Evidence map›Paper›PMID 41505011›Full record

ArticleDiscover mental health2026

Intersectional patterns in dose-response associations between chronic diseases and mental health treatment utilization among New York City adults.

Thinh Toan Vu

Abstract read
In one paragraph

Article in Discover mental health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

1 author.

Thinh Toan VuDepartment of Community Health and Social Sciences, CUNY Graduate School of Public Health and Health Policy, New York, USA. vutoanthinhph@gmail.com.ORCID http://orcid.org/0000-0002-1304-4059

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study assessed the intersectionality of chronic diseases (CDs) and sociodemographic characteristics on mental health treatment utilization among New York City (NYC) adults.

methodsWe analyzed the 2019–2020 NYC Community Health Survey data, a representative sample of non-institutionalized adults. CDs included obesity, diabetes, hypertension, and asthma. Log-linear regression models assessed main and conditional effects of CDs and sociodemographic factors on mental health treatment utilization. Predicted probabilities illustrated significant interactions.

resultsMost of the 17,584 adults (weighted N = 6,437,401) were aged 25–44 years, female, heterosexual, non-Hispanic white, U.S.-born, married, college-educated, and employed. Regarding CD distribution, 49.6% had 0 CDs, 44.9% had 1–2 CDs, and 5.6% had more than 2 CDs. Approximately 16% of all adults reported using mental health treatment services in the past 12 months. In the main effects model, a dose-response relationship was observed between the number of CDs and the likelihood of receiving mental health treatment (p < 0.001). Other factors associated with higher treatment rates included being aged 25–44, female, gay/lesbian/bisexual/other, non-Hispanic white, U.S.-born, unmarried, having higher education, being unemployed or not in the labor force, and having health insurance. The conditional effects model revealed significant interactions between CDs and race/ethnicity, sexual orientation, education level, and household poverty status (all p < 0.05).

conclusionsFindings highlight the complex interplay between CDs and sociodemographic factors in using mental health treatment among NYC adults. Although treatment rates generally increased with more CDs, this pattern varied significantly across key sociodemographic groups. These disparities underscore the need for targeted, intersectional approaches in mental health policy and program design.

Indexed as

Chronic diseasesCommunity Health SurveyIntersectionalityMental health treatmentMultimorbidityNew York City

Identifiers

PMID41505011
PMCPMC12873041

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LicenceCC BY-NC-ND
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