Mental Health Care Utilization: How Race, Ethnicity and Veteran Status are Associated with Seeking Help
As veterans disproportionately experience higher rates of mental illness than civilians, conflicting results surround the impact of race/ethnicity on treatment utilization. This study utilized the CDC’s Texas Behavioral Risk Factor Surveillance System data, a random-digit dialed telephone survey of...
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Veröffentlicht in: | Community mental health journal 2016-02, Vol.52 (2), p.174-179 |
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creator | De Luca, Susan M. Blosnich, John R. Hentschel, Elizabeth A. W. King, Erika Amen, Sally |
description | As veterans disproportionately experience higher rates of mental illness than civilians, conflicting results surround the impact of race/ethnicity on treatment utilization. This study utilized the CDC’s Texas Behavioral Risk Factor Surveillance System data, a random-digit dialed telephone survey of non-institutionalized adults. A subset of Texas respondents (
n
= 8563) were asked questions related to mental health treatment, stigma, help-seeking attitudes and emotional support. While no differences were found in health care utilization between non-Hispanic white veterans and non-veterans, there were distinct patterns among racial/ethnic minority veterans and non-veterans. Black and Latino non-veterans reported significantly lower health care utilization compared to non-Hispanic white non-veterans. Among veterans, there were no differences in reported utilization rates comparing non-Hispanic whites and Latinos and also non-Hispanic whites and Blacks. Our study adds to the literature by examining health care utilization among a diverse group of veterans by focusing on Veterans Administration (VA) and non-VA services to veterans. |
doi_str_mv | 10.1007/s10597-015-9964-3 |
format | Article |
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n
= 8563) were asked questions related to mental health treatment, stigma, help-seeking attitudes and emotional support. While no differences were found in health care utilization between non-Hispanic white veterans and non-veterans, there were distinct patterns among racial/ethnic minority veterans and non-veterans. Black and Latino non-veterans reported significantly lower health care utilization compared to non-Hispanic white non-veterans. Among veterans, there were no differences in reported utilization rates comparing non-Hispanic whites and Latinos and also non-Hispanic whites and Blacks. Our study adds to the literature by examining health care utilization among a diverse group of veterans by focusing on Veterans Administration (VA) and non-VA services to veterans.</description><identifier>ISSN: 0010-3853</identifier><identifier>EISSN: 1573-2789</identifier><identifier>DOI: 10.1007/s10597-015-9964-3</identifier><identifier>PMID: 26659853</identifier><identifier>CODEN: CMHJAY</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject><![CDATA[Adult ; African Americans - statistics & numerical data ; Aged ; Attitudes ; Behavioral Risk Factor Surveillance System ; Black white differences ; Community and Environmental Psychology ; Community Mental Health Centers - utilization ; Cultural identity ; Education ; Emotional support ; Employment ; Ethnic Groups ; Ethnicity ; European Continental Ancestry Group - statistics & numerical data ; Female ; Health behavior ; Health disparities ; Health problems ; Health services ; Health services utilization ; Help seeking behavior ; Hispanic Americans ; Hispanic Americans - statistics & numerical data ; Humans ; Institutionalization ; Institutionalized ; Latin American cultural groups ; Logistic Models ; Male ; Medicine ; Medicine & Public Health ; Mental disorders ; Mental Disorders - psychology ; Mental Disorders - therapy ; Mental health ; Mental health care ; Mental health services ; Middle Aged ; Military hospitals ; Minority groups ; Original Paper ; Patient Acceptance of Health Care - psychology ; Patient Acceptance of Health Care - statistics & numerical data ; Psychiatry ; Questionnaires ; Race ; Risk behavior ; Risk factors ; Social Stigma ; Social Support ; Stigma ; Surveillance ; Surveillance systems ; Texas ; United States ; United States Department of Veterans Affairs ; Variables ; Veterans ; Veterans - psychology ; Veterans - statistics & numerical data ; White people ; Young Adult]]></subject><ispartof>Community mental health journal, 2016-02, Vol.52 (2), p.174-179</ispartof><rights>Springer Science+Business Media New York 2015</rights><rights>Springer Science+Business Media New York 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-14c52f40a05e8fa751cc0db1d579238cb835fc2db1c228b61e671f0860a066cf3</citedby><cites>FETCH-LOGICAL-c442t-14c52f40a05e8fa751cc0db1d579238cb835fc2db1c228b61e671f0860a066cf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10597-015-9964-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10597-015-9964-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,12825,27321,27901,27902,30976,33751,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26659853$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>De Luca, Susan M.</creatorcontrib><creatorcontrib>Blosnich, John R.