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. 2011 Feb;50(2):160-70.
doi: 10.1016/j.jaac.2010.11.004. Epub 2010 Dec 31.

Racial/ethnic differences in mental health service use among adolescents with major depression

Janet R Cummings  1 , Benjamin G Druss
Affiliations

Racial/ethnic differences in mental health service use among adolescents with major depression

Janet R Cummings et al. J Am Acad Child Adolesc Psychiatry. 2011 Feb.

Abstract

Objective: Little is known about racial/ethnic differences in the receipt of treatment for major depression in adolescents. This study examined differences in mental health service use in non-Hispanic white, black, Hispanic, and Asian adolescents who experienced an episode of major depression.

Method: Five years of data (2004-2008) were pooled from the National Survey on Drug Use and Health to derive a nationally representative sample of 7,704 adolescents (12-17 years old) diagnosed with major depression in the past year. Racial/ethnic differences were estimated with weighted probit regressions across several measurements of mental health service use controlling for demographics and health status. Additional models assessed whether family income and health insurance status accounted for these differences.

Results: The adjusted percentages of blacks (32%), Hispanics (31%), and Asians (19%) who received any treatment for major depression were significantly lower than those of non-Hispanic whites (40%; p < .001). Black, Hispanic, and Asian adolescents were also significantly less likely than non-Hispanic whites to receive prescription medication for major depression, to receive treatment for major depression from a mental health specialist or medical provider, and to receive any mental health treatment in an outpatient setting (p < .01). These differences persisted after adjusting for family income and insurance status.

Conclusion: Results indicated low rates of mental health treatment for major depression in all adolescents. Improving access to mental health care for adolescents will also require attention to racial/ethnic subgroups at highest risk for non-receipt of services.

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Conflict of interest statement

Disclosure: Drs. Cummings and Druss report have no biomedical financial interests or potential conflicts of interest.

Figures

Figure 1
Figure 1
Adjusted percentage of U.S. adolescents who received treatment for major depression by race/ethnicity. Note: N=7,618. Results from multivariate probit models adjusting for age, gender, family status, depression-related impairment, substance abuse/dependence, and self-rated health
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References

    1. SAMHSA. The NSDUH Report: Major Depressive Episode and Treatment among Adolescents. Rockville, MD: 2009.
    1. Fergusson D, Woodward L. Mental health, educational, and social role outcomes of adolescents with depression. Archives of General Psychiatry. 2002;59(3):225–231. - PubMed
    1. Weissman MM, Wolk S, Goldstein RB, et al. Depressed adolescents grown up. Jama. 1999 May 12;281(18):1707–1713. - PubMed
    1. Birmaher B, Brent DA, Benson RS. Summary of the practice parameters for the assessment and treatment of children and adolescents with depressive disorders. American Academy of Child and Adolescent Psychiatry. J Am Acad Child Adolesc Psychiatry. 1998 Nov;37(11):1234–1238. - PubMed
    1. Kessler RC, Walters EE. Epidemiology of DSM-III-R major depression and minor depression among adolescents and young adults in the National Comorbidity Survey. Depress Anxiety. 1998;7(1):3–14. - PubMed

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