Evidence map›Paper›PMID 38242681›Full record

ArticleJournal of epidemiology and community health2024

Racial and ethnic trends in mental health service utilisation and perceived unmet need in the USA.

Ana Sheehan, Rachel Walsh, Richard Liu

Open access · greenAbstract read
In one paragraph

Article in Journal of epidemiology and community health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
3.2field-weighted citation impact, top 10% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

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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

3 authors at 3 institutions in 1 country.

Ana SheehanDepartment of Psychological, University of Delaware, Newark, Delaware, USA ansheeha@udel.edu.ORCID 0000-0003-1790-4949
Rachel WalshDepartment of Psychology, Temple University, Philadelphia, Pennsylvania, USA.
Richard LiuMassachusetts General Hospital, Boston, Massachusetts, USA.
Broad Institute · USTemple College · USUniversity of Delaware · US

Funding

Neurocognitive characteristics of short-term risk for suicidal behavior in adolescents R01MH115905 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI LIU, RICHARD T · 2018 to 2023
$3.2M
Temporal dynamics of stress, sleep, and arousal in short-term risk for adolescentsuicidal behaviorRF1MH120830 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI LIU, RICHARD T · 2019 to 2019
$3.1M
Life Stressors, Impulsivity, and Adolescent Suicidal BehaviorR01MH101138 · NIMH · EMMA PENDLETON BRADLEY HOSPITAL · PI LIU, RICHARD T · 2014 to 2018
$2.0M
Modulating impulsivity in suicidal adolescents with tDCS: A proof concept studyR21MH112055 · NIMH · EMMA PENDLETON BRADLEY HOSPITAL · PI LIU, RICHARD T · 2017 to 2018
$394k
NIMH NIH HHS R01 MH101138NIMH NIH HHS R01 MH115905NIMH NIH HHS R21 MH112055NIMH NIH HHS RF1 MH120830
6 · The paper itself

Abstract

backgroundTwo decades ago, the Surgeon General issued a report highlighting concerning disparities in mental healthcare among racial and ethnic minority populations. The present study characterised national trends in mental health treatment utilisation by race and ethnicity across a 13-year period.

methodsNationally representative data were drawn from the National Survey on Drug Use and Health from 2008 through 2020 (unweighted n=4 41 993). Trends in mental health treatment utilisation and perceived unmet treatment need among individuals with and without psychiatric illness were stratified by race and ethnicity.

resultsLogistic regression analyses revealed most racial/ethnic minority groups were less likely to receive treatment than white individuals, regardless of mental health status. Treatment utilisation increased among those with (annual per cent change (APC)=0.83, 95% CI=0.41 to 1.26) and without psychiatric illness (APC=1.39, 95% CI=0.53 to 2.26). Among individuals with psychiatric illness, treatment use increased among white (APC=0.88, 95% CI=0.51 to 1.24), Hispanic (APC=2.12, 95% CI=0.70 to 3.57) and black adults (APC=1.07, 95% CI=0.11 to 2.04). White (APC=1.88, 95% CI=0.86 to 2.91) and Hispanic (APC=2.45, 95% CI=0.02 to 4.93) individuals without psychiatric illness also saw increased treatment use. Although increases in perceived unmet treatment need were observed for all racial and ethnic groups except blacks and Native Americans with psychiatric illness, rates remained low across all groups.

conclusionsAlthough national rates of mental health treatment utilisation have risen, this was almost entirely observed among white and Hispanic individuals with and without psychiatric illness, highlighting the limited progress made towards eliminating disparities in care.

Indexed as

EthnicityMental Health ServicesAdultAmerican Indian or Alaska NativeBlack or African AmericanHispanic or LatinoHumansMinority GroupsRacial GroupsUnited StatesWhiteEPIDEMIOLOGYHEALTHCARE DISPARITIESMENTAL HEALTH

Identifiers

PMID38242681
PMCPMC10988996
OpenAlexW4391035613

What OpenQuestion holds

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Registered trials

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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.