Racial/Ethnic Differences in Mental Health Service Use Among Adolescents With Major Depression
Racial/Ethnic Differences in Mental Health Service Use Among Adolescents With Major Depression
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DOI：
10.1016/j.jaac.2010.11.004
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发表时间：
2011-02-01
影响因子：
13.3
通讯作者：
Druss, Benjamin G.
中科院分区：
文献类型：
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作者：
Cummings, Janet R.;Druss, Benjamin G.
目的：对青少年抑郁症患者接受治疗的种族/民族差异知之甚少。这项研究考察了经历过一次严重抑郁症的非西班牙裔白人、黑人、西班牙裔和亚裔青少年在精神健康服务使用方面的差异。方法：从全国药物使用与健康调查中汇集五年(2004-2008)的数据，得出具有全国代表性的过去一年中被诊断为重度抑郁症的7704名青少年(12-17岁)的样本。种族/民族差异是通过对人口统计学和健康状况进行控制的精神卫生服务使用的几个衡量标准的加权概率回归来估计的。其他模型评估了家庭收入和健康保险状况是否解释了这些差异。结果：接受过严重抑郁症治疗的黑人(32%)、西班牙裔(31%)和亚裔(19%)调整后的百分比显著低于非西班牙裔白人(40%；p<；.001)。黑人、西班牙裔和亚裔青少年接受治疗重度抑郁症的处方药、从精神健康专家或医疗提供者那里接受治疗以及在门诊接受任何精神健康治疗的可能性也显著低于非西班牙裔白人(p<；.01)。在根据家庭收入和保险状况进行调整后，这些差异仍然存在。结论：结果表明，所有青少年的重度抑郁症的心理健康治疗率都很低。改善青少年获得精神卫生保健的机会还需要注意最有可能得不到服务的种族/族裔亚群。J.Am阿卡德。青春期儿童。精神病学，2011；50(2)：160-170。
Objective: Little is known about racial/ethnic differences in the receipt of treatment for major depression in adolescents. This study examined differences in mental health service use in non-Hispanic white, black, Hispanic, and Asian adolescents who experienced an episode of major depression. Method: Five years of data (2004-2008) were pooled from the National Survey on Drug Use and Health to derive a nationally representative sample of 7,704 adolescents (12-17 years old) diagnosed with major depression in the past year. Racial/ethnic differences were estimated with weighted probit regressions across several measurements of mental health service use controlling for demographics and health status. Additional models assessed whether family income and health insurance status accounted for these differences. Results: The adjusted percentages of blacks (32%), Hispanics (31%), and Asians (19%) who received any treatment for major depression were significantly lower than those of non-Hispanic whites (40%; p < .001). Black, Hispanic, and Asian adolescents were also significantly less likely than non-Hispanic whites to receive prescription medication for major depression, to receive treatment for major depression from a mental health specialist or medical provider, and to receive any mental health treatment in an outpatient setting (p < .01). These differences persisted after adjusting for family income and insurance status. Conclusion: Results indicated low rates of mental health treatment for major depression in all adolescents. Improving access to mental health care for adolescents will also require attention to racial/ethnic subgroups at highest risk for nonreceipt of services. J. Am. Acad. Child Adolesc. Psychiatry, 2011;50(2):160-170.