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Does Stigma Keep Poor Young Immigrant and U.S.-Born Black and Latina Women From Seeking Mental Health Care?

Nadeem, E., Lange, J. M., Edge, D., Fongwa, M., Belin, T., Miranda, J.·2007·Psychiatric Services

Abstract

OBJECTIVE: This study examined the extent to which stigma-related concerns about mental health care account for the underuse of mental health services among low-income immigrant and U.S.-born black and Latina women. METHODS: Participants included 15,383 low-income women screened for depression in county entitlement services who were asked about barriers to care, stigma-related concerns, and whether they wanted or were getting mental health care. RESULTS: Among those who were depressed, compared with U.S.-born white women, each of the black groups were more likely to report stigma concerns (African immigrants, odds ratio [OR]=3.28, p=.004; Caribbean immigrants, OR=6.17, p=.005; U.S.-born blacks, OR=6.17, p=.06). Compared with U.S.-born white women, immigrant African women (OR=.18, p<.001), immigrant Caribbean women (OR=.11, p=.001), U.S.-born black women (OR=.31, p<.001), and U.S.-born Latinas (OR=.32, p=.03) were less likely to want treatment. Conversely, compared with U.S.-born white women, immigrant Latinas (OR=2.17, p=.02) were more likely to want treatment. There was a significant stigma-by-immigrant interaction predicting interest in treatment (p<.001). Stigma reduced the desire for mental health treatment for immigrant women with depression (OR=.35, p<.001) to a greater extent than it did for U.S.-born white women with depression (OR=.52, p=.24). CONCLUSIONS: Stigma-related concerns are most common among immigrant women and may partly account for underutilization of mental health care services by disadvantaged women from ethnic minority groups.

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Metadata

Authors
Nadeem, E., Lange, J. M., Edge, D., Fongwa, M., Belin, T., & Miranda, J.
Venue
Psychiatric Services
Published
2007-12-01
Volume
58
Issue
12
Pages
1547-1554
ISSN
  • 0022-1597 (ISSN-L)
  • 1075-2730
OpenAlex
W2132366254
Cited by
407
References
8
FWCI
16.97
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Does Stigma Keep Poor Young Immigrant and U.S.-Born Black and Latina Women From Seeking Mental Health Care? https://app.cochat.ai/papers/10.1176/appi.ps.58.12.1547
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Nadeem, E., Lange, J. M., Edge, D., Fongwa, M., Belin, T., & Miranda, J. (2007). Does Stigma Keep Poor Young Immigrant and U.S.-Born Black and Latina Women From Seeking Mental Health Care? Psychiatric Services. https://doi.org/10.1176/appi.ps.58.12.1547

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