Racial/Ethnic Disparities in Mental Health Care Utilization among US College Students: Applying the Institution of Medicine Definition of Health Care Disparities

被引:50
作者
Hunt, Justin B. [1 ]
Eisenberg, Daniel [2 ]
Lu, Liya [1 ]
Gathright, Molly [1 ]
机构
[1] Univ Arkansas, Med Sci Psychiat Res Inst, Little Rock, AR 72204 USA
[2] Univ Michigan, Sch Publ Hlth, Ann Arbor, MI 48109 USA
关键词
College mental health; Disparities; Statistical adjustment for mental health; COMORBIDITY SURVEY REPLICATION; UNITED-STATES; PSYCHIATRIC-DISORDERS; ETHNIC DISPARITIES; AFRICAN-AMERICANS; PREVALENCE; SERVICES; WHITES;
D O I
10.1007/s40596-014-0148-1
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
The authors apply the Institute of Medicine's definition of health care disparities to college students. The analysis pools data from the first two waves of the Healthy Minds Study, a multicampus survey of students' mental health (N = 13,028). A probit model was used for any past-year service utilization, and group differences in health status were adjusted by transforming the entire distribution for each minority population to approximate the white distribution. Disparities existed between whites and all minority groups. Compared to other approaches, the predicted service disparities were greater because this method included the effects of mediating SES variables. Health care disparities persist in the college setting despite improved access and nearly universal insurance coverage. Our findings emphasize the importance of investigating potential sources of disparities beyond geography and coverage.
引用
收藏
页码:520 / 526
页数:7
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