Racial/ethnic differences in the use of psychotropic medication in high-risk children and adolescents
Abstract
Objectives To investigate rates of psychotropic medication use by youths served in public service sectors as a function of race/ethnicity.Method Logistic regression models were used to examine racial/ethnic differences in caregiver report of psychotropic medication use for a random stratified sample of 1,342 children who were served in public service sectors during the second half of fiscal year 1996-97.Results Race/ethnicity predicted caregiver report of past-year and lifetime psychotropic medication use when all other factors were held constant. Specifically, caregivers of African-American and Latino children were less likely to report past-year use compared to white children; caregivers of Latino children and "others" were less likely to report lifetime use. Additional factors predictive of medication use in regression models included younger age, male gender, higher household income, insurance type, active to mental health sector at time of enumeration into the study, impairment and diagnosis of mood, and anxiety or attentional disorder.Conclusions Racial/ethnic differences in use of psychotropic medication occur in children served in public service sectors and need to be considered in clinical diagnosis and treatment.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Published studies disagree about ethnic disparities in adherence: some report that minority youths are more likely to stop treatment early and to use psychiatric services and medication less, while others find no ethnic differences in mental health prescribing, referrals, or counseling after diagnosis.
“The current literature on ethnic disparities in adherence is somewhat inconsistent: some studies indicate that minority youths are at increased risk for premature treatment discontinuation and lower use of psychiatric services and medication, 23,31 but other studies suggest no ethnic disparities in mental health prescription rates, referrals, and counseling once a diagnosis is made.32,33”
From Medication Adherence in the MTA: Saliva Methylphenidate Samples Versus Parent Report and Mediating Effect of Concomitant Behavioral Treatment (2009) · cites this paper as [31]
Cites
Revisiting the Behavioral Model and Access to Medical Care: Does it Matter?
Andersen, R. M. (1995) · Journal of Health and Social Behavior · doi:10.2307/2137284 · Cited by 9,831 · see citing works
SHAFFER, D., FISHER, P., LUCAS, C. P., DULCAN, M. K., & SCHWAB-STONE, M. E. (2000) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200001000-00014 · Cited by 3,505 · see citing works
Satcher, D. S. (2001) · University Libraries (University of Maryland) · doi:10.13016/jela-ckxw · Cited by 2,009 · see citing works
SHAFFER, D., FISHER, P., DULCAN, M. K., DAVIES, M., PIACENTINI, J., SCHWAB-STONE, M. E., LAHEY, B. B., BOURDON, K., JENSEN, P. S., BIRD, H. R., et al. (1996) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199607000-00012 · Cited by 1,587 · see citing works
(2001) · PsycEXTRA Dataset · doi:10.1037/e415842005-001 · Cited by 1,299 · see citing works
The Great Smoky Mountains Study of Youth
Costello, E. J. (1996) · Archives of General Psychiatry · doi:10.1001/archpsyc.1996.01830120067012 · Cited by 1,088 · see citing works
Prevalence of Psychiatric Disorders in Youths Across Five Sectors of Care
GARLAND, A. F., HOUGH, R. L., MCCABE, K. M., YEH, M., WOOD, P. A., & AARONS, G. A. (2001) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200104000-00009 · Cited by 562 · see citing works
Self-citationTreatment-seeking for depression by black and white Americans
Sussman, L. K., Robins, L. N., & Earls, F. J. (1987) · Social Science & Medicine · doi:10.1016/0277-9536(87)90046-3 · Cited by 427 · see citing works
Melfi, C. A., Chawla, A. J., Croghan, T. W., Hanna, M. P., Kennedy, S., & Sredl, K. (1998) · Archives of General Psychiatry · doi:10.1001/archpsyc.55.12.1128 · Cited by 409 · see citing works
