Cargando…

Racial, Ethnic, and Nativity Differences in Mental Health Visits to Primary Care and Specialty Mental Health Providers: Analysis of the Medical Expenditures Panel Survey, 2010–2015

Background. Black and Latino minorities have traditionally had poorer access to primary care than non-Latino Whites, but these patterns could change with the Affordable Care Act (ACA). To guide post-ACA efforts to address mental health service disparities, we used a nationally representative sample...

Descripción completa

Detalles Bibliográficos
Autores principales: Jones, Audrey L., Cochran, Susan D., Leibowitz, Arleen, Wells, Kenneth B., Kominski, Gerald, Mays, Vickie M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6023347/
https://www.ncbi.nlm.nih.gov/pubmed/29565323
http://dx.doi.org/10.3390/healthcare6020029
_version_ 1783335852122832896
author Jones, Audrey L.
Cochran, Susan D.
Leibowitz, Arleen
Wells, Kenneth B.
Kominski, Gerald
Mays, Vickie M.
author_facet Jones, Audrey L.
Cochran, Susan D.
Leibowitz, Arleen
Wells, Kenneth B.
Kominski, Gerald
Mays, Vickie M.
author_sort Jones, Audrey L.
collection PubMed
description Background. Black and Latino minorities have traditionally had poorer access to primary care than non-Latino Whites, but these patterns could change with the Affordable Care Act (ACA). To guide post-ACA efforts to address mental health service disparities, we used a nationally representative sample to characterize baseline race-, ethnicity-, and nativity-associated differences in mental health services in the context of primary care. Methods. Data were obtained from the Medical Expenditures Panel Survey (MEPS), a two-year panel study of healthcare use, satisfaction with care, and costs of services in the United States (US). We pooled data from six waves (14–19) of participants with serious psychological distress to examine racial, ethnic, and nativity disparities in medical and mental health visits to primary care (PC) and specialty mental health (SMH) providers around the time of ACA reforms, 2010–2015. Results. Of the 2747 respondents with serious psychological distress, 1316 were non-Latino White, 632 non-Latino Black, 532 identified as Latino with Mexican, Central American, or South American (MCS) origins, and 267 as Latino with Caribbean island origins; 525 were foreign/island born. All racial/ethnic groups were less likely than non-Latino Whites to have any PC visit. Of those who used PC, non-Latino Blacks were less likely than Whites to have a PC mental health visit, while foreign born MCS Latinos were less likely to visit an SMH provider. Conditional on any mental health visit, Latinos from the Caribbean were more likely than non-Latino Whites to visit SMH providers versus PC providers only, while non-Latino Blacks and US born MCS Latinos received fewer PC mental health visits than non-Latino Whites. Conclusion. Racial-, ethnic-, and nativity-associated disparities persist in PC provided mental health services.
format Online
Article
Text
id pubmed-6023347
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-60233472018-07-03 Racial, Ethnic, and Nativity Differences in Mental Health Visits to Primary Care and Specialty Mental Health Providers: Analysis of the Medical Expenditures Panel Survey, 2010–2015 Jones, Audrey L. Cochran, Susan D. Leibowitz, Arleen Wells, Kenneth B. Kominski, Gerald Mays, Vickie M. Healthcare (Basel) Article Background. Black and Latino minorities have traditionally had poorer access to primary care than non-Latino Whites, but these patterns could change with the Affordable Care Act (ACA). To guide post-ACA efforts to address mental health service disparities, we used a nationally representative sample to characterize baseline race-, ethnicity-, and nativity-associated differences in mental health services in the context of primary care. Methods. Data were obtained from the Medical Expenditures Panel Survey (MEPS), a two-year panel study of healthcare use, satisfaction with care, and costs of services in