探索年轻人使用心理健康服务的种族和种族差异日益扩大的趋势
Stephanie Rennane1, Flora Sheng1, Bradley D Stein1
1RAND, Arlington, Virginia (Rennane, Sheng), Pittsburgh (Stein), and Boston (Dick).
Psychiatric services (Washington, D.C.)
|March 19, 2025
概括
青少年心理健康治疗中的种族和种族差异从2002年到2019年扩大. 白人年轻人治疗的增长速度超过了白人年轻人,突出了超越社会经济因素的定制干预措施的需要.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 心理健康服务 心理健康服务
背景情况:
- 青少年获得心理健康治疗对长期福祉至关重要.
- 在获得医疗保健方面的种族和种族差异是一个持续的担忧.
- 了解心理健康治疗差异的趋势对于政策制定至关重要.
研究的目的:
- 检查青年心理健康治疗中种族和民族差异的趋势.
- 单独分析内部化和外部化条件的差异.
- 从2002年到2019年,确定影响这些差异的因素.
主要方法:
- 医疗支出小组调查-家庭组件 (2002-2019) 的分析.
- 包括139,242名年轻人,年龄在5-21岁之间.
- 对人口,社会经济和健康相关因素进行调整的后勤回归模型.
主要成果:
- 与西班牙裔和黑人年轻人相比,白人年轻人对内化疾病的治疗率增长得更快,差距增加了三倍.
- 白人年轻人对外部化疾病的治疗率也增长得更快.
- 没有保险的身份对外化条件的治疗产生了负面影响;家庭收入与西班牙裔年轻人最为密切相关.
结论:
- 观察到,在青少年心理健康治疗中,种族和民族差异越来越大.
- 仅仅是社会经济因素并不能解释这些差异,这些差异因情况类型而异.
- 针对临床,文化和社会需求的量身定制干预措施对于公平获取至关重要.
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