Trends in Racial-Ethnic Disparities in Adult Mental Health Treatment Use From 2005 to 2019.
Trends in Racial-Ethnic Disparities in Adult Mental Health Treatment Use From 2005 to 2019.
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2005 年至 2019 年成人心理健康治疗使用中种族差异的趋势。
DOI：
10.1176/appi.ps.202100700
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Keyes,KatherineM
中科院分区：
文献类型：
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作者：
Kaur,Navdep;Esie,Precious;Finsaas,MeganC;Mauro,PiaM;Keyes,KatherineM
尽管美国精神健康治疗率在21世纪初有所增加，但种族之间的治疗差距也在扩大。然而，人们对2012年之后的国家趋势知之甚少，而2012年获得治疗的机会总体上增加了。本研究评估了重度抑郁发作、严重心理困扰或严重精神疾病患者过去一年治疗率的种族-民族差异趋势。（2005-2019年）过去一年重度抑郁发作的成年人数据（N= 49，791）或严重心理困扰（N= 89，233）和去年患有严重精神疾病的成年人（N= 24，944; 2008-2019）进行了分析。线性风险回归模型的趋势，在过去一年使用的心理健康治疗，包括调查年和种族之间的相互作用term ethnication.ResultsTreatment使用率（2005-2019年）之间的边缘化的个人与一个严重的抑郁症发作仍然低于白色人。重度抑郁发作的白色人和西班牙裔人之间治疗使用的差异程度略有下降（平均点差=-25.1%至14.9%），而从2005年到2019年，患有严重精神疾病的白色人和美洲印第安人/阿拉斯加原住民之间的治疗使用差异显着增加（平均点差=23.4%至-12.2%）。其他边缘化的种族，民族群体的差距的大小并没有有意义的changes.ConclusionsRacial-ethnic差距在过去一年的心理健康治疗的使用一直存在。减少差距的努力应考虑到阻碍边缘化群体使用治疗的结构性障碍。
ObjectiveAlthough U.S. mental health treatment rates increased in the 2000s, gaps in treatment among racial-ethnic groups grew. Little is known, however, about national trends after 2012, when treatment access increased overall. This study assessed trends in racial-ethnic disparities in past-year treatment rates among people with a major depressive episode, serious psychological distress, or serious mental illness.MethodsNational Survey on Drug Use and Health (2005–2019) data of adults with a past-year major depressive episode (N=49,791) or serious psychological distress (N=89,233) and of adults with past-year serious mental illness (N=24,944; 2008–2019) were analyzed. Linear risk regressions were used to model trends in past-year use of mental health treatment and included an interaction term between survey year and race-ethnicity.ResultsTreatment use prevalence (2005–2019) among marginalized individuals with a major depressive episode remained lower than that among White people. The magnitude of the disparity in treatment use between White and Hispanic people with major depressive episode decreased slightly (percentage-point difference=−25.1% to −14.9%), whereas the disparity in treatment use between White people and American Indian/Alaska Native people with serious mental illness increased significantly (percentage-point difference=23.4% to −12.2%), from 2005 to 2019. The magnitude of the disparities for other marginalized racial-ethnic groups did not meaningfully change.ConclusionsRacial-ethnic disparities in past-year mental health treatment use have persisted. Efforts to reduce disparities should consider structural barriers that hinder treatment use among marginalized groups.