Evidence map›Paper›PMID 34407630›Full record

ArticlePsychiatric services (Washington, D.C.)2022

Disparities in Mental Health Care Access Among Persons Differing in Sexual Identity: Nationally Representative Findings.

Natasha D Williams, Rodman E Turpin, Ellesse-Roselee L Akré, Bradley O Boekeloo, Jessica N Fish

Open access · greenAbstract read
In one paragraph

Article in Psychiatric services (Washington, D.C.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 6% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

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  13. Who Plays and Who Doesn't? An Intersectional Examination of Disparities in Adolescent Sport and Physical Activity Lesson Participation.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024
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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

5 authors at 1 institution in 1 country.

Natasha D WilliamsDepartment of Family Science (Williams, Fish), Department of Epidemiology and Biostatistics (Turpin), and Department of Behavioral and Community Health (Boekeloo), University of Maryland, College Park; Geisel School of Medicine at Dartmouth, Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, New Hampshire (Akré).ORCID 0000-0001-6926-095X
Rodman E TurpinDepartment of Family Science (Williams, Fish), Department of Epidemiology and Biostatistics (Turpin), and Department of Behavioral and Community Health (Boekeloo), University of Maryland, College Park; Geisel School of Medicine at Dartmouth, Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, New Hampshire (Akré).
Ellesse-Roselee L AkréDepartment of Family Science (Williams, Fish), Department of Epidemiology and Biostatistics (Turpin), and Department of Behavioral and Community Health (Boekeloo), University of Maryland, College Park; Geisel School of Medicine at Dartmouth, Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, New Hampshire (Akré).
Bradley O BoekelooDepartment of Family Science (Williams, Fish), Department of Epidemiology and Biostatistics (Turpin), and Department of Behavioral and Community Health (Boekeloo), University of Maryland, College Park; Geisel School of Medicine at Dartmouth, Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, New Hampshire (Akré).
Jessica N FishDepartment of Family Science (Williams, Fish), Department of Epidemiology and Biostatistics (Turpin), and Department of Behavioral and Community Health (Boekeloo), University of Maryland, College Park; Geisel School of Medicine at Dartmouth, Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, New Hampshire (Akré).
Dartmouth Institute for Health Policy and Clinical Practice · US

Funding

MARYLAND POPULATION RESEARCH CENTERR24HD041041 · NICHD · UNIV OF MARYLAND, COLLEGE PARK · PI HOFFERTH, SANDRA L · 2001 to 2016
$6.6M
Increasing Effective Mental Health Care for LGBT ClientsU48DP006382 · DP · UNIV OF MARYLAND, COLLEGE PARK · PI BOEKELOO, BRADLEY O · 2018 to 2023
$4.2M
Sci-Tech Core-Maryland Population Research CenterP2CHD041041 · NICHD · UNIV OF MARYLAND, COLLEGE PARK · PI MICHAEL S. RENDALL · 2018 to 2026
$3.9M
A community-based intervention to increase PrEP initiation in Prince George's County, Maryland: Reducing PrEP misinformation and increasing social supportK01MD016346 · NIMHD · UNIV OF MARYLAND, COLLEGE PARK · PI Rodman Emory Turpin · 2022 to 2026
$608k
SGM Youth Substance Use: Subgroup Differences, Risk, and Protective FactorsR03DA046827 · NIDA · UNIVERSITY OF CONNECTICUT STORRS · PI FISH, JESSICA N., WATSON, RYAN J · 2019 to 2020
$182k
Sexual Minority Youth Alcohol Use: Risk and Protective FactorsF32AA023138 · NIAAA · UNIVERSITY OF TEXAS AT AUSTIN · PI FISH, JESSICA N. · 2015 to 2017
$162k
NCCDPHP CDC HHS U48 DP006382NIAAA NIH HHS F32 AA023138NICHD NIH HHS P2C HD041041NICHD NIH HHS R24 HD041041NIDA NIH HHS R03 DA046827NIMHD NIH HHS K01 MD016346
6 · The paper itself

Abstract

objectiveThe authors sought to describe disparities in three outcomes: self-reported mental health, need for mental health care, and barriers to care at the intersection of sexual identity and sex.

methodsData from the 2015 Association of American Medical Colleges Consumer Survey of Health Care Access (N=5,932) were analyzed in regression analyses to estimate relationships among sex, sexual identity, and all three outcomes.

resultsCompared with heterosexual men, bisexual women reported the poorest mental health (adjusted prevalence ratio [APR]=0.42, 95% confidence interval [CI]=0.35-0.51) and the greatest number of barriers to care (APR=2.29, 95% CI=1.77-2.97), whereas gay-lesbian women reported the most frequent need for care (APR=1.67, 95% CI=1.28-2.18).

conclusionsThe findings support existing knowledge on health inequities among sexual minority groups and situate these disparities in the context of unequal access to behavioral and mental health care. As such, addressing barriers to care is paramount in efforts to address sexual orientation-related disparities in behavioral and mental health.

Indexed as

HeterosexualitySexual and Gender MinoritiesFemaleGender IdentityHealth Services AccessibilityHumansMaleSexual BehaviorLGBTQMental health accessMental health disparitiesMental health treatment utilization

Identifiers

PMID34407630
PMCPMC9213076
OpenAlexW3196166181

What OpenQuestion holds

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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.