingMaleMiddle AgedSocioeconomic FactorsbarriersCalifornia Health Interview Survey (CHIS)mental healtholder adultsracial and ethnic disparities

Identifiers

PMID27565017
PMCPMC5937991

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.