Racial disparity in mental disorder diagnosis and treatment between non-hispanic White and Asian American patients in a general hospital

•Racial disparity seen in mental disorder diagnoses for AA in a general hospital.•Racial disparity seen in psychotropic treatment for AA in a general hospital.•Cambodians are at heightened risk of mental disorder diagnosis amongst AA.•Different rates of mental disorder diagnosis amongst religious af...

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Published in:Asian journal of psychiatry 2018-04, Vol.34, p.78-83
Main Authors: Wu, Carrie, Chiang, Mathew, Harrington, Amy, Kim, Sun, Ziedonis, Douglas, Fan, Xiaoduo
Format: Article
Language:English
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Asian American
General hospital
Mental health
Racial disparity
Risk factor
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container_title Asian journal of psychiatry
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creator Wu, Carrie
Chiang, Mathew
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description •Racial disparity seen in mental disorder diagnoses for AA in a general hospital.•Racial disparity seen in psychotropic treatment for AA in a general hospital.•Cambodians are at heightened risk of mental disorder diagnosis amongst AA.•Different rates of mental disorder diagnosis amongst religious affiliations in AA. The present study sought to examine the diagnosis and treatment of mental disorders comparing Asian American (AA) and non-Hispanic Whites (WNH) drawn from a population accessing a large general hospital for any reason. Socio-demographic predictors of diagnosis and treatment were also explored. Data were obtained from de-identified medical records in the Partner Health Care System’s Research Patient Data Registry. The final sample included 345,070 self-identified WNH and 16,418 self-identified AA’s between January 1, 2009 and December 31, 2009. WNH patients were more likely than AA patients to carry a diagnosis of a mental disorder (18.1% vs. 8.6%, p 
doi_str_mv 10.1016/j.ajp.2018.04.019
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The present study sought to examine the diagnosis and treatment of mental disorders comparing Asian American (AA) and non-Hispanic Whites (WNH) drawn from a population accessing a large general hospital for any reason. Socio-demographic predictors of diagnosis and treatment were also explored. Data were obtained from de-identified medical records in the Partner Health Care System’s Research Patient Data Registry. The final sample included 345,070 self-identified WNH and 16,418 self-identified AA’s between January 1, 2009 and December 31, 2009. WNH patients were more likely than AA patients to carry a diagnosis of a mental disorder (18.1% vs. 8.6%, p &lt; 0.0001) and were more likely to receive psychotropic medication treatment (15.0% vs 8.5%, p &lt; 0.0001). Logistic regression analyses of the AA cohort identified several risk factors (i.e. language, religion, gender, age) predicting the diagnosis of a mental disorder or use of psychotropic medication. Our findings on the racial disparity in mental disorder diagnosis and treatment between AA and WNH patients suggest that mental disorders are under-recognized and mental health services are under-utilized in the AA community. There remains a need for health care providers to improve screening services and to gain a better understanding of the cultural barriers that hinder mental health care among AA patients.</description><identifier>ISSN: 1876-2018</identifier><identifier>EISSN: 1876-2026</identifier><identifier>DOI: 10.1016/j.ajp.2018.04.019</identifier><identifier>PMID: 29674132</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Asian American ; General hospital ; Mental health ; Racial disparity ; Risk factor</subject><ispartof>Asian journal of psychiatry, 2018-04, Vol.34, p.78-83</ispartof><rights>2018 Elsevier B.V.</rights><rights>Copyright © 2018. 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Our findings on the racial disparity in mental disorder diagnosis and treatment between AA and WNH patients suggest that mental disorders are under-recognized and mental health services are under-utilized in the AA community. There remains a need for health care providers to improve screening services and to gain a better understanding of the cultural barriers that hinder mental health care among AA patients.