the United States (US). We pooled data from six waves (14–19) of participants with serious psychological distress to examine racial, ethnic, and nativity disparities in medical and mental health visits to primary care (PC) and specialty mental health (SMH) providers around the time of ACA reforms, 2010–2015. Results. Of the 2747 respondents with serious psychological distress, 1316 were non-Latino White, 632 non-Latino Black, 532 identified as Latino with Mexican, Central American, or South American (MCS) origins, and 267 as Latino with Caribbean island origins; 525 were foreign/island born. All racial/ethnic groups were less likely than non-Latino Whites to have any PC visit. Of those who used PC, non-Latino Blacks were less likely than Whites to have a PC mental health visit, while foreign born MCS Latinos were less likely to visit an SMH provider. Conditional on any mental health visit, Latinos from the Caribbean were more likely than non-Latino Whites to visit SMH providers versus PC providers only, while non-Latino Blacks and US born MCS Latinos received fewer PC mental health visits than non-Latino Whites. Conclusion. Racial-, ethnic-, and nativity-associated disparities persist in PC provided mental health services. MDPI 2018-03-22 /pmc/articles/PMC6023347/ /pubmed/29565323 http://dx.doi.org/10.3390/healthcare6020029 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Jones, Audrey L.
Cochran, Susan D.
Leibowitz, Arleen
Wells, Kenneth B.
Kominski, Gerald
Mays, Vickie M.
Racial, Ethnic, and Nativity Differences in Mental Health Visits to Primary Care and Specialty Mental Health Providers: Analysis of the Medical Expenditures Panel Survey, 2010–2015
title Racial, Ethnic, and Nativity Differences in Mental Health Visits to Primary Care and Specialty Mental Health Providers: Analysis of the Medical Expenditures Panel Survey, 2010–2015
title_full Racial, Ethnic, and Nativity Differences in Mental Health Visits to Primary Care and Specialty Mental Health Providers: Analysis of the Medical Expenditures Panel Survey, 2010–2015
title_fullStr Racial, Ethnic, and Nativity Differences in Mental Health Visits to Primary Care and Specialty Mental Health Providers: Analysis of the Medical Expenditures Panel Survey, 2010–2015
title_full_unstemmed Racial, Ethnic, and Nativity Differences in Mental Health Visits to Primary Care and Specialty Mental Health Providers: Analysis of the Medical Expenditures Panel Survey, 2010–2015
title_short Racial, Ethnic, and Nativity Differences in Mental Health Visits to Primary Care and Specialty Mental Health Providers: Analysis of the Medical Expenditures Panel Survey, 2010–2015
title_sort racial, ethnic, and nativity differences in mental health visits to primary care and specialty mental health providers: analysis of the medical expenditures panel survey, 2010–2015
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6023347/
https://www.ncbi.nlm.nih.gov/pubmed/29565323
http://dx.doi.org/10.3390/healthcare6020029
work_keys_str_mv AT jonesaudreyl racialethnicandnativitydifferencesinmentalhealthvisitstoprimarycareandspecialtymentalhealthprovidersanalysisofthemedicalexpenditurespanelsurvey20102015
AT cochransusand racialethnicandnativitydifferencesinmentalhealthvisitstoprimarycareandspecialtymentalhealthprovidersanalysisofthemedicalexpenditurespanelsurvey20102015
AT leibowitzarleen racialethnicandnativitydifferencesinmentalhealthvisitstoprimarycareandspecialtymentalhealthprovidersanalysisofthemedicalexpenditurespanelsurvey20102015
AT wellskennethb racialethnicandnativitydifferencesinmentalhealthvisitstoprimarycareandspecialtymentalhealthprovidersanalysisofthemedicalexpenditurespanelsurvey20102015
AT kominskigerald racialethnicandnativitydifferencesinmentalhealthvisitstoprimarycareandspecialtymentalhealthprovidersanalysisofthemedicalexpenditurespanelsurvey20102015
AT maysvickiem racialethnicandnativitydifferencesinmentalhealthvisitstoprimarycareandspecialtymentalhealthprovidersanalysisofthemedicalexpenditurespanelsurvey20102015