Evidence map›Paper›PMID 31960774›Full record

ArticlePsychiatric services (Washington, D.C.)2020

A Qualitative Investigation of Engagement in Mental Health Services Among Black and Hispanic LGB Young Adults.

Kiara L Moore, Lucy Lopez, David Camacho, Michelle R Munson

Open access · bronzeAbstract read
In one paragraph

Article in Psychiatric services (Washington, D.C.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
5.4field-weighted citation impact, top 4% 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

29 citing papers in PubMed, 50 citations in OpenAlex.

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  12. A Critical Race Theory Analysis of Mental Health Disparities Research.Journal of racial and ethnic health disparities · 2024
    Review
  13. Article
  14. Mental Health Care Use among Adolescent Sexual Minority Males Before and During COVID-19.Psychology of sexual orientation and gender diversity · 2024
    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

4 authors at 1 institution in 1 country.

Kiara L MooreSilver School of Social Work, New York University, New York (Moore, Munson); School of Medicine, City University of New York, New York (Lopez); Columbia University School of Social Work, New York (Camacho).
Lucy LopezSilver School of Social Work, New York University, New York (Moore, Munson); School of Medicine, City University of New York, New York (Lopez); Columbia University School of Social Work, New York (Camacho).
David CamachoSilver School of Social Work, New York University, New York (Moore, Munson); School of Medicine, City University of New York, New York (Lopez); Columbia University School of Social Work, New York (Camacho).
Michelle R MunsonSilver School of Social Work, New York University, New York (Moore, Munson); School of Medicine, City University of New York, New York (Lopez); Columbia University School of Social Work, New York (Camacho).
New School · US

Funding

Pilot CoreP30AG022845 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI Manney Carrington Reid, ELAINE WETHINGTON · 2003 to 2026
$15.2M
The Weill Cornell Medicine Research Training Program in Behavioral GeriatricsT32AG049666 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI SARA J CZAJA, Manney Carrington Reid · 2016 to 2026
$3.2M
Kiara Moore Diversity Supplement to Engaging Young Adults in Their Mental Health Care Through a Brief Empirically- Based Meta-InterventionR34MH111861 · NIMH · NEW YORK UNIVERSITY · PI MUNSON, MICHELLE R. · 2017 to 2019
$905k
NIA NIH HHS P30 AG022845NIA NIH HHS T32 AG049666NIMH NIH HHS R34 MH111861
6 · The paper itself

Abstract

objectiveLittle attention has been paid to engagement in mental health services among racially and ethnically diverse youths who identify as a sexual minority, despite research indicating that they face significant mental health disparities. In this study, the authors assessed the service use experiences of black and Hispanic lesbian, gay, and bisexual (LGB) young adults to identify factors that promoted or hindered their engagement.

methodsSemistructured interviews with 38 young adults regarding past and present experiences with mental health services were analyzed thematically for perceived challenges to and support for engagement. Participants' service use histories were reviewed for significant interruptions in services reported over the past year.

resultsSeventeen participants (45%) reported disengagement despite continuing to need services. Factors that influenced engagement were identified across four domains: personal, social environment, accessibility, and provider characteristics. Stigma related to sexual orientation and cultural attitudes presented engagement barriers, whereas providers who were knowledgeable about sexual-minority issues were important engagement promoters. Additional barriers to engagement were ambivalence about treatment efficacy, lack of family support, and difficulty finding suitable and affordable care. Peers who identified as a sexual minority helped participants locate LGB-affirming services. Rapport with providers and health care autonomy assisted participants to manage barriers to engagement.

conclusionsThese findings offer insights about factors that can influence engagement with treatment among black and Hispanic LGB young adults. The findings reveal important provider competencies and can inform interventions to improve engagement and reduce mental health inequities among these youths.

Indexed as

Health Services AccessibilityAdolescentAdultBlack or African AmericanFemaleHealthcare DisparitiesHispanic or LatinoHumansMaleMental Health ServicesNew YorkQualitative ResearchSexual and Gender MinoritiesSocial EnvironmentSocial StigmaYoung AdultCULTURAL IDENTITYLGBTMENTAL HEALTH SERVICESYOUTH

Identifiers

PMID31960774
PMCPMC7364786
OpenAlexW3001621980

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.