</description><subject>Asian American</subject><subject>General hospital</subject><subject>Mental health</subject><subject>Racial disparity</subject><subject>Risk factor</subject><issn>1876-2018</issn><issn>1876-2026</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp9Uc1q3DAYFCEhu037AL0UHXOxK9myZJHTEpq2sBAICTkKWfqc1bKWHUnbkjfIY0fupnvMSYOYH74ZhL5SUlJC-fdtqbdTWRHaloSVhMoTtKSt4EVFKn56xLRdoE8xbgnhbc3EOVpUkgtG62qJXu-0cXqHrYuTDi69YOfxAD4d_sZgIWSgn_wYXcTaW5wC6DRTcAfpL4DHfvTFZjbwzuDHjUvwj7iKTnu8GiA4k8Gkk8uqOCdo_AQeQg7ZjHFyOe0zOuv1LsKX9_cCPdz8uL_-Vaxvf_6-Xq0LUzd1KqQg1siOydpqRhpGRdPotuOtFZ3mhlAKUFkjWGN7qETP-06yire8yz1YKeoLdHnwncL4vIeY1OCigd1Oexj3UeXqWsmJJDxT6YFqwhhjgF5NwQ06vChK1DyA2qo8gJobVoSpPEDWfHu333cD2KPif-OZcHUgQD7yj4Ogosm1GLAugEnKju4D-zfa4ZhI</recordid><startdate>20180401</startdate><enddate>20180401</enddate><creator>Wu, Carrie</creator><creator>Chiang, Mathew</creator><creator>Harrington, Amy</creator><creator>Kim, Sun</creator><creator>Ziedonis, Douglas</creator><creator>Fan, Xiaoduo</creator><general>Elsevier B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20180401</creationdate><title>Racial disparity in mental disorder diagnosis and treatment between non-hispanic White and Asian American patients in a general hospital</title><author>Wu, Carrie ; Chiang, Mathew ; Harrington, Amy ; Kim, Sun ; Ziedonis, Douglas ; Fan, Xiaoduo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c353t-970dc9b493da40541755a8b68d7ba6c011ee2dc745dfe27f6fb942686b201d973</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Asian American</topic><topic>General hospital</topic><topic>Mental health</topic><topic>Racial disparity</topic><topic>Risk factor</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wu, Carrie</creatorcontrib><creatorcontrib>Chiang, Mathew</creatorcontrib><creatorcontrib>Harrington, Amy</creatorcontrib><creatorcontrib>Kim, Sun</creatorcontrib><creatorcontrib>Ziedonis, Douglas</creatorcontrib><creatorcontrib>Fan, Xiaoduo</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Asian journal of psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wu, Carrie</au><au>Chiang, Mathew</au><au>Harrington, Amy</au><au>Kim, Sun</au><au>Ziedonis, Douglas</au><au>Fan, Xiaoduo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Racial disparity in mental disorder diagnosis and treatment between non-hispanic White and Asian American patients in a general hospital</atitle><jtitle>Asian journal of psychiatry</jtitle><addtitle>Asian J Psychiatr</addtitle><date>2018-04-01</date><risdate>2018</risdate><volume>34</volume><spage>78</spage><epage>83</epage><pages>78-83</pages><issn>1876-2018</issn><eissn>1876-2026</eissn><abstract>•Racial disparity seen in mental disorder diagnoses for AA in a general hospital.•Racial disparity seen in psychotropic treatment for AA in a general hospital.•Cambodians are at heightened risk of mental disorder diagnosis amongst AA.•Different rates of mental disorder diagnosis amongst religious affiliations in AA. The present study sought to examine the diagnosis and treatment of mental disorders comparing Asian American (AA) and non-Hispanic Whites (WNH) drawn from a population accessing a large general hospital for any reason. Socio-demographic predictors of diagnosis and treatment were also explored. Data were obtained from de-identified medical records in the Partner Health Care System’s Research Patient Data Registry. The final sample included 345,070 self-identified WNH and 16,418 self-identified AA’s between January 1, 2009 and December 31, 2009. WNH patients were more likely than AA patients to carry a diagnosis of a mental disorder (18.1% vs. 8.6%, p &lt; 0.0001) and were more likely to receive psychotropic medication treatment (15.0% vs 8.5%, p &lt; 0.0001). Logistic regression analyses of the AA cohort identified several risk factors (i.e. language, religion, gender, age) predicting the diagnosis of a mental disorder or use of psychotropic medication. Our findings on the racial disparity in mental disorder diagnosis and treatment between AA and WNH patients suggest that mental disorders are under-recognized and mental health services are under-utilized in the AA community. There remains a need for health care providers to improve screening services and to gain a better understanding of the cultural barriers that hinder mental health care among AA patients.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>29674132</pmid><doi>10.1016/j.ajp.2018.04.019</doi><tpages>6</tpages></addata></record>
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subjects Asian American
General hospital
Mental health
Racial disparity
Risk factor
title Racial disparity in mental disorder diagnosis and treatment between non-hispanic White and Asian American patients in a general hospital
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