Evidence map›Paper›PMID 38807580›Full record

ArticlePsychiatric services (Washington, D.C.)2024

Racial and Ethnic Disparities in Barriers to Mental Health Treatment Among U.S. College Students.

Natalia Van Doren, Yiqin Zhu, Melissa M Vázquez, Jillian Shah, Anne Claire Grammer, Ellen E Fitzsimmons-Craft, Daniel Eisenberg, Denise E Wilfley, Craig Barr Taylor, Michelle G Newman

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Article in Psychiatric services (Washington, D.C.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

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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

10 authors.

Natalia Van DorenDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco (Van Doren); Departments of Psychological and Brain Sciences (Zhu, Fitzsimmons-Craft) and Psychiatry (Vázquez, Shah, Grammer, Fitzsimmons-Craft, Wilfley), Washington University in St. Louis, St. Louis; Department of Health Policy and Management, University of California, Los Angeles, Los Angeles (Eisenberg); Department of Psychiatry and Behavioral Sciences, School of Medicine, Stanford University, Stanford; Center for mHealth, Palo Alto University, Palo Alto, California (Taylor); Department of Psychology and Psychiatry, Pennsylvania State University, University Park (Newman).
Yiqin ZhuDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco (Van Doren); Departments of Psychological and Brain Sciences (Zhu, Fitzsimmons-Craft) and Psychiatry (Vázquez, Shah, Grammer, Fitzsimmons-Craft, Wilfley), Washington University in St. Louis, St. Louis; Department of Health Policy and Management, University of California, Los Angeles, Los Angeles (Eisenberg); Department of Psychiatry and Behavioral Sciences, School of Medicine, Stanford University, Stanford; Center for mHealth, Palo Alto University, Palo Alto, California (Taylor); Department of Psychology and Psychiatry, Pennsylvania State University, University Park (Newman).
Melissa M VázquezDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco (Van Doren); Departments of Psychological and Brain Sciences (Zhu, Fitzsimmons-Craft) and Psychiatry (Vázquez, Shah, Grammer, Fitzsimmons-Craft, Wilfley), Washington University in St. Louis, St. Louis; Department of Health Policy and Management, University of California, Los Angeles, Los Angeles (Eisenberg); Department of Psychiatry and Behavioral Sciences, School of Medicine, Stanford University, Stanford; Center for mHealth, Palo Alto University, Palo Alto, California (Taylor); Department of Psychology and Psychiatry, Pennsylvania State University, University Park (Newman).
Jillian ShahDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco (Van Doren); Departments of Psychological and Brain Sciences (Zhu, Fitzsimmons-Craft) and Psychiatry (Vázquez, Shah, Grammer, Fitzsimmons-Craft, Wilfley), Washington University in St. Louis, St. Louis; Department of Health Policy and Management, University of California, Los Angeles, Los Angeles (Eisenberg); Department of Psychiatry and Behavioral Sciences, School of Medicine, Stanford University, Stanford; Center for mHealth, Palo Alto University, Palo Alto, California (Taylor); Department of Psychology and Psychiatry, Pennsylvania State University, University Park (Newman).
Anne Claire GrammerDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco (Van Doren); Departments of Psychological and Brain Sciences (Zhu, Fitzsimmons-Craft) and Psychiatry (Vázquez, Shah, Grammer, Fitzsimmons-Craft, Wilfley), Washington University in St. Louis, St. Louis; Department of Health Policy and Management, University of California, Los Angeles, Los Angeles (Eisenberg); Department of Psychiatry and Behavioral Sciences, School of Medicine, Stanford University, Stanford; Center for mHealth, Palo Alto University, Palo Alto, California (Taylor); Department of Psychology and Psychiatry, Pennsylvania State University, University Park (Newman).
Ellen E Fitzsimmons-CraftDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco (Van Doren); Departments of Psychological and Brain Sciences (Zhu, Fitzsimmons-Craft) and Psychiatry (Vázquez, Shah, Grammer, Fitzsimmons-Craft, Wilfley), Washington University in St. Louis, St. Louis; Department of Health Policy and Management, University of California, Los Angeles, Los Angeles (Eisenberg); Department of Psychiatry and Behavioral Sciences, School of Medicine, Stanford University, Stanford; Center for mHealth, Palo Alto University, Palo Alto, California (Taylor); Department of Psychology and Psychiatry, Pennsylvania State University, University Park (Newman).
Daniel EisenbergDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco (Van Doren); Departments of Psychological and Brain Sciences (Zhu, Fitzsimmons-Craft) and Psychiatry (Vázquez, Shah, Grammer, Fitzsimmons-Craft, Wilfley), Washington University in St. Louis, St. Louis; Department of Health Policy and Management, University of California, Los Angeles, Los Angeles (Eisenberg); Department of Psychiatry and Behavioral Sciences, School of Medicine, Stanford University, Stanford; Center for mHealth, Palo Alto University, Palo Alto, California (Taylor); Department of Psychology and Psychiatry, Pennsylvania State University, University Park (Newman).
Denise E WilfleyDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco (Van Doren); Departments of Psychological and Brain Sciences (Zhu, Fitzsimmons-Craft) and Psychiatry (Vázquez, Shah, Grammer, Fitzsimmons-Craft, Wilfley), Washington University in St. Louis, St. Louis; Department of Health Policy and Management, University of California, Los Angeles, Los Angeles (Eisenberg); Department of Psychiatry and Behavioral Sciences, School of Medicine, Stanford University, Stanford; Center for mHealth, Palo Alto University, Palo Alto, California (Taylor); Department of Psychology and Psychiatry, Pennsylvania State University, University Park (Newman).
Craig Barr TaylorDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco (Van Doren); Departments of Psychological and Brain Sciences (Zhu, Fitzsimmons-Craft) and Psychiatry (Vázquez, Shah, Grammer, Fitzsimmons-Craft, Wilfley), Washington University in St. Louis, St. Louis; Department of Health Policy and Management, University of California, Los Angeles, Los Angeles (Eisenberg); Department of Psychiatry and Behavioral Sciences, School of Medicine, Stanford University, Stanford; Center for mHealth, Palo Alto University, Palo Alto, California (Taylor); Department of Psychology and Psychiatry, Pennsylvania State University, University Park (Newman).
Michelle G NewmanDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco (Van Doren); Departments of Psychological and Brain Sciences (Zhu, Fitzsimmons-Craft) and Psychiatry (Vázquez, Shah, Grammer, Fitzsimmons-Craft, Wilfley), Washington University in St. Louis, St. Louis; Department of Health Policy and Management, University of California, Los Angeles, Los Angeles (Eisenberg); Department of Psychiatry and Behavioral Sciences, School of Medicine, Stanford University, Stanford; Center for mHealth, Palo Alto University, Palo Alto, California (Taylor); Department of Psychology and Psychiatry, Pennsylvania State University, University Park (Newman).

