Race and ethnicity as factors in mental health service use among veterans with PTSD
Abstract
Many veterans with posttraumatic stress disorder (PTSD) either do not seek treatment or participate in treatment only episodically. The authors conducted a retrospective cohort study using Department of Veterans Affairs (VA) administrative data to determine rates of mental health care use and to examine whether the odds of service use varied by race or ethnicity. They examined all veterans with a new diagnosis of PTSD during a one‐year period. Analyses used logistic or negative binomial regression with generalized estimating equations to measure associations of race and ethnicity with mental health service use after controlling for demographic, disability, and access factors. After adjustment, veteran race, but not Hispanic ethnicity, was associated with decreases in some pharmacotherapy measures and increases in some counseling measures.
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- Authors
- Spoont, M. R., Hodges, J., Murdoch, M., & Nugent, S.
- Affiliations
- Minneapolis VA Health Care System (US)
- University of Minnesota (US)
- Corresponding author
- Spoont, Michele R.
- Venue
- Journal of Traumatic Stress
- Publisher
- Wiley
- Published
- 2009-11-17
- Volume
- 22
- Issue
- 6
- Pages
- 648-653
- ISSN
- 0894-9867 (ISSN-L)
- 1573-6598
- OpenAlex
- W2144412287
- Cited by
- 45
- References
- 19
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 1 · 2022: 1 · 2021: 3 · 2020: 1 · 2019: 2 · 2018: 2 · 2017: 3 · 2016: 4 · 2015: 6 · 2014: 8 · 2013: 4 · 2012: 2
- FWCI
- 2.47
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Traumatic Stress (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Keywords
- post-traumatic stress disorder, veterans, mental health service utilization, race, ethnicity, Hispanic origin, treatment seeking, pharmacotherapy, counseling, health care access, Department of Veterans Affairs
- MeSH terms
- Antidepressive Agents, Combat Disorders, Counseling, Ethnicity, Health Services Accessibility, Hospitals, Veterans, Humans, Mental Health Services, Psychotropic Drugs, Retrospective Studies, Stress Disorders, Post-Traumatic, United States, Utilization Review, Veterans, Cohort Studies, Odds Ratio, Healthcare Disparities
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