Racial and Ethnic Disparities in Mental Health Care for Children and Young Adults: A National Study
Racial and Ethnic Disparities in Mental Health Care for Children and Young Adults: A National Study
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DOI：
10.1177/0020731416662736
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发表时间：
2016-10-01
影响因子：
3.4
通讯作者：
Woolhandler, Steffie
中科院分区：
文献类型：
--
作者：
Marrast, Lyndonna;Himmelstein, David U.;Woolhandler, Steffie
精神和行为问题在儿童和年轻人中很常见，许多人得不到照顾，或者只在监狱里接受治疗。我们使用2006-2012年医疗支出小组调查的全国代表性数据，研究了儿童和年轻人接受精神健康和药物滥用护理的种族和民族差异。在所有类型和定义的门诊心理健康服务中，黑人和西班牙裔的就诊率（和人均支出）约为非西班牙裔白人的一半。青年人的差异一般大于儿童。黑人和白色儿童的精神科住院和急诊利用率相似，而西班牙裔儿童的住院率较低。心理健康损害、人口统计学和保险状况的多变量控制并没有减弱门诊治疗中的种族/民族差异。我们的结论是，少数民族青年的精神和行为问题往往导致学校的惩罚或监禁，但很少精神卫生保健。
Psychiatric and behavior problems are common among children and young adults, and many go without care or only receive treatment in carceral settings. We examined racial and ethnic disparities in children's and young adults' receipt of mental health and substance abuse care using nationally representative data from the 2006-2012 Medical Expenditure Panel Surveys. Blacks' and Hispanics' visit rates (and per capita expenditures) were about half those of non-Hispanic whites for all types and definitions of outpatient mental health services. Disparities were generally larger for young adults than for children. Black and white children had similar psychiatric inpatient and emergency department utilization rates, while Hispanic children had lower hospitalization rates. Multivariate control for mental health impairment, demographics, and insurance status did not attenuate racial/ethnic disparities in outpatient care. We conclude that psychiatric and behavioral problems among minority youth often result in school punishment or incarceration, but rarely mental health care.