Factors Affecting the Probability of Use of General and Medical Health and Social/Community Services for Mexican Americans and Non-Hispanic Whites

Richard L. Hough · M. Audrey Burnam · Marvin Karno · Kenneth Brooks Wells

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Mental Health Treatment and Access Healthcare Policy and Management Health disparities and outcomes

Abstract

Are individual characteristics associated with use of general and mental health and human service sectors similar for Mexican Americans (MAs) and non-Hispanic whites (NHWs)? We addressed this question using data from the Los Angeles site of the NIMH Epidemiologic Catchment Area Program. A random sample of the general population of two mental health catchment areas was interviewed in 1983-1984. With four exceptions, individual variation in sociodemographic factors, insurance coverage, and health status had similar effects on the probability of use of the general and mental health and human service sector for both NHWs and MAs. Recent psychiatric disorder was associated with greater use of general medical providers for mental health care for both NHWs and MAs, but significantly more so for NHWs. Female NHWs were more likely to use the human service sector (e.g., social service agencies) than male NHWs, but gender had no effect on this type of use for MAs. Higher job status was associated with greater use of outpatient general medical services, but significantly more so for NHWs than MAs. By contrast, having private health insurance was associated with a greater increase in use of outpatient general medical services for MAs than for NHWs.

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References

1981National Institute of Mental Health Diagnostic Interview Schedule 2005Societal and Individual Determinants of Medical Care Utilization in the United States 1984The NIMH Epidemiologic Catchment Area Program 1978The De Facto US Mental Health Services System 1984Utilization of Health and Mental Health Services 1981Some Interim Results from a Controlled Trial of Cost Sharing in Health Insurance 1985Epidemiologic Field Methods in Psychiatry 1987Utilization of Health and Mental Health Services by Los Angeles Mexican Americans and Non-Hispanic Whites

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1998Psychiatric Disorder Onset and First Treatment Contact in the United States and Ontario 2001Organizational context and provider perception as determinants of mental health service use 1989Adverse Outcomes and Lack of Health Insurance among Newborns in an Eight-County Area of California, 1982 to 1986 1992Ethnic minority status and adolescent mental health services utilization 2009Socioeconomic Stratification and Mental Disorder

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