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Intersection of race-ethnicity and gender in depression care: screening, access, and minimally adequate treatment.
- Source :
-
Psychiatric services (Washington, D.C.) [Psychiatr Serv] 2015 Mar 01; Vol. 66 (3), pp. 258-64. Date of Electronic Publication: 2014 Dec 01. - Publication Year :
- 2015
-
Abstract
- Objectives: This study examined the interaction of race-ethnicity and gender in depression screening, receipt of any mental health care, and receipt of adequate care.<br />Methods: Data from electronic health records (2010-2012) of adult primary care patients from a New England urban health care system were used (N=65,079). Multivariate logit regression models were estimated to assess associations between race-ethnicity, gender, and other covariates and depression screening, any depression care among those with a positive screen, and adequate depression care. To measure disparities in utilization, we controlled for need variables but not for non-need variables, including insurance, marital status, and socioeconomic status.<br />Results: Among males and females, blacks and Asians were less likely and Latinos were more likely to be screened for depression compared with whites. Among those with moderate or severe depression, black males and females, Latino males, and Asian males and females were less likely than whites to receive any mental health care. The disparity in screening between blacks and whites was greater among females compared with males. The disparity between Latinos and whites in receipt of any mental health care and of adequate care was greater among males than females.<br />Conclusions: This approach underscored the importance of identifying disparities at each step of depression care by both race-ethnicity and gender. Targeting certain groups in specific stages of care, for example, screening of black females or providing any mental health care and adequate care for Latino males, would be more effective than a blanket approach to disparities reduction.
- Subjects :
- Adolescent
Adult
Aged
Female
Health Services Needs and Demand statistics & numerical data
Humans
Male
Mental Health Services statistics & numerical data
Middle Aged
New England
Sex Distribution
Socioeconomic Factors
Urban Population statistics & numerical data
Young Adult
Depressive Disorder diagnosis
Depressive Disorder therapy
Ethnicity statistics & numerical data
Health Services Accessibility statistics & numerical data
Healthcare Disparities statistics & numerical data
Racial Groups statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1557-9700
- Volume :
- 66
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Psychiatric services (Washington, D.C.)
- Publication Type :
- Academic Journal
- Accession number :
- 25727113
- Full Text :
- https://doi.org/10.1176/appi.ps.201400116