ArticleInternational journal for equity in health2019
Demographic, socioeconomic, and health correlates of unmet need for mental health treatment in the United States, 2002-16: evidence from the national surveys on drug use and health.
Article in International journal for equity in health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Health Literacy and Unmet Needs in Patients With Multiple Sclerosis: A Cross-Sectional Study.Journal of clinical nursing · 2026Article
- Addressing Mental Health Workforce Shortages Through Community Health Worker Training.Community mental health journal · 2026Article
- Mental health care utilization among middle-aged and older U.S. adults: Findings from the National Health Interview Survey.PLOS mental health · 2026Article
- Article
- Race and Gender Differences in the Moderating Relationship of Psychedelics on Stigma and Distress.Psychedelic medicine (New Rochelle, N.Y.) · 2025Article
- Trends in Cannabis-Related Hospitalizations in Arizona From 2016 to 2021 and Associations With Mental Health-Related Hospitalizations.Journal of studies on alcohol and drugs · 2025Article
- Evaluating User Engagement With a Real-Time, Text-Based Digital Mental Health Support App: Cross-Sectional, Retrospective Study.JMIR formative research · 2025Article
- The Importance of Patient Experience in Obtaining Mental Health Care at HRSA-Funded Health Centers.Administration and policy in mental health · 2025Article
- Association Between Unmet Needs in Health Care and Social Services and Exposure to Violence Among Parents.Maternal and child health journal · 2025Article
- Variability in the Integration of Peers in a Multi-site Digital Mental Health Innovation Project.Administration and policy in mental health · 2024Article
- Who has mental health problems? Comparing individual, social and psychiatric constructions of mental health.Social psychiatry and psychiatric epidemiology · 2024Article
- Socioeconomic and Racial/Ethnic Disparities in Recovery from Childhood Behavioral or Conduct Problems: Evidence from a Nationally Representative Sample of 3-17 Years Old US Children.Journal of immigrant and minority health · 2023Article
- Perceptions of COVID-19 and the Use of Health Information Technology Among People Who Are Uninsured: Multimethod Survey Study.JMIR formative research · 2023Article
- Differential spatial-social accessibility to mental health care and suicide.Proceedings of the National Academy of Sciences of the United States of America · 2023Article
- Patient and Health Care Professional Perspectives on Stigma in Integrated Behavioral Health: Barriers and Recommendations.Annals of family medicine · 2023Article
- Non-engagement in substance use treatment among women with an unmet need for treatment: A latent class analysis on multidimensional barriers.Drug and alcohol dependence · 2023Article
- Identifying pathways to recent non-fatal overdose among people who use opioids non-medically: How do psychological pain and unmet mental health need contribute to overdose risk?Addictive behaviors · 2022Article
- Needs of patients with early psychosis: A comparison of patient's and mental health care provider's perception.Frontiers in psychiatry · 2022Article
- Police brutality and unmet need for mental health care.Health services research · 2021Article
- Unmet mental health needs in the general population: perspectives of Belgian health and social care professionals.International journal for equity in health · 2020Article
Corrections and comments
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Authors and funding
4 authors.
Funding
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Abstract
backgroundUnmet need for mental health services remains high in the United States and is disproportionately concentrated in some groups. The scale and nature of these disparities have not been fully elucidated and bear further scrutiny. As such, in this study, we examine the demographic, socioeconomic, and health correlates of unmet need for mental health treatment as well as the reasons for unmet need.
methodsWe draw upon the National Survey for Drug Use and Health (NSDUH) from 2002 to 16 for adults aged 18 and over in the United States (n = 579,017). Using multivariable logistic regression, we simultaneously model the demographic, socioeconomic, and health correlates of unmet need for mental health treatment from 2002 to 16. We also analyse the reasons for unmet need expressed by these populations, reasons which include cost, perceived stigma, minimisation of symptoms, low perceived effectiveness of treatment, and structural barriers.
resultsMajor characteristics associated with increased odds of unmet need include past year substance abuse or dependence (other than hallucinogens and sedatives), fair, poor, or very poor health, being female, and an educational attainment of college or higher. With respect to reasons for unmet need, cost was most often cited, followed by perceived stigma, structural barriers, and minimisation. Characteristics associated with increased odds of indicating cost as a reason for unmet need include: being uninsured or aged 26-35. Minimisation and low perceived effectiveness are mentioned by high-income persons as reasons for unmet need. College-educated persons and women had higher odds of citing structural barriers as a reason for unmet need.
conclusionsThe correlates and causes of unmet need highlight the intersectionality of individual health needs with implications on addressing inequities in mental health policy and practice.
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