</creatorcontrib><creatorcontrib>Hentschel, Elizabeth A. W.</creatorcontrib><creatorcontrib>King, Erika</creatorcontrib><creatorcontrib>Amen, Sally</creatorcontrib><title>Mental Health Care Utilization: How Race, Ethnicity and Veteran Status are Associated with Seeking Help</title><title>Community mental health journal</title><addtitle>Community Ment Health J</addtitle><addtitle>Community Ment Health J</addtitle><description>As veterans disproportionately experience higher rates of mental illness than civilians, conflicting results surround the impact of race/ethnicity on treatment utilization. This study utilized the CDC’s Texas Behavioral Risk Factor Surveillance System data, a random-digit dialed telephone survey of non-institutionalized adults. A subset of Texas respondents (
n
= 8563) were asked questions related to mental health treatment, stigma, help-seeking attitudes and emotional support. While no differences were found in health care utilization between non-Hispanic white veterans and non-veterans, there were distinct patterns among racial/ethnic minority veterans and non-veterans. Black and Latino non-veterans reported significantly lower health care utilization compared to non-Hispanic white non-veterans. Among veterans, there were no differences in reported utilization rates comparing non-Hispanic whites and Latinos and also non-Hispanic whites and Blacks. Our study adds to the literature by examining health care utilization among a diverse group of veterans by focusing on Veterans Administration (VA) and non-VA services to veterans.</description><subject>Adult</subject><subject>African Americans - statistics & numerical data</subject><subject>Aged</subject><subject>Attitudes</subject><subject>Behavioral Risk Factor Surveillance System</subject><subject>Black white differences</subject><subject>Community and Environmental Psychology</subject><subject>Community Mental Health Centers - utilization</subject><subject>Cultural identity</subject><subject>Education</subject><subject>Emotional support</subject><subject>Employment</subject><subject>Ethnic Groups</subject><subject>Ethnicity</subject><subject>European Continental Ancestry Group - statistics & numerical data</subject><subject>Female</subject><subject>Health behavior</subject><subject>Health disparities</subject><subject>Health problems</subject><subject>Health services</subject><subject>Health services utilization</subject><subject>Help seeking behavior</subject><subject>Hispanic Americans</subject><subject>Hispanic Americans - statistics & numerical data</subject><subject>Humans</subject><subject>Institutionalization</subject><subject>Institutionalized</subject><subject>Latin American cultural groups</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental disorders</subject><subject>Mental Disorders - psychology</subject><subject>Mental Disorders - therapy</subject><subject>Mental health</subject><subject>Mental health care</subject><subject>Mental health services</subject><subject>Middle Aged</subject><subject>Military hospitals</subject><subject>Minority groups</subject><subject>Original Paper</subject><subject>Patient Acceptance of Health Care - psychology</subject><subject>Patient Acceptance of Health Care - statistics & numerical data</subject><subject>Psychiatry</subject><subject>Questionnaires</subject><subject>Race</subject><subject>Risk behavior</subject><subject>Risk factors</subject><subject>Social Stigma</subject><subject>Social Support</subject><subject>Stigma</subject><subject>Surveillance</subject><subject>Surveillance systems</subject><subject>Texas</subject><subject>United States</subject><subject>United States Department of Veterans Affairs</subject><subject>Variables</subject><subject>Veterans</subject><subject>Veterans - psychology</subject><subject>Veterans - statistics & numerical data</subject><subject>White people</subject><subject>Young Adult</subject><issn>0010-3853</issn><issn>1573-2789</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kV1rFDEUhoNY7Fr9Ad5IwBsvHJuTmXx5V5bqCi0Fa70N2cyZbepsZk0ylPrrzbJVRPAqcPK8Tw55CXkF7D0wpk4zMGFUw0A0xsiuaZ-QBQjVNlxp85QsGAPWtFq0x-R5zneMMQGgnpFjLqUwdb4gm0uMxY10hW4st3TpEtKbEsbw05UwxQ90Nd3TL87jO3pebmPwoTxQF3v6DQsmF-l1cWXOdJ87y3nywRXs6X2osmvE7yFuqnvcvSBHgxszvnw8T8jNx_Ovy1VzcfXp8_LsovFdx0sDnRd86JhjAvXglADvWb-GXijDW-3XuhWD53XiOddrCSgVDEzLmpDSD-0JeXvw7tL0Y8Zc7DZkj-PoIk5ztqAkl5oBNxV98w96N80p1u32FBhlQPNKwYHyaco54WB3KWxderDA7L4Fe2jB1hbsvgXb1szrR_O83mL_J_H72yvAD0CuV3GD6a-n_2v9BdRwkPk</recordid><startdate>20160201</startdate><enddate>20160201</enddate><creator>De Luca, Susan M.</creator><creator>Blosnich, John R.</creator><creator>Hentschel, Elizabeth A. 