Disparity in Depression Treatment Among Racial and Ethnic Minority Populations in the United States
Disparity in Depression Treatment Among Racial and Ethnic Minority Populations in the United States
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DOI：
10.1176/appi.ps.59.11.1264
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发表时间：
2008-11-01
影响因子：
3.8
通讯作者：
Meng, Xiao-Li
中科院分区：
文献类型：
--
作者：
Alegria, Margarita;Chatterji, Pinka;Meng, Xiao-Li
目的：先前关于抑郁症治疗中种族和民族差异的研究受到缺乏国家样本的限制，这些样本包括一系列诊断和质量指标，以及大量来自少数群体的非英语个体。使用8,762人的全国代表性数据，作者评估了少数族裔患者和非拉丁裔白人患者在获得抑郁症治疗和治疗质量方面的差异。方法：通过过去一年接受任何精神卫生治疗来评估获得精神卫生保健的机会。对急性抑郁症的适当治疗定义为：在过去一年中，四次或以上的专业或普通医疗服务提供者就诊，并使用抗抑郁药30天或以上，或八次或以上的专业精神卫生服务提供者就诊，持续至少30分钟，未使用抗抑郁药。结果：在过去一年的抑郁症患者中，63.7%的拉丁裔、68.7%的亚洲人和58.8%的非洲裔美国人没有接受过任何心理健康治疗，而40.2%的非拉丁裔白人没有接受过任何心理健康治疗(p
Objective: Prior research on racial and ethnic disparities in depression treatment has been limited by the scarcity of national samples that include an array of diagnostic and quality indicators and substantial numbers of non-English-speaking individuals from minority groups. Using nationally representative data for 8,762 persons, the authors evaluated differences in access to and quality of depression treatments between patients in racial-ethnic minority groups and non-Latino white patients. Methods: Access to mental health care was assessed by past-year receipt of any mental health treatment. Adequate treatment for acute depression was defined as four or more specialty or general health provider visits in the past year plus antidepressant use for 30 days or more or eight or more specialty mental health provider visits lasting at least 30 minutes, with no antidepressant use. Results: For persons with past-year depressive disorder, 63.7% of Latinos, 68.7% of Asians, and 58.8% of African Americans, compared with 40.2% of non-Latino whites, did not access any past-year mental health treatment (significantly different at p