Criterion Validity of the NIMH Diagnostic Interview Schedule for Children Version 2.3 (DISC-2.3)
Schwab‐Stone, M., Shaffer, D., Dulcan, M. K., Jensen, P. S., Fisher, P. W., Bird, H., Goodman, S. H., LAHEY, B. B., Lichtman, J. H., CANINO, G. J., et al. (1996) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199607000-00013 · Cited by 390 · see citing works
Stimulant Treatment for Children: A Community Perspective
ANGOLD, A., ERKANLI, A., EGGER, H. L., & COSTELLO, E. J. (2000) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200008000-00009 · Cited by 353 · see citing works
Bird, H., Shaffer, D., Fisher, P. W., & Gould, M. S. (1993) · International Journal of Methods in Psychiatric Research · Cited by 344 · see citing works
Potential factors affecting adherence with HIV therapy
Mehta, S., Moore, R. D., & Graham, N. M. H. (1997) · AIDS · doi:10.1097/00002030-199714000-00002 · Cited by 332 · see citing works
Epidemiology of Childhood Disorders in a Cross–Cultural Context
Bird, H. (1996) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.1996.tb01379.x · Cited by 306 · see citing works
Are Stimulants Overprescribed? Treatment of ADHD in Four U.S. Communities
Jensen, P. S., KETTLE, L., Roper, M., Sloan, M., Dulcan, M. K., Hoven, C. W., Bird, H., Bauermeister, J. J., & PAYNE, J. D. (1999) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199907000-00008 · Cited by 304 · see citing works
Szatmári, P., OFFORD, D. R., & Boyle, M. H. (1989) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.1989.tb00235.x · Cited by 290 · see citing works
Children in foster care: factors influencing outpatient mental health service use
Leslie, L. K., Landsverk, J. A., Ezzet-Lofstram, R., Tschann, J. M., Slymen, D. J., & Garland, A. F. (2000) · Child Abuse & Neglect · doi:10.1016/s0145-2134(00)00116-2 · Cited by 287 · see citing works
Self-citationCommunity mental health and ethnic minority populations
Cheung, F. K., & Snowden, L. R. (1990) · Community Mental Health Journal · doi:10.1007/bf00752778 · Cited by 287 · see citing works
Ethnic populations in public mental health: services choice and level of use.
Hu, T. W., Snowden, L. R., Jerrell, J. M., & Nguyen, D. T. (1991) · American Journal of Public Health · doi:10.2105/ajph.81.11.1429 · Cited by 281 · see citing works
Patient variable biases in clinical judgment: Conceptual overview and methodological considerations.
López, S. R. (1989) · Psychological Bulletin · doi:10.1037/0033-2909.106.2.184 · Cited by 279 · see citing works
Bussing, R., Schoenberg, N. E., & Perwien, A. (1998) · Social Science & Medicine (1967) · doi:10.1016/s0277-9536(97)00219-0 · Cited by 253 · see citing works
Test-Retest Reliability of the Diagnostic Interview Schedule for Children (DISC 2.1)
Jensen, P. S. (1995) · Archives of General Psychiatry · doi:10.1001/archpsyc.1995.03950130061007 · Cited by 249 · see citing works
Type of maltreatment as a predictor of mental health service use for children in foster care
Garland, A. F., Landsverk, J. L., Hough, R. L., & Ellis-MacLeod, E. (1996) · Child Abuse & Neglect · doi:10.1016/0145-2134(96)00056-7 · Cited by 243 · see citing works
Self-citationRace and Gender Differences in the Treatment of Psychiatric Disorders in Young Adolescents
Cuffe, S. P., Waller, J. L., Cuccaro, M. L., Pumariega, A. J., & Garrison, C. Z. (1995) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199511000-00021 · Cited by 235 · see citing works
Ethnic minority adolescents and the use of community mental health care services
Bui, K.-V. T., & Takeuchi, D. T. (1992) · American Journal of Community Psychology · doi:10.1007/bf00937752 · Cited by 208 · see citing works
Rowland, A. S., Umbach, D. M., Stallone, L., Naftel, A. J., Bohlig, E. M., & Sandler, D. P. (2002) · American Journal of Public Health · doi:10.2105/ajph.92.2.231 · Cited by 199 · see citing works
Mental Health Service Utilization by Children in Foster Care in California
Halfon, N., Berkowitz, G., & Klee, L. (1992) · PEDIATRICS · doi:10.1542/peds.89.6.1238 · Cited by 188 · see citing works
