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Race differences in mental health services for depression and anxiety
Descriptive
TypeOfResource
Text
TitleInfo
(ID = T-1)
Title
Race differences in mental health services for depression and anxiety
SubTitle
treatment rates, settings, and quality among Whites, Blacks, and Latinos in the Collaborative Psychiatric Epidemiology Surveys
Identifier
ETD_2908
Identifier
(type = hdl)
http://hdl.rutgers.edu/1782.1/rucore10001600001.ETD.000056782
Language
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(authority = ISO639-2);
(type = code)
eng
Genre
(authority = marcgt)
theses
Subject
(ID = SBJ-1);
(authority = RUETD)
Topic
Sociology
Subject
(ID = SBJ-2);
(authority = ETD-LCSH)
Topic
Mental health--United States
Subject
(ID = SBJ-3);
(authority = ETD-LCSH)
Topic
Discrimination in mental health services--United States
Subject
(ID = SBJ-4);
(authority = ETD-LCSH)
Topic
Health and race
Subject
(ID = SBJ-5);
(authority = ETD-LCSH)
Topic
Whites--United States--Mental health
Subject
(ID = SBJ-6);
(authority = ETD-LCSH)
Topic
Minorities--United States--Mental health
Abstract
(type = abstract)
BACKGROUND: As the racial composition of the U.S. population grows ever more diverse, landmark healthcare legislation holds the promise of reducing long-standing race disparities in health. OBJECTIVES: This study examines Latino- and black-white differences in 12-month rates of mental health (MH) service use, the specific settings in which services are received, and the adequacy of the services rendered. It focuses specifically on care for depression and anxiety disorders, the two most common forms of mental illness in the U.S. DATA: Data are from the Collaborative Psychiatric Epidemiology Surveys (CPES) project, which combined three representative surveys of mental health and MH service use among American adults. Focused on the influence of race and ethnicity, CPES component surveys oversampled nonwhite respondents. Core diagnostic assessment was completed using the Composite International Diagnostic Interview (CIDI). METHODS: MH service use included use of any of five sectors: psychiatry (PSY), other mental health specialty (OMH), general medical (GM), human services (HS), and complementary-alternative medicine (CAM). Multi-sector service profiles included PSY, OMH with GM, OMH-only, GM-only, HS-only, and CAM-only. Adequate care was defined as psychotherapy (i.e., eight or more visits to psychiatrist or other MH specialist lasting at least 30 minutes) and/or pharmacotherapy (i.e., four or more visits to psychiatrist or other physician plus use of suitable prescription medication for at least 60 days). RESULTS: Latinos and blacks were less likely than whites to receive any services. Compared to whites, black service users were less likely to use the GM-only profile and more likely to use the HS-only profile. Among service users with depression and anxiety disorders, blacks were less likely than whites to receive adequate psycho- or pharmacotherapeutic services. Among those reporting use of prescription medications, both blacks and Latinos were more likely than whites to have taken medications other than those recommended for their particular disorders. CONCLUSIONS: Each year, many depressed and anxious Americans go undertreated or untreated altogether, and these shortfalls are more pronounced among Latinos and especially blacks than among whites. Future research should investigate the influence of race differences in self-perceived need and beliefs and attitudes about mental health and mental healthcare.
PhysicalDescription
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electronic resource
Extent
xiv, 195 p. : ill.
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application/pdf
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Note
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Ph.D.
Note
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Includes bibliographical references
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(type = vita)
Includes vita
Note
(type = statement of responsibility)
by Dorota M. Szymkowiak
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Szymkowiak
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Dorota M.
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1980-
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author
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Dorota Szymkowiak
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Carr
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Deborah
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chair
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Advisory Committee
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Deborah Carr
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(type = family)
Phillips
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Julie
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internal member
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Advisory Committee
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Julie Phillips
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(type = family)
Rosenfield
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Sarah
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internal member
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Advisory Committee
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Sarah Rosenfield
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Boyer
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Carol
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outside member
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Advisory Committee
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Carol Boyer
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Rutgers University
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degree grantor
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Graduate School - New Brunswick
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school
OriginInfo
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2010
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2010-10
Place
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xx
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Title
Rutgers University Electronic Theses and Dissertations
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ETD
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Title
Graduate School - New Brunswick Electronic Theses and Dissertations
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rucore19991600001
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(displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Identifier
(type = doi)
doi:10.7282/T3PV6K24
Genre
(authority = ExL-Esploro)
ETD doctoral
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Rights
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(ID = rulibRdec0006)
The author owns the copyright to this work.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
RightsHolder
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(type = personal)
Name
FamilyName
Szymkowiak
GivenName
Dorota
Role
Copyright Holder
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Type
Permission or license
DateTime
2010-09-27 10:33:17
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Name
Dorota Szymkowiak
Affiliation
Rutgers University. Graduate School - New Brunswick
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Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
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Technical
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ETD
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application/pdf
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application/x-tar
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10844160
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