Cited by 95Mental Health Treatment and AccessChild and Adolescent Psychosocial and Emotional DevelopmentRacial and Ethnic Identity Research

Racial/ethnic differences in the use of psychotropic medication in high-risk children and adolescents

LESLIE, LAUREL K., WECKERLY, JILL, LANDSVERK, JOHN, HOUGH, RICHARD L., HURLBURT, MICHAEL S., WOOD, PATRICIA A.·2003·Journal of the American Academy of Child & Adolescent Psychiatry

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.

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Crossref · 10.1097/00004583-200312000-00010

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  • 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”

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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

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