ArticleJournal of general internal medicine2020
Unmet Mental Health Need Among Chinese and Latino Primary Care Patients: Intersection of Ethnicity, Gender, and English Proficiency.
Article in Journal of general internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
What it found
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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.
Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Validity of the Spanish-Language Patient Health Questionnaires 2 and 9: A Systematic Review and Meta-Analysis.JAMA network open · 2023Pooled it
- Spatial-Structural Disparities in Acute Care Accessibility Among Latin American Immigrants and Spanish Speakers in the Rural US South.Journal of racial and ethnic health disparities · 2026Article
- Cumulative Stress Burden and Association With DNA Methylation in Ethiopian American Immigrants: Protocol for a Community-Engaged, Biopsychosocial Study.JMIR research protocols · 2026Article
- Reach, Engagement, and Acceptability of a Subclinical Telehealth Service for Spanish-Speaking Adults: Retrospective Mixed Methods Pilot Study.JMIR formative research · 2025Article
- Mental Health Care Utilization Among Spanish-Speaking Hispanics in the Aftermath of COVID-19 and a Continuously Changing System.Journal of racial and ethnic health disparities · 2025Article
- Barriers and Facilitators for Accessing Mental Health Care and Support for Adolescents in India - A Systematic Review.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2025Review
- Change in care needs of people with severe mental illness with and without a non-Western migration background: are their needs equally served throughout treatment?Social psychiatry and psychiatric epidemiology · 2025Article
- Assessing mental health treatment receipt among Asian adults with limited English proficiency using an intersectional approach.American journal of epidemiology · 2024Article
- Who do patients depend on as they age and for what medical needs? An exploratory study of Chinese and Latino primary care patients.BMC primary care · 2024Article
- Mental Health Care Use by Ethnicity and Preferred Language in a National Cohort of Community Health Center Patients.Psychiatric services (Washington, D.C.) · 2024Article
- Conventional or Alternative Mental Health Service Utilization According to English Proficiency Among Asians in the United States.Journal of immigrant and minority health · 2024Article
- Barriers and facilitators to depression care among Latino men in a primary care setting: a qualitative study.BMC primary care · 2024Article
- Mental Health Stigma Among Spanish-Speaking Latinos in Baltimore, Maryland.Journal of immigrant and minority health · 2023Article
- Access challenges for patients with limited English proficiency: a secret-shopper study of in-person and telehealth behavioral health services in California safety-net clinics.Health affairs scholar · 2023Article
- "How's your mood": Recorded physician mental health conversations with Chinese and Latino patients in routine primary care visits.Patient education and counseling · 2023Article
- Coverage Parity And Racial And Ethnic Disparities In Mental Health And Substance Use Care Among Medicare Beneficiaries.Health affairs (Project Hope) · 2023Article
- Equitability of Depression Screening After Implementation of General Adult Screening in Primary Care.JAMA network open · 2022Article
- Applying the Health Belief Model to Characterize Racial/Ethnic Differences in Digital Conversations Related to Depression Pre- and Mid-COVID-19: Descriptive Analysis.JMIR formative research · 2022Article
- Preventive care use among Hispanic adults with limited comfort speaking English: An analysis of the Medical Expenditure Panel Survey data.Preventive medicine · 2022Article
- Validity of the Chinese Language Patient Health Questionnaire 2 and 9: A Systematic Review.Health equity · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundEthnic minorities who present with mental health symptoms in primary care are less likely to receive treatment than non-Hispanic whites; language barriers may magnify this disparity.
objectiveWe examined the contributions of ethnicity, gender, and English proficiency to unmet mental health need.
designCross-sectional study.
participantsChinese and Latino primary care patients with a preferred language of English, Cantonese, Mandarin, or Spanish. MAIN MEASURES: Participants were interviewed within 1 week of a primary care visit and asked whether in the prior year they (1) needed help with emotional or mental health symptoms and (2) had seen a primary care physician or a mental health professional for these symptoms. Among those who reported "mental health need," we defined "unmet mental health need" as no reported use of services for these symptoms. Regression models explored independent and interaction effects among ethnicity, gender, and English proficiency, on the two outcomes. KEY
resultsAmong 1149 participants (62% women; 262 Chinese, with English proficiency [EP], 532 Chinese, with limited English proficiency [LEP], 172 Latino with EP; and 183 Latino with LEP), 33% reported mental health need. Among Chinese, but not Latino, participants, those with LEP were more likely than those with EP to report mental health need (AOR 2.55, 95% CI 1.73-3.76). Women were more likely to report mental health need than men (AOR 1.35, 1.03-1.79) regardless of ethnicity or English proficiency. Among participants reporting mental health need, 41% had unmet mental health need. Men with LEP, compared with those with EP, were more likely to have unmet mental health need regardless of ethnicity (AOR 2.53, 1.06-6.04).
conclusionsWe found high levels of mental health symptoms and unmet mental health need in both Chinese and Latino primary care patients. These results affirm the need to implement depression screening and targeted treatment interventions for patient subgroups at highest risk of untreated symptoms, such as men with LEP.
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