Evidence map›Paper›PMID 39945687›Full record

ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2025

Mental Health and Care Utilization Among Sexual and Gender Minority Youth by Race and Ethnicity.

Hyemin Lee, Jessica R Abramson, Arushee Bhoja, Ryan J Watson, Ethan H Mereish

Abstract read
In one paragraph

Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Hyemin LeeLavender Lab, Department of Psychology, University of Maryland, College Park, Maryland. Electronic address: hlee4723@umd.edu.
Jessica R AbramsonLavender Lab, Department of Psychology, University of Maryland, College Park, Maryland.
Arushee BhojaLavender Lab, Department of Psychology, University of Maryland, College Park, Maryland.
Ryan J WatsonDepartment of Human Development & Family Sciences, University of Connecticut, Storrs, Connecticut.
Ethan H MereishLavender Lab, Department of Psychology, University of Maryland, College Park, Maryland.

Funding

Long-term and Daily Associations among Intersectional Minority Stress, Structural Oppression, and Alcohol Use and Misuse among Sexual Minority Adolescents of ColorR01AA029989 · NIAAA · UNIV OF MARYLAND, COLLEGE PARK · PI Ethan H Mereish · 2022 to 2026
$3.6M
PrEP and substance use among sexual minority young adultsK01DA047918 · NIDA · UNIVERSITY OF CONNECTICUT STORRS · PI WATSON, RYAN J · 2019 to 2023
$952k
NIAAA NIH HHS R01 AA029989NIDA NIH HHS K01 DA047918
6 · The paper itself

Abstract

purposeExisting literature has provided limited and inconsistent findings regarding disparities in mental health and mental health care utilization among racial and ethnic subgroups of sexual and gender minority adolescents (SGMA). This study aimed to investigate racial and ethnic disparities in mental health and care utilization among SGMA.

methodsData from a large national sample of SGMA who participated in the 2022 Lesbian, Gay, Bisexual, Transgender and Queer National Teen Survey (N = 9,691) were analyzed. Symptoms of depression and anxiety were assessed using the patient health questionnaire-4. Mental health care utilization was classified as follow: (1) received; (2) wished for but not received (indicating unmet mental health care needs); and (3) neither wished for nor received.

resultsCompared to White SGMA, Black/African American SGMA were less likely to report anxiety symptoms (adjusted prevalence ratio = 0.89, 95% confidence intervals [CIs] = 0.82-0.97). No significant racial and ethnic differences in depression symptoms were observed among SGMA. Regarding mental health care utilization, Asian or Asian American (adjusted relative risk ratio [ARRR] = 2.07, 95% CIs = 1.62-2.64), Black/African American (ARRR = 1.80, 95% CIs = 1.41-2.28), and Hispanic/Latino SGMA (ARRR = 1.32, 95% CIs = 1.16-1.51) were more likely to report unmet mental health care needs than White SGMA. DISCUSSION: Despite the lack of major and consistent racial and ethnic differences in anxiety and depression symptoms documented in our sample, Asian or Asian American, Black/African American, and Hispanic/Latino SGMA were more likely to report unmet mental health care needs than their White counterparts. This finding highlights the need to address barriers to mental health care for racially and ethnically minoritized SGMA.

Indexed as

EthnicityHealthcare DisparitiesMental HealthMental Health ServicesPatient Acceptance of Health CareRacial GroupsSexual and Gender MinoritiesAdolescentAnxietyBlack or African AmericanDepressionFemaleHumansMaleSurveys and QuestionnairesUnited StatesAdolescent healthMental healthMental health care utilizationMinority healthRace and ethnicitySexual and gender minority

Identifiers

PMID39945687
PMCPMC12182968

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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.