Piacentini, J. C., Shaffer, D., Fisher, P. W., Schwab‐Stone, M., Davies, M., & GIOIA, P. (1993) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199305000-00025 · Cited by 184 · see citing works
ZITO, J. M., Safer, D. J., dosReis, S., & Riddle, M. A. (1998) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199802000-00010 · Cited by 164 · see citing works
Bussing, R., Zima, B. T., Perwien, A., Belin, T., & Widawski, M. (1998) · American Journal of Public Health · doi:10.2105/ajph.88.6.880 · Cited by 148 · see citing works
Stimulant Treatment in Maryland Public Schools
Safer, D. J., & Malever, M. (2000) · PEDIATRICS · doi:10.1542/peds.106.3.533 · Cited by 142 · see citing works
Racial/Ethnic Representation Across Five Public Sectors of Care for Youth
McCabe, K. M., Yeh, M., Hough, R. L., Landsverk, J. A., Hurlburt, M. S., Culver, S., & Reynolds, B. (1999) · Journal of Emotional and Behavioral Disorders · doi:10.1177/106342669900700202 · Cited by 142 · see citing works
Self-citationKrishnan, J. A., Diette, G. B., Skinner, E. A., Clark, B. D., Steinwachs, D. M., & Wu, A. W. (2001) · Archives of Internal Medicine · doi:10.1001/archinte.161.13.1660 · Cited by 133 · see citing works
Yeh, M., McCabe, K. M., Hurlburt, M. S., Hough, R. L., Hazen, A. L., Culver, S., Garland, A. F., & Landsverk, J. A. (2002) · The Journal of Behavioral Health Services & Research · doi:10.1007/bf02287831 · Cited by 124 · see citing works
Self-citationGarland, A. F., & Besinger, B. A. (1997) · Children and Youth Services Review · doi:10.1016/s0190-7409(97)00060-1 · Cited by 116 · see citing works
Methylphenidate patterns among Medicaid youths.
ZITO, J. M., Safer, D. J., dosReis, S., Magder, L. S., & Riddle, M. A. (1997) · PubMed · Cited by 108 · see citing works
Cultural factors in clinical assessment.
Westermeyer, J. J. (1987) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.55.4.471 · Cited by 105 · see citing works
II. Utilization of Mental Health Services in a Tri-Ethnic Sample of Adolescents
Pumariega, A. J., Glover, S. H., Holzer, C. E., & Nguyen, H. (1998) · Community Mental Health Journal · doi:10.1023/a:1018788901831 · Cited by 104 · see citing works
Wasserman, R. C., Slora, E. J., Bocian, A. B., Fleming, G. V., Baker, A. E., Pedlow, S. E., & Kessel, W. (1998) · PEDIATRICS · doi:10.1542/peds.102.6.1350 · Cited by 104 · see citing works
Anxiety Symptomatology in Mexican-American Adolescents
Glover, S. H., Pumariega, A. J., Holzer, C. E., Wise, B. K., & Rodriguez, M. (1999) · Journal of Child and Family Studies · doi:10.1023/a:1022994510944 · Cited by 98 · see citing works
Hemodialysis patients' noncompliance with oral medications.
Curtin, R. B., Svarstad, B. L., & Keller, T. H. (1999) · PubMed · Cited by 92 · see citing works
Medication Management of Stimulants in Pediatric Practice Settings
Hoagwood, K., Jensen, P. S., FEIL, M., et al. (2000) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/00004703-200010000-00002 · Cited by 76 · see citing works
Pediatrician Participation in Medicaid: 1978 to 1989
Yudkowsky, B. K., CARTLAND, J. D. C., & Flint, S. S. (1990) · PEDIATRICS · doi:10.1542/peds.85.4.567 · Cited by 74 · see citing works
Differential Access to Care for Children With ADHD in Special Education Programs
Bussing, R., Zima, B. T., & Belin, T. R. (1998) · Psychiatric Services · doi:10.1176/ps.49.9.1226 · Cited by 64 · see citing works
Medicaid and Access to Child Health Care in Chicago
Fossett, J. W., Perloff, J. D., Kletke, P. R., et al. (1992) · Journal of Health Politics Policy and Law · doi:10.1215/03616878-17-2-273 · Cited by 61 · see citing works
Evaluating Mental Health Services for Children
Bickman, L., & Rog, D. J. (1992) · Medical Entomology and Zoology · Cited by 47 · see citing works
Measuring child, adolescent, and family service use
Burns, B. J., Angold, A. C., & Costello, E. J. (1992) · New Directions for Program Evaluation · doi:10.1002/ev.1605 · Cited by 36 · see citing works
Symptomatology of depression in black and white patients.
