Access Restriction

Author Dinwiddie, Gniesha Y. ♦ Gaskin, Darrell J. ♦ Chan, Kitty S. ♦ Norrington, Janette ♦ McCleary, Rachel
Source World Health Organization (WHO)-Global Index Medicus
Content type Text
Publisher Elsevier
File Format HTM / HTML
Language English
Difficulty Level Medium
Subject Domain (in DDC) Philosophy & psychology ♦ Psychology ♦ Social sciences ♦ Social groups ♦ Social problems & services; associations ♦ Social welfare problems & services ♦ Natural sciences & mathematics ♦ Life sciences; biology ♦ Natural history of organisms ♦ Technology ♦ Medicine & health ♦ Incidence & prevention of disease ♦ Diseases ♦ Management & auxiliary services ♦ General management ♦ Manufacture for specific uses ♦ Precision instruments & other devices
Subject Domain (in MeSH) Eukaryota ♦ Organisms ♦ Investigative Techniques ♦ Analytical, Diagnostic and Therapeutic Techniques and Equipment ♦ Behavioral Disciplines and Activities ♦ Psychiatry and Psychology ♦ Persons ♦ Persons ♦ Population Characteristics ♦ Health Services Administration ♦ Health Care ♦ Geographic Locations ♦ Geographic Locations
Subject Keyword Discipline Medicine ♦ African Americans ♦ Psychology ♦ European Continental Ancestry Group ♦ Health Services Accessibility ♦ Statistics & Numerical Data ♦ Healthcare Disparities ♦ Ethnology ♦ Hispanic Americans ♦ Mental Health Services ♦ Utilization ♦ Residence Characteristics ♦ Adolescent ♦ Adult ♦ Aged ♦ Female ♦ Humans ♦ Logistic Models ♦ Male ♦ Middle Aged ♦ United States ♦ Young Adult ♦ Journal Article ♦ Research Support, N.i.h., Extramural
Abstract Residential characteristics influence opportunities, life chances and access to health services in the United States but what role does residential segregation play in differential access and mental health service utilization? We explore this issue using secondary data from the 2006 Medical Expenditure Panel Survey, 2006 American Medical Association Area Research File and the 2000 Census. Our sample included 9737 whites, 3362 African Americans and 5053 Latinos living in Metropolitan Statistical Areas. Using logistic regression techniques, results show respondents high on Latino isolation and Latino centralization resided in psychiatrist shortage areas whereas respondents high on African American concentration had access to psychiatrists in their neighborhoods. Predominant race of neighborhood was associated with the type of mental health professional used where respondents in majority African American neighborhoods were treated by non-psychiatrists and general doctors whereas respondents in majority Latino neighborhoods saw general doctors. Respondents high on Latino Isolation and Latino Centralization were more likely to utilize non-psychiatrists. These findings suggest that living in segregated neighborhoods influence access and utilization of mental health services differently for race/ethnic groups which contradicts findings that suggest living in ethnic enclaves is beneficial to health.
Spatial Coverage United States
Description Country affiliation: United States
Author Affiliation: Dinwiddie GY ( African American Studies Department, University of Maryland College Park, 1147 Taliaferro Hall, College Park, MD 20742, United States.
ISSN 02779536
Educational Role Student ♦ Teacher
Age Range above 22 year
Educational Use Reading ♦ Research ♦ Self Learning
Interactivity Type Expositive
Education Level UG and PG
Learning Resource Type Article
Publisher Date 2013-03-01
Publisher Place Great Britain (UK)
e-ISSN 18735347
Journal Social Science & Medicine
Volume Number 80

Source: WHO-Global Index Medicus