Inequities in Access to Mental Health Services Among Asian American, Native Hawaiian, and Pacific Islander Medicaid Enrollees.

IF 3.3 3区 医学 Q1 HEALTH POLICY & SERVICES
Kevin H Nguyen, Eunhae G Oh, Lan N Ðoàn, Christina T Chu, Rachel A Banawa, Carlos Irwin A Oronce, Courtney C Choy, Sasha Zhou
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引用次数: 0

Abstract

Asian American (AA) and Native Hawaiian and Pacific Islander (NHPI) people are often aggregated into a monolithic group, but when they are disaggregated into ethnic groups (e.g., Chinese), inequities can be identified. Using a representative sample of adult Medicaid enrollees (N=55,215), the authors assessed inequities in self-reported access to mental or behavioral health services between non-Hispanic AA and NHPI Medicaid enrollees and non-Hispanic White Medicaid enrollees, both by racial group and across 10 disaggregated ethnic groups. AA and NHPI enrollees, by race and all 10 ethnicities, reported significantly worse mental health care access than did White enrollees. The magnitude of disparities also differed between ethnic groups, ranging from -14.6 percentage points for Native Hawaiian enrollees to -43.6 percentage points for Vietnamese enrollees.

亚裔美国人、夏威夷原住民和太平洋岛民医疗补助参保者获得心理健康服务的不平等。
亚裔美国人(AA)和夏威夷原住民和太平洋岛民(NHPI)经常被聚集成一个整体群体,但当他们被分解成不同的种族群体(如中国人)时,就可以发现不平等。使用成年医疗补助参保者的代表性样本(N=55,215),作者评估了非西班牙裔AA和NHPI医疗补助参保者与非西班牙裔白人医疗补助参保者在自我报告获得精神或行为健康服务方面的不平等,包括种族群体和10个分类的种族群体。AA和NHPI的参与者,按种族和所有10个种族划分,报告的精神卫生保健机会明显比白人参与者差。种族之间的差距也有所不同,夏威夷原住民的参保率为-14.6个百分点,越南参保率为-43.6个百分点。
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来源期刊
Psychiatric services
Psychiatric services 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.80
自引率
7.90%
发文量
295
审稿时长
3-8 weeks
期刊介绍: Psychiatric Services, established in 1950, is published monthly by the American Psychiatric Association. The peer-reviewed journal features research reports on issues related to the delivery of mental health services, especially for people with serious mental illness in community-based treatment programs. Long known as an interdisciplinary journal, Psychiatric Services recognizes that provision of high-quality care involves collaboration among a variety of professionals, frequently working as a team. Authors of research reports published in the journal include psychiatrists, psychologists, pharmacists, nurses, social workers, drug and alcohol treatment counselors, economists, policy analysts, and professionals in related systems such as criminal justice and welfare systems. In the mental health field, the current focus on patient-centered, recovery-oriented care and on dissemination of evidence-based practices is transforming service delivery systems at all levels. Research published in Psychiatric Services contributes to this transformation.
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