Evidence map›Paper›PMID 30207004›Full record

ArticleInternational journal of methods in psychiatric research2018

Examining contradictory evidence on racial/ethnic differences in perceived need for behavioral health treatment.

Joshua Breslau, Bradley D Stein, Rachel M Burns, Rebecca L Collins, Bing Han, Hao Yu, Ramin Mojtabai

Open access · bronzeAbstract read
In one paragraph

Article in International journal of methods in psychiatric research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 20% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. A randomised test of the effect of medicalEpidemiology and psychiatric sciences · 2020
    Trial
  2. Article
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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

7 authors at 2 institutions in 1 country.

Joshua BreslauRAND Health Division, RAND Corporation, Pittsburgh, Pennsylvania, USA.ORCID 0000-0002-1194-4643
Bradley D SteinRAND Health Division, RAND Corporation, Pittsburgh, Pennsylvania, USA.ORCID 0000-0003-1544-458X
Rachel M BurnsRAND Health Division, RAND Corporation, Pittsburgh, Pennsylvania, USA.
Rebecca L CollinsRAND Health Division, RAND Corporation, Santa Monica, California, USA.
Bing HanRAND Health Division, RAND Corporation, Santa Monica, California, USA.
Hao YuRAND Health Division, RAND Corporation, Pittsburgh, Pennsylvania, USA.
Ramin MojtabaiDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
RAND Corporation · USJohns Hopkins University · US

Funding

Policy Impacts on Behavioral Health Care DisparitiesR01MD010274 · NIMHD · RAND CORPORATION · PI BRESLAU, JOSHUA A · 2015 to 2019
$3.0M
Impact of a Discrimination & Stigma Reduction Initiative on MI Treatment Seeking & OutcomesR01MH104381 · NIMH · RAND CORPORATION · PI COLLINS, REBECCA L · 2015 to 2018
$2.3M
NIMHD NIH HHS R01 MD010274NIMH NIH HHS R01 MH104381
6 · The paper itself

Abstract

objectivesThe study aims to investigate apparently contradictory evidence regarding racial/ethnic differences in perceived need for behavioral health treatment in two prominent surveys of the U.S. population, the National Comorbidity Survey Replication (NCS-R) and the National Survey of Drug Use and Health (NSDUH).

methodsThe two surveys were compared with respect to two components of perceived need: service use and perceived need among the untreated. Logistic regression models were estimated to adjust comparisons for demographic characteristics. Comparisons were conducted in samples representing the entire population, without selection on a mental health assessment, and for samples meeting criteria for lifetime major depression.

resultsThe surveys are concordant with respect to racial/ethnic differences in service use and discordant with respect to perceived need among the untreated. For instance, among untreated individuals, the odds of perceiving a need for treatment are significantly higher in Blacks than Whites in the NCS-R (OR = 1.8, 95% CI [1.1, 2.9]) but do not differ between these groups in the NSDUH (OR = 0.9, 95% CI [0.7, 1.2]). Temporal trends do not appear to explain this discordance.

conclusionAssessments of racial/ethnic differences in perceived need among untreated individuals are affected by methodological differences across surveys. Resolving contradictory evidence is critical to efforts to reduce racial/ethnic disparities.

Indexed as

AdolescentAdultAgedAged, 80 and overBlack or African AmericanFemaleHealthcare DisparitiesHealth Care SurveysHispanic or LatinoHumansMaleMental DisordersMental Health ServicesMiddle AgedPatient Acceptance of Health CareUnited Statesdisparitiesperceived needrace/ethnicitysurvey methods

Identifiers

PMID30207004
PMCPMC6279592
OpenAlexW2891055432

What OpenQuestion holds

Textmetadata
LicenceTDM
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.