Adebimpe, V. R., Hedlund, J. L., Cho, D. W., et al. (1982) · PubMed · Cited by 35 · see citing works
Minority populations in the child welfare system: The visibility hypothesis reexamined.
Garland, A. F., Ellis-MacLeod, E., Landsverk, J. A., et al. (1998) · American Journal of Orthopsychiatry · doi:10.1037/h0080279 · Cited by 31 · see citing works
Self-citationRationale for angiotensin II receptor blockers in patients with low-renin hypertension
Jamerson, K. (2000) · American Journal of Kidney Diseases · doi:10.1053/ajkd.2000.9688 · Cited by 30 · see citing works
Patient, Provider, and Treatment Factors Associated with Poor-Quality Care for Schizophrenia
Young, A. S., Sullivan, G., & Duan, N. (1999) · Mental Health Services Research · doi:10.1023/a:1022369323451 · Cited by 21 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Racial and Ethnic Disparities in Pediatric Mental Health
Alegria, M., Vallas, M., & Pumariega, A. J. (2010) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2010.07.001 · Cited by 523 · see citing works
McLeod, J. D., Fettes, D. L., Jensen, P. S., Pescosolido, B. A., & Martin, J. K. (2007) · Psychiatric Services · doi:10.1176/ps.2007.58.5.626 · Cited by 130 · see citing works
Zima, B. T., Hurlburt, M. S., Knapp, P., Ladd, H., Tang, L., Duan, N., Wallace, P., Rosenblatt, A., Landsverk, J., & Wells, K. B. (2005) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200502000-00005 · Cited by 117 · see citing works
Self-citationPappadopulos, E., Jensen, P. S., Chait, A. R., Arnold, L. E., Swanson, J. M., Greenhill, L. L., Hechtman, L., Chuang, S., Wells, K. C., Pelham, W., et al. (2009) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/chi.0b013e31819c23ed · Cited by 112 · see citing works
- Authors
- LESLIE, L. K., WECKERLY, J., LANDSVERK, J., HOUGH, R. L., HURLBURT, M. S., & WOOD, P. A.
- Affiliations
- University of New Mexico (US)
- Corresponding author
- LESLIE, LAUREL K.
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 2003-12
- Volume
- 42
- Issue
- 12
- Pages
- 1433-1442
- ISSN
- 0890-8567 (ISSN-L)
- OpenAlex
- W2068571976
- Cited by
- 95
- References
- 51
- Citations by year
- 2024: 2 · 2023: 1 · 2022: 3 · 2021: 2 · 2020: 1 · 2019: 1 · 2018: 7 · 2017: 2 · 2016: 4 · 2015: 4 · 2014: 6 · 2013: 5 · 2012: 7
- FWCI
- 7.42
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (U01MH055282, K08MH064816)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Keywords
- psychotropic drug use, racial and ethnic disparities, children and adolescents, public service sector, African American children, Latino children, caregiver reports, mental health service utilization, mood disorders, anxiety disorders, attention disorders, household income, insurance type
- MeSH terms
- Adolescent, Mental Disorders, Black or African American, Child, Ethnicity, Female, Hispanic or Latino, Humans, Income, Male, Psychotropic Drugs, Regression Analysis, Sex Factors, Public Sector, Insurance Coverage, Health Care Surveys
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review