ArticleBMC public health2024
Mental health care-seeking and barriers: a cross-sectional study of an urban Latinx community.
Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Social determinants of mental health influencing the emergency department experiences of Latinx children and adolescents with mental and behavioral health crisis and their care partners: An interpretative phenomenological analysis study.The American journal of orthopsychiatry · 2026Article
- Obsessive-Compulsive Disorder in three understudied populations: A review of Latino, Black, and Sexual & Gender Minority Individuals.Current psychiatry reports · 2026Review
- A scoping review and systems thinking synthesis of scale-up frameworks.BMC health services research · 2026Article
- Prevalence and Clinical Correlates of Psychiatric Disorders in a Hispanic-Majority Inflammatory Bowel Disease Cohort.Cureus · 2026Article
- How survivors of exploitation who use drugs navigate systems of care: an analysis of survivor insights using the intersectional risk environment.Harm reduction journal · 2026Article
- Bridging Systems of Care: Experiences of Faith Leaders Supporting Community Mental Health in Worcester, Massachusetts.Community mental health journal · 2026Article
- Article
- Regional changes in inpatient psychiatric bed capacity and availability of alternative psychiatric services, 2012-2022.Health affairs scholar · 2025Article
- Stage-Specific Psychological Distress, Coping, and Social Support among Women Undergoing Pregnancy Termination in Rwanda: A Cross-Sectional Comparative Study.Rwanda journal of medicine and health sciences · 2025Article
- Patterns of mental health help seeking among Latina immigrant women.BMC public health · 2025Article
- The Association Between Social Determinants of Health (SDoH) and Mental Health Status in the US.European journal of investigation in health, psychology and education · 2025Article
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Authors and funding
10 authors.
Funding
Abstract
backgroundThe Latinx community faces an increasing amount of mental health challenges and disparities in care. While the contributing factors are complex, there are likely potential barriers related to connecting with mental health support and accessing care that can be addressed.
methodsTo investigate barriers in connecting to mental health care, we conducted a cross-sectional survey of mental health service use and barriers in an urban community with a primarily Hispanic/Latinx ethnicity using a modified random walk approach for door-to-door data collection with a two-cluster sampling frame. Survey included questions on socio-demographic, mental health status, desire and attempt to seek care, and the Barriers to Access to Care Evaluation. Shapley additive explanation (SHAP) identified impactful barriers and demographic characteristics. Our primary outcome was the number of respondents who saw a professional in the past 12 months and the key determinants that enabled their successful connection. Secondary outcomes were people with poor mental health who had wanted or tried to seek any source of mental health support.
resultsOf the 1004 respondents enrolled, 70.5% were foreign born; 63.4% were women. In the past 12 months, 23.8% of respondents wanted to connect with mental health care; 15.5% tried to connect, and only 11.7% successfully connected to mental health services. The two most cited barriers had the highest SHAP values: concerns about treatments available (65%) and financial costs (62.7%). Additional barriers with high SHAP values: being seen as weak and having no one to help them find care. Of demographic characteristics, age had the highest SHAP values.
conclusionIn a community with a high density of Latinx immigrants, just under half of respondents wanting mental health care successfully connected. Perceived informational, financial, and stigma-related barriers impacted the likelihood to connect with mental health care. These factors should be considered when designing programs and interventions to improve mental health care access and services in the Latinx community.
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