Evidence map›Paper›PMID 39302564›Full record

ArticleJournal of racial and ethnic health disparities2025

Trends and Disparities in Mental Health Use Among Asian American Sub-groups, 2013-2019.

Frederick Q Lu, Michael W Flores, Nicholas J Carson, Thomas Le, Benjamin Lê Cook

Abstract read
In one paragraph

Article in Journal of racial and ethnic health disparities, 2025. 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
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

5 authors.

Frederick Q LuBoston University Chobanian & Avedisian School of Medicine, Boston, MA, USA. fqlu@bu.edu.ORCID 0000-0002-9884-8231
Michael W FloresHealth Equity Research Lab, Department of Psychiatry, Cambridge Health Alliance, Cambridge, MA, USA.ORCID 0000-0002-8019-2836
Nicholas J CarsonHealth Equity Research Lab, Department of Psychiatry, Cambridge Health Alliance, Cambridge, MA, USA.ORCID 0000-0002-4601-8279
Thomas LeHealth Equity Research Lab, Department of Psychiatry, Cambridge Health Alliance, Cambridge, MA, USA.ORCID 0000-0002-6685-2236
Benjamin Lê CookHealth Equity Research Lab, Department of Psychiatry, Cambridge Health Alliance, Cambridge, MA, USA.ORCID 0000-0003-0135-0806

Funding

Understanding the Role of Trauma Over the Lifecourse in Order to Improve Trauma-informed TreatmentP50MH126283 · NIMH · CAMBRIDGE HEALTH ALLIANCE · PI COOK, BENJAMIN LE · 2021 to 2024
$6.6M
Medicare Policy Effects on Mental Health Care DisparitiesR01MD010456 · NIMHD · MASSACHUSETTS GENERAL HOSPITAL · PI COOK, BENJAMIN LE, FUNG, VICKI · 2017 to 2021
$3.2M
AHRQ HHS R01 HS021486NIMHD NIH HHS R01 MD010456NIMHD NIH HHS R01-MD010456NIMH NIH HHS P50 MH126283NIMH NIH HHS P50-MH126283
6 · The paper itself

Abstract

objectiveThe objective of this study was to characterize and compare national estimates of mental healthcare use among White and Asian American groups to provide an update using post Affordable Care Act data.

methodsWe analyzed yearly cross-sectional data from the 2013-2019 Medical Expenditure Panel Survey, including White (n = 112,590) and Asian American (n = 10,210) individuals, and examined rates of mental healthcare use for Asian (overall), Asian Indian, Chinese, Filipino, and Other Asian individuals relative to White individuals. Using multivariable logistic regression models and predictive margin methods, we estimated overall Asian disparities and Asian subgroup disparities compared to White group rates in mental health care (outpatient, specialty, psychotropic medication) among adults with and without elevated risk for mental illness. Regression models were adjusted for variables related to need for treatment, demographic, and socioeconomic status variables.

resultsAsian individuals had lower rates of mental healthcare use than White individuals. Unadjusted results and adjusted regression model predictions are consistent in identifying wide disparities in mental health care treatment across risk for mental illness, Asian subgroups, and types of treatment.

conclusionsAsian Americans have significantly lower rates of mental healthcare use than White Americans, even among those with elevated risk for mental illness. There is small variation by Asian subgroups but disparities persist across subgroups and types of treatment. Our results imply interventions are needed to improve linguistically, culturally, and ethnically tailored outreach and engagement in treatment services, as well as examining treatment and its effectiveness for Asian American individuals living with psychological distress.

Indexed as

AsianHealthcare DisparitiesMental DisordersMental Health ServicesPatient Acceptance of Health CareAdolescentAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedUnited StatesWhiteYoung AdultAsian AmericanHealthcare disparityHealth care utilizationMental health services

Identifiers

PMID39302564
PMCPMC11922797

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.