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W. ; King, Erika ; Amen, Sally</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-14c52f40a05e8fa751cc0db1d579238cb835fc2db1c228b61e671f0860a066cf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>African Americans - statistics & numerical data</topic><topic>Aged</topic><topic>Attitudes</topic><topic>Behavioral Risk Factor Surveillance System</topic><topic>Black white differences</topic><topic>Community and Environmental Psychology</topic><topic>Community Mental Health Centers - utilization</topic><topic>Cultural identity</topic><topic>Education</topic><topic>Emotional support</topic><topic>Employment</topic><topic>Ethnic Groups</topic><topic>Ethnicity</topic><topic>European Continental Ancestry Group - statistics & numerical data</topic><topic>Female</topic><topic>Health behavior</topic><topic>Health disparities</topic><topic>Health problems</topic><topic>Health services</topic><topic>Health services utilization</topic><topic>Help seeking behavior</topic><topic>Hispanic Americans</topic><topic>Hispanic Americans - statistics & numerical data</topic><topic>Humans</topic><topic>Institutionalization</topic><topic>Institutionalized</topic><topic>Latin American cultural groups</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental disorders</topic><topic>Mental Disorders - psychology</topic><topic>Mental Disorders - therapy</topic><topic>Mental health</topic><topic>Mental health care</topic><topic>Mental health services</topic><topic>Middle Aged</topic><topic>Military hospitals</topic><topic>Minority groups</topic><topic>Original Paper</topic><topic>Patient Acceptance of Health Care - psychology</topic><topic>Patient Acceptance of Health Care - statistics & numerical data</topic><topic>Psychiatry</topic><topic>Questionnaires</topic><topic>Race</topic><topic>Risk behavior</topic><topic>Risk factors</topic><topic>Social Stigma</topic><topic>Social Support</topic><topic>Stigma</topic><topic>Surveillance</topic><topic>Surveillance systems</topic><topic>Texas</topic><topic>United States</topic><topic>United States Department of Veterans Affairs</topic><topic>Variables</topic><topic>Veterans</topic><topic>Veterans - psychology</topic><topic>Veterans - statistics & numerical data</topic><topic>White people</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>De Luca, Susan M.</creatorcontrib><creatorcontrib>Blosnich, John R.</creatorcontrib><creatorcontrib>Hentschel, Elizabeth A. 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W.</au><au>King, Erika</au><au>Amen, Sally</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mental Health Care Utilization: How Race, Ethnicity and Veteran Status are Associated with Seeking Help</atitle><jtitle>Community mental health journal</jtitle><stitle>Community Ment Health J</stitle><addtitle>Community Ment Health J</addtitle><date>2016-02-01</date><risdate>2016</risdate><volume>52</volume><issue>2</issue><spage>174</spage><epage>179</epage><pages>174-179</pages><issn>0010-3853</issn><eissn>1573-2789</eissn><coden>CMHJAY</coden><abstract>As veterans disproportionately experience higher rates of mental illness than civilians, conflicting results surround the impact of race/ethnicity on treatment utilization. This study utilized the CDC’s Texas Behavioral Risk Factor Surveillance System data, a random-digit dialed telephone survey of non-institutionalized adults. A subset of Texas respondents (
n
= 8563) were asked questions related to mental health treatment, stigma, help-seeking attitudes and emotional support. While no differences were found in health care utilization between non-Hispanic white veterans and non-veterans, there were distinct patterns among racial/ethnic minority veterans and non-veterans. Black and Latino non-veterans reported significantly lower health care utilization compared to non-Hispanic white non-veterans. Among veterans, there were no differences in reported utilization rates comparing non-Hispanic whites and Latinos and also non-Hispanic whites and Blacks. Our study adds to the literature by examining health care utilization among a diverse group of veterans by focusing on Veterans Administration (VA) and non-VA services to veterans.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>26659853</pmid><doi>10.1007/s10597-015-9964-3</doi><tpages>6</tpages></addata></record> |
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subjects | Adult African Americans - statistics & numerical data Aged Attitudes Behavioral Risk Factor Surveillance System Black white differences Community and Environmental Psychology Community Mental Health Centers - utilization Cultural identity Education Emotional support Employment Ethnic Groups Ethnicity European Continental Ancestry Group - statistics & numerical data Female Health behavior Health disparities Health problems Health services Health services utilization Help seeking behavior Hispanic Americans Hispanic Americans - statistics & numerical data Humans Institutionalization Institutionalized Latin American cultural groups Logistic Models Male Medicine Medicine & Public Health Mental disorders Mental Disorders - psychology Mental Disorders - therapy Mental health Mental health care Mental health services Middle Aged Military hospitals Minority groups Original Paper Patient Acceptance of Health Care - psychology Patient Acceptance of Health Care - statistics & numerical data Psychiatry Questionnaires Race Risk behavior Risk factors Social Stigma Social Support Stigma Surveillance Surveillance systems Texas United States United States Department of Veterans Affairs Variables Veterans Veterans - psychology Veterans - statistics & numerical data White people Young Adult |
title | Mental Health Care Utilization: How Race, Ethnicity and Veteran Status are Associated with Seeking Help |
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