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Soc Psychiatry Psychiatr Epidemiol. 2011 Oct;46(10):983-92. doi: 10.1007/s00127-010-0267-2. Epub 2010 Jul 9.

Anxiety, mood, and substance use disorders in United States African-American public housing residents.

Author information

1
Department of Community and Preventive Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642, USA. adam_simning@urmc.rochester.edu

Abstract

BACKGROUND:

African-Americans experience considerable mental healthcare disparities in the United States, but little is known about sensitive subgroups within this population. To better understand healthcare disparities within African-Americans communities, we characterized anxiety, mood, and substance use disorder prevalence and associated service utilization among public and non-public housing residents.

METHODS:

We used data from a nationally representative sample of African-Americans recruited as part of the National Survey of American Life.

RESULTS:

In public housing residents, the 12-month prevalence of anxiety disorders was 1.8 times higher than in non-public housing residents (P = 0.002), mood disorders was 1.4 times higher (P = 0.189), and substance use disorders was 2.2 times higher (P = 0.031). Public housing remained associated with mental illness after controlling for sociodemographics and chronic illness. Public and non-public housing residents did not differ significantly in mental healthcare utilization, but utilization was low with 16-30% of public housing residents with a 12-month disorder receiving mental health assistance.

CONCLUSIONS:

A relatively high proportion of African-American public housing residents suffered from psychiatric disorders, and few received mental healthcare assistance, indicating that further work is needed to enhance utilization.

PMID:
20617430
PMCID:
PMC3044217
DOI:
10.1007/s00127-010-0267-2
[Indexed for MEDLINE]
Free PMC Article
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