The DOI matches its Crossref record; 37 of the 37 references it cites were found in a registry or an index.
Racial and ethnic disparities in detection and treatment of depression and anxiety among psychiatric and primary health care visits, 1995-2005
Open accessAbstract
CONTEXT: Recent evidence questions whether formerly documented disparities in care for common mental disorders among African Americans and Hispanics still remain. Also, whether disparities exist mainly in psychiatric settings or primary health care settings is unknown. OBJECTIVE: To comprehensively examine time trends in outpatient diagnosis and treatment of depression and anxiety among ethnic groups in primary care and psychiatric settings. DESIGN AND SETTING: Analyses of office-based outpatient visits from the National Ambulatory Medical Care Study from 1995-2005 (n = 96,075). PARTICIPANTS: Visits to office-based primary care physicians and psychiatrists in the United States. MAIN OUTCOME MEASURES: Diagnosed with depression or anxiety, received counseling or a referral for counseling, received an antidepressant prescription, and any counseling or antidepressant care. RESULTS: In these analyses of 10-year trends in treatment of common mental disorders, disparities in counseling/referrals for counseling, antidepressant medications, and any care vastly improved or were eliminated over time in psychiatric visits. Continued disparities in diagnoses, counseling/referrals for counseling, antidepressant medication, and any care are found in primary care visits. CONCLUSIONS: Disparities in care for depression and anxiety among African Americans and Hispanics remain in primary care. Quality improvement efforts are needed to address cultural and linguistic barriers to care.
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“Given that people who identify as racial/ethnic minorities are less likely to have access to and to use mental health services (49), this is a sobering finding.”
From Improving Acceptability and Uptake Behavior for Internet-Based Cognitive-Behavioral Therapy (2021) · cites this paper as [49]
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Cited by
Sorted by citations
Socioeconomic Disparities in Health in the United States: What the Patterns Tell Us
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“Previous studies of trends found that although overall rates of mental health treatment increased, gaps in access to mental health treatment between blacks, Latinos, and non-Latino whites (hereafter referred to as whites) were sustained (6,7).”
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“In a primary care setting, disparities in treatment may result from failure to properly detect depression or anxiety in minority patients.(15) In addition to failing to recognize depression, primary care physicians may be amenable to prescribing medication to treat symptoms perceived to be indicative of depression, wh…”
InfluentialRacial and Ethnic Disparities in Postpartum Depression Care Among Low-Income Women
Kozhimannil, K. B., Trinacty, C. M., Busch, A. B., Huskamp, H. A., & Adams, A. S. (2011) · Psychiatric Services · doi:10.1176/ps.62.6.pss6206_0619 · Cited by 331
Metadata
- Authors
- Stockdale, S. E., Lagomasino, I. T., Siddique, J., McGuire, T., & Miranda, J.
- Affiliations
- University of California, Los Angeles (US)
- University of Southern California (US)
- University of Chicago (US)
- Harvard University (US)
- Corresponding author
- Stockdale, Susan E.
- Miranda, Jeanne
- Venue
- Medical Care
- Published
- 2008-07
- Volume
- 46
- Issue
- 7
- Pages
- 668-677
- ISSN
- 0025-7079 (ISSN-L)
- PMC
- PMC3956700
- OpenAlex
- W2041096161
- Cited by
- 197
- References
- 37
- Citations by year
- 2026: 5 · 2025: 2 · 2024: 3 · 2023: 12 · 2022: 11 · 2021: 17 · 2020: 9 · 2019: 14 · 2018: 9 · 2017: 11 · 2016: 12 · 2015: 11 · 2014: 13 · 2013: 12 · 2012: 14
- FWCI
- 18.67
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Medical Care (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (5p30mh068639-05, 5p20md000148-05)
- National Institute on Aging (3P0 3AG021684, P30AG021684)
- National Institute of Mental Health (MH068639-01, P30-MH068639)
- National Institute on Minority Health and Health Disparities (1 P20 MD00148-01, P20-MD000148)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Social Sciences › Health › Health disparities and outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Cultural Competency in Health Care
- Keywords
- racial and ethnic disparities, depression, anxiety, access to mental health care, primary care, psychiatric nursing, African Americans, Hispanic Americans, antidepressant prescribing, counseling referral, temporal trends, language and cultural barriers
- MeSH terms
- Anxiety, Black or African American, Depression, Female, Hispanic or Latino, Humans, Male, Mental Health Services, Middle Aged, Office Visits, Primary Health Care, United States, Health Care Surveys, White People, Healthcare Disparities
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