Racial and ethnic differences in major depressive episode, severe role impairment, and mental health service utilization in US adolescents

被引:11
作者
Fan, Qiping [1 ]
DuPont-Reyes, Melissa J. [2 ]
Hossain, Md Mahbub [1 ]
Chen, Lei-Shih [3 ]
Lueck, Jennifer [4 ]
Ma, Ping [1 ]
机构
[1] Texas A&M Univ, Sch Publ Hlth, Dept Hlth Promot & Community Hlth Sci, College Stn, TX 77843 USA
[2] Texas A&M Univ, Sch Publ Hlth, Dept Epidemiol & Biostat, College Stn, TX 77843 USA
[3] Texas A&M Univ, Coll Human Dev, Dept Hlth & Kinesiol, College Stn, TX 77843 USA
[4] Texas A&M Univ, Coll Liberal Arts, Dept Commun, College Stn, TX 77843 USA
关键词
Mental health; Adolescents; Major depression; National Survey on Drug Use and Health; Health services; Racial and ethnical disparities; HIGH-SCHOOL-STUDENTS; EXTERNALIZING SYMPTOMS; AFRICAN-AMERICAN; FAMILY-STRUCTURE; RISK-FACTORS; SELF-ESTEEM; IDENTITY; TRAJECTORIES; YOUTH; CHILDREN;
D O I
10.1016/j.jad.2022.03.015
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background/objectives: This study aimed to examine racial and ethnic variations in national trends, past-year prevalence, determinants of major depressive episode (MDE), MDE-related role impairment and mental health (MH) services utilization in U.S. adolescents. Methods: Data was extracted from the National Survey on Drug Use and Health (NSDUH) from 2010 to 2018. A total of 137,671 nationally representative adolescents aged 12-17 were included in the study. Weighted temporal trends in the past-year prevalence of MDE, and MDE with severe role impairment were estimated both overall and by race and ethnicity. Weighted multivariate logistic regressions were conducted to assess racial/ ethnic differences in determinants of MDE, MDE-related severe role impairment, and MH services utilization after adjusting for sociodemographic characteristics, family structure, substance use, activity participation, and problem-solving group engagement. Results: The prevalence of MDE and MDE with severe role impairment among U.S. adolescents has steadily increased, while MDE-related health services utilization remained low from 2010 to 2018. Racial and ethnic minority adolescents were more likely to experience an MDE, but less likely to use MH services compared to their White counterparts. Participating in school, family, community, or faith-based activities was significantly associated with lower MDE incidence. Problem-solving group engagement was associated with MH services utilization (all p-values < 0.05). Conclusion: High prevalence of depression and low MH service utilization among U.S. adolescents remains a public health issue. Moreover, racial/ethnic disparities persist in MH and service utilization outcomes. Future research must investigate the burden and predictors of mental illness, and the factors influencing MH services utilization in diverse adolescent populations.
引用
收藏
页码:190 / 199
页数:10
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