The Main and Interactive Associations between Demographic Factors and Psychopathology and Treatment Utilization in Youth: A Test of Intersectionality in the ABCD Study
Open accessAbstract
Demographic factors may be associated with youth psychopathology due to social-contextual factors that may also pose barriers to intervention. Further, in line with intersectionality theory, youth with multiple non-dominant identities may be most likely to experience psychopathology and face barriers to care. This study examined rates of parent-reported psychopathology and mental health treatment utilization as a function of several demographic characteristics (in isolation and in concert) in a population-based, demographically diverse sample of 11,875 9- to 10-year-old youth. Results indicated most consistently that lower SES was associated with greater rates of psychopathology and greater likelihood of treatment utilization; that Asian American youth (relative to all other racial groups) and Hispanic/Latinx (relative to non-Hispanic/Latinx) youth were less likely to have a history of psychopathology or to have utilized treatment; and that male youth had greater rates of lifetime Obsessive Compulsive Disorder (OCD) and Oppositional Defiant Disorder (ODD) and were more likely to have utilized treatment. There was more modest support for interactive effects between demographic factors on psychopathology, which are discussed. The present study provides some support for differential rates of parent-reported psychopathology and treatment utilization as a function of demographic identities in youth. Potential explanations for these differences (e.g., cultural differences in symptom presentation; underreporting of symptoms) are discussed.
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Internalized stigma about mental health may dissuade individuals from reporting symptoms or seeking help and services.
“Internalized stigma about mental health may dissuade individuals from reporting symptoms or seeking help and services [126].”
From Screen time and mental health: a prospective analysis of the Adolescent Brain Cognitive Development (ABCD) Study (2024) · cites this paper as [126]
Cultural variability in symptom presentation may not be comprehensively captured by the diagnostic classification system.
“Other possible explanations include cultural variability in symptom presentation, which may not be comprehensively captured by the diagnostic classification system [126].”
From Screen time and mental health: a prospective analysis of the Adolescent Brain Cognitive Development (ABCD) Study (2024) · cites this paper as [126]
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“Internalized stigma about mental health may dis-suade individuals from reporting symptoms or seeking help and services [126].”
Background
- Authors
- Mennies, R. J., Birk, S. L., Norris, L. A., & Olino, T. M.
- Affiliations
- Temple University (US)
- Corresponding author
- Mennies, Rebekah J.
- Venue
- Research on Child and Adolescent Psychopathology
- Published
- 2020-07-31
- Volume
- 49
- Issue
- 1
- Pages
- 5-17
- ISSN
- 0091-0627 (ISSN-L)
- 2730-7166
- 2730-7174
- PMC
- PMC8111704
- OpenAlex
- W3046830047
- Cited by
- 38
- References
- 74
- Citations by year
- 2026: 7 · 2025: 5 · 2024: 11 · 2023: 2 · 2022: 3 · 2021: 8 · 2020: 2
- FWCI
- 1.50
- Type
- journal article
- Language
- en
- Open access
- green
- doi.org
- Locations
- Research on Child and Adolescent Psychopathology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- TUScholarShare (Temple University) (submittedVersion)
- PsyArXiv (OSF Preprints) (submittedVersion, cc-by)
- PsyArXiv (OSF Preprints) (submittedVersion)
- Funders
- National Institutes of Health (U01DA041022, U01DA041025, U01DA041028, U01DA041048, U01DA041089, U01DA041093, U01DA041106, U01DA041117, U01DA041120, U01DA041134, U01DA041148, U01DA041156, U01DA041174, U24DA041123, and U24DA041147, F31MH123038)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Keywords
- intersectionality, youth psychopathology, mental health treatment utilization, demographic factors, socioeconomic status, Asian American youth, gender differences, obsessive-compulsive disorder, oppositional defiant disorder, parent-reported symptoms, barriers to care, symptom underreporting, Adolescent Brain Cognitive Development Study
- MeSH terms
- Adolescent, Child, Demography, Hispanic or Latino, Humans, Male, Obsessive-Compulsive Disorder, Psychopathology
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