Evidence map›Paper›PMID 36321320›Full record

ArticlePsychiatric services (Washington, D.C.)2023

Trends in Racial-Ethnic Disparities in Adult Mental Health Treatment Use From 2005 to 2019.

Navdep Kaur, Precious Esie, Megan C Finsaas, Pia M Mauro, Katherine M Keyes

Open access · greenAbstract read
In one paragraph

Article in Psychiatric services (Washington, D.C.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

10 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
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  8. Health-related social needs mitigate ethnoracial inequities in patient-reported mental health.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Navdep KaurDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York City.
Precious EsieDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York City.
Megan C FinsaasDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York City.
Pia M MauroDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York City.
Katherine M KeyesDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York City.
Columbia University · US

Funding

RESEARCH TRAINING PROGRAM IN PSYCHIATRIC EPIDEMIOLOGYT32MH013043 · NIMH · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI Katherine M. Keyes · 1985 to 2026
$11.7M
Multi-level associations between medical marijuana laws and substance use disorder treatmentK01DA045224 · NIDA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MAURO, PIA M. · 2018 to 2022
$878k
NIDA NIH HHS K01 DA045224NIMH NIH HHS T32 MH013043
6 · The paper itself

Abstract

objectiveAlthough U.S. mental health treatment rates increased in the 2000s, gaps in treatment among racial-ethnic groups grew. Little is known, however, about national trends after 2012, when treatment access increased overall. This study assessed trends in racial-ethnic disparities in past-year treatment rates among people with a major depressive episode, serious psychological distress, or serious mental illness.

methodsNational Survey on Drug Use and Health (2005-2019) data of adults with a past-year major depressive episode (N=49,791) or serious psychological distress (N=89,233) and of adults with past-year serious mental illness (N=24,944; 2008-2019) were analyzed. Linear risk regressions were used to model trends in past-year use of mental health treatment and included an interaction term between survey year and race-ethnicity.

resultsTreatment use prevalence (2005-2019) among marginalized individuals with a major depressive episode remained lower than that among White people. The magnitude of the disparity in treatment use between White and Hispanic people with major depressive episode decreased slightly (percentage-point difference=-25.1% to -14.9%), whereas the disparity in treatment use between White people and American Indian/Alaska Native people with serious mental illness increased significantly (percentage-point difference=23.4% to -12.2%), from 2005 to 2019. The magnitude of the disparities for other marginalized racial-ethnic groups did not meaningfully change.

conclusionsRacial-ethnic disparities in past-year mental health treatment use have persisted. Efforts to reduce disparities should consider structural barriers that hinder treatment use among marginalized groups.

Indexed as

Major Depressive DisorderAdultEthnicityHealthcare DisparitiesHispanic or LatinoHumansMental HealthUnited StatesWhiteEpidemiologyMental health treatmentNSDUHRacial and ethnic disparities

Identifiers

PMID36321320
PMCPMC10151427
OpenAlexW4307970408

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.