Funding

Substance Use Disorders Treatment/Services Research Training ProgramT32DA007250 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Derek D Satre, Janice Y Tsoh · 1991 to 2026
$7.4M
Scientific and Technical CoreP2CHD041022 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Martha Jane Bailey · 2016 to 2026
$6.9M
Harnessing Mobile Technology to Reduce Mental Health Disorders in College PopulationsR01MH115128 · NIMH · WASHINGTON UNIVERSITY · PI EISENBERG, DANIEL, NEWMAN, MICHELLE G · 2018 to 2022
$4.1M
NICHD NIH HHS P2C HD041022NIDA NIH HHS T32 DA007250NIMH NIH HHS R01 MH115128
6 · The paper itself

Abstract

objectiveUsing a sample of U.S. college students, the authors evaluated whether barriers to mental health treatment varied by race and ethnicity.

methodsData were drawn from a large multicampus study conducted across 26 U.S. colleges and universities. The sample (N=5,841) included students who screened positive for at least one mental disorder and who were not currently receiving psychotherapy.

resultsThe most prevalent barriers to treatment across the sample were a preference to deal with issues on one's own, lack of time, and financial difficulties. Black and Hispanic/Latine students reported a greater willingness to seek treatment than did White students. However, Black and Hispanic/Latine students faced more financial barriers to treatment, and Hispanic/Latine students also reported lower perceived importance of mental health. Asian American students also reported financial barriers and preferred to handle their issues on their own or with support from family or friends and had lower readiness, willingness, and intentionality to seek help than did White students.

conclusionsDisparities in unmet treatment needs may arise from both distinct and common barriers and point to the potential benefits of tailored interventions to address the specific needs of students of color from various racial and ethnic backgrounds. The findings further underscore the pressing need for low-cost and brief treatment models that can be used or accessed independently to address the most prevalent barriers for students.

Indexed as

Healthcare DisparitiesHealth Services AccessibilityMental DisordersMental Health ServicesAdolescentAdultBlack or African AmericanEthnicityFemaleHispanic or LatinoHumansMalePatient Acceptance of Health CareStudentsUnited StatesUniversitiesCollege mental healthEthnic disparitiesOutpatient treatmentRacial disparitiesTreatment accessTreatment barriers

Identifiers

PMID38807580
PMCPMC11537208

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.