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Cited by 38Mental Health Treatment and AccessRacial and Ethnic Identity ResearchCultural Competency in Health Care

The DOI matches its Crossref record; 44 of the 44 references it cites were found in a registry or an index.

Patient Race and Ethnicity in Primary Care Management of Child Behavior Problems: A Report From PROS and ASPN

Kelleher, Kelly J., Moore, Cathy D., Childs, George E., Angelilli, Mary Lu, Comer, Diane M.·1999·Medical Care
DOI 10.1097/00005650-199911000-00002
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Abstract

BACKGROUND: Minority persons have less access to many specialty treatments and services, possibly because of clinician biases. It is not clear whether any such biases exist in primary care settings, especially for children with psychosocial problems. OBJECTIVES: The objective was to compare primary care recognition and treatment of pediatric psychosocial problems among African American, Hispanic American and European American patients. DESIGN: A survey was made of parents and respective clinicians in primary care offices in two large practice-based research networks (PROS and ASPN) from 44 states, Canada, and Puerto Rico. Mixed regression analyses were employed to control for patient, clinician, and practice effects. SUBJECTS: The subjects were 14,910 children aged 4 to 15 years seen consecutively for non-emergent care by 286 primary care clinicians in office-based practice. MEASURES: Measures were parents' report for sociodemographics and behavioral symptoms using the Pediatric Symptom Checklist, and clinicians' report of psychosocial problems, type, management, and severity. RESULTS: Of the sample, 8.0% were African American youth, 9.5% were Hispanic American youth, and 82.5% were European American youth. After controlling for other factors, race and ethnicity were not associated with any differences in psychotropic drug prescribing, counseling, referral, or recognition of psychosocial problems. Clinicians reported spending slightly more time with minority patients. CONCLUSION: Race and ethnic status were not related to receipt of mental health services for children in primary care offices, suggesting that clinician biases may not be the primary cause of the racial differences in services noted earlier research. Improving services for minority youth may require increasing access to office-based primary care.

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Crossref · 10.1097/00005650-199911000-00002

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44 of 44 references verified0 citation errors · 0 not checkable

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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”

    From Medication Adherence in the MTA: Saliva Methylphenidate Samples Versus Parent Report and Mediating Effect of Concomitant Behavioral Treatment (2009) · cites this paper as [33]

Citations

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Research works printed but not linked: 14

  1. Williams, 1994, Public Health Rep, 109, 26
  2. Gaffin, 1996, Br J Cancer, 29, S51
  3. Guidry, 1997, Cancer Pract, 5, 361
  4. Newacheck, 1996, Pediatrics, 97, 26
  5. Cornelius, 1993, J Natl Med Assoc, 85, 281
  6. Westendorp, 1986, Adolescence, 21, 23
  7. Lawson, 1996, Mt Sinai J Med, 63, 301
  8. Paradis, 1992, Hosp Community Psychiatr, 43, 61
  9. Starfield, 1998, J Fam Pract, 46, 216
  10. Green, 1984, J Fam Pract, 18, 275
  11. Nutting, 1996, J Fam Pract, 42, 199
  12. Green, 1994, J Fam Pract, 38, 400
  13. Smilkstein, 1978, J Fam Pract, 6, 1231
  14. Schulman, 1995, Health Serv Res, 30, 179

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Metadata

Authors
Kelleher, K. J., Moore, C. D., Childs, G. E., Angelilli, M. L., & Comer, D. M.
Affiliations
  • University of Pittsburgh (US)
  • Allegheny General Hospital (US)
  • University of Pittsburgh Medical Center (US)
  • Wayne State University (US)
Corresponding author
Kelleher, Kelly J.
ORCID
Kelleher, Kelly J.
Venue
Medical Care
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
1999-11
Volume
37
Issue
11
Pages
1092-1104
ISSN
0025-7079 (ISSN-L)
DOI
10.1097/00005650-199911000-00002
OpenAlex
W194416040
Cited by
38
References
42
Citations by year
2019: 1 · 2018: 1 · 2016: 1 · 2015: 1
FWCI
4.22
Type
journal article
Language
en
Open access
closed
Locations
  • Medical Care (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute of Mental Health (R01MH050629, MH50629)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
  • Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Cultural Competency in Health Care
Keywords
child behavior problems, racial and ethnic disparities, primary care, clinician bias, African American children, Hispanic children, psychosocial problems, psychotropic prescribing, access to mental health care, Pediatric Symptom Checklist
MeSH terms
Adolescent, Canada, Child, Child Behavior Disorders, Child, Preschool, Female, Health Services Accessibility, Humans, Male, Practice Patterns, Physicians', Primary Health Care, Puerto Rico, Regression Analysis, United States, Chi-Square Distribution

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