Evidence map›Paper›PMID 35260950›Full record

ArticleClinical rheumatology2022

Disparities in psychological distress and access to mental health services among immigrants with rheumatologic disease.

Troy B Amen, Tyler J Chavez, Edward Christopher Dee, Nathan H Varady, Jasper Seth Yao, Joseph Alexander Paguio, Antonia F Chen

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In one paragraph

Article in Clinical rheumatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 49% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
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 5 institutions in 1 country.

Troy B AmenDepartment of Orthopaedic Surgery, Hospital for Special Surgery, 535 E 70th St., New York City, NY, 10021, USA. tamen@hss.edu.ORCID http://orcid.org/0000-0003-0792-9739
Tyler J ChavezDepartment of Orthopaedic Surgery, University of New Mexico, Albuquerque, NM, USA.
Edward Christopher DeeDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, f1275 York Avenue, New York, NY, 10065, USA.
Nathan H VaradyDepartment of Orthopaedic Surgery, Hospital for Special Surgery, 535 E 70th St., New York City, NY, 10021, USA.
Jasper Seth YaoDepartment of Medicine, Albert Einstein Medical Center Philadelphia, 5501 Old York Rd., Philadelphia, PA, 19141, USA.
Joseph Alexander PaguioDepartment of Medicine, Albert Einstein Medical Center Philadelphia, 5501 Old York Rd., Philadelphia, PA, 19141, USA.
Antonia F ChenDepartment of Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA, 02115, USA.
Einstein Medical Center Philadelphia · USHospital for Special Surgery · USBrigham and Women's Hospital · USMemorial Sloan Kettering Cancer Center · USUniversity of New Mexico · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatients with rheumatologic disease experience higher rates of comorbid mental health diseases than those without. Although mental health services (MHS) can improve musculoskeletal functional outcomes, access to MHS has been limited among vulnerable populations in the United States (US). The purpose of this study was to investigate contemporary patterns of severe psychological distress and receipt of MHS among immigrant populations with rheumatologic disease in the US.

methodsThe National Health Interview Survey was queried for patients with rheumatologic disease from 2009 to 2018. Patient demographics, severe psychological distress, and receipt of MHS were collected and/or calculated. Multivariable logistic regressions assessed for factors associated with decreased receipt of MHS and severe psychological distress.

resultsImmigrant patients with rheumatologic disease had higher rates of severe psychological distress than US-born patients (7.7% vs. 6.5%, p < 0.001), but were less likely to access MHS (8.3% vs. 11.0%, p < 0.001). Among immigrant patients, factors associated with lower MHS receipt included being Black (AOR 0.50, 95% CI 0.32-0.77, p = 0.002), Hispanic (AOR 0.80, 95% CI 0.30-1.00, p = 0.050), Asian (AOR 0.44, 95% CI 0.31-0.63, p < 0.001), older (p < 0.001), uninsured (p < 0.001), and having self-reported poor health (p < 0.001). DISCUSSION: Immigrant patients with rheumatologic disease in the US had higher rates of severe psychological distress yet were less likely to receive MHS compared to US-born patients. Immigrants with rheumatologic illness were less likely to receive MHS if they were male, Black, Hispanic, Asian, older, lower income, or uninsured. This lack of MHS receipt may contribute to disparities in functional outcomes seen in immigrant minorities with musculoskeletal disease. Key Points • Immigrant patients with rheumatologic disease in the US had higher rates of severe psychological distress yet were less likely to receive MHS compared to US-born patients between 2009 and 2018 • Immigrants with rheumatologic illness were less likely to receive MHS if they were Black, Hispanic, Asian, older, lower income, or uninsured • Future efforts to carefully screen for mental health diseases in these vulnerable patient populations should be made while exploring patient-specific cultural considerations of MHS receipt.

Indexed as

Arthritis, RheumatoidEmigrants and ImmigrantsMental Health ServicesPsychological DistressFemaleHispanic or LatinoHumansMaleUnited StatesDisparities in Immigrant healthMental health servicesRheumatologic disease

Identifiers

PMID35260950
OpenAlexW4221127210

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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.