Observational studyAcademic pediatrics
Racial and Ethnic Disparities in Actions Taken in Primary Care in Response to Adolescents' Elevated Mental Health Symptoms.
Observational study in Academic pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
objectiveTo examine racial and ethnic disparities in actions taken in primary care for adolescents with elevated depression symptoms, using electronic health record data.
methodsThis retrospective observational study used electronic health record data on provider actions following elevated depression symptoms for 12 to 17-year-olds, seen in primary care between September 2020 and August 2022 in 1 integrated (N = 2675) and 1 university-affiliated (N = 378) health system. Multivariable logistic regression was used to examine racial and ethnic disparities in mental health diagnoses, treatment referrals, and psychotropic medication orders, controlling for sociodemographics.
resultsIn the integrated system, compared to Non-Hispanic White adolescents, Non-Hispanic Black (adjusted odds ratio [aOR] = 0.48, 95% confidence interval [CI] = 0.37, 0.62) and Non-Hispanic Other Race (aOR = 0.65, 95% CI = 0.43, 0.99) adolescents were less likely to have any action taken; Non-Hispanic Black (aOR = 0.66, 95% CI = 0.53, 0.82) and Non-Hispanic Asian (aOR = 0.75, 95% CI = 0.56, 0.99) adolescents were less likely to receive a diagnosis; Non-Hispanic Black adolescents (aOR = 0.71, 95% CI = 0.57, 0.87) were less likely to receive a treatment referral. In the university-affiliated system, compared to Non-Hispanic White adolescents, Non-Hispanic Black adolescents were less likely to receive a diagnosis (aOR = 0.25, 95% CI = 0.12, 0.53) or medication order (aOR = 0.45, 95% CI = 0.24, 0.82).
conclusionsAcross 2 health systems, there were racial disparities in actions taken in primary care in response to adolescents' elevated depression symptoms. Failure to act in primary care may widen disparities in mental health treatment and longer-term outcomes for adolescents and therefore warrants further exploration and intervention.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.