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Am J Public Health. 2003 May;93(5):792-7.

Racial/ethnic disparities in the use of mental health services in poverty areas.

Author information

1
School of Social Welfare, University of California at Berkeley, 209 Haviland Hall No. 7400, Berkeley, CA 94720, USA. jchow99@uclink.berkeley.edu

Abstract

OBJECTIVES:

This study examined racial/ethnic disparities in mental health service access and use at different poverty levels.

METHODS:

We compared demographic and clinical characteristics and service use patterns of Whites, Blacks, Hispanics, and Asians living in low-poverty and high-poverty areas. Logistic regression models were used to assess service use patterns of minority racial/ethnic groups compared with Whites in different poverty areas.

RESULTS:

Residence in a poverty neighborhood moderates the relationship between race/ethnicity and mental health service access and use. Disparities in using emergency and inpatient services and having coercive referrals were more evident in low-poverty than in high-poverty areas.

CONCLUSIONS:

Neighborhood poverty is a key to understanding racial/ethnic disparities in the use of mental health services.

PMID:
12721146
PMCID:
PMC1447841
DOI:
10.2105/ajph.93.5.792
[Indexed for MEDLINE]
Free PMC Article

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