Women and outpatient mental health services: Use by black, Hispanic, and white women in a national insured population
- 66 Downloads
Factors affecting ethnic differences in women’s use of outpatient mental health services were analyzed to determine whether lower use by black and Hispanic women occurred when socioeconomic and other factors are controlled. Employing the Andersen and Newman model of health use, insurance claims of 1.2 million federal employees insured by Blue Cross/Blue Shield in 1983 were analyzed to identify significant predictors of use. Results revealed that black and Hispanic women had lower probabilities and amounts of use when compared to white women even after controlling for a number of variables. Further research is needed to examine cultural and gender-related factors that may underlie ethnic differences; attitudinal factors and service system barriers are also implicated. Such findings have policy implications in the current climate of health care reform for which efforts are needed to increase access to care for ethnic minority women and other underserved populations.
Unable to display preview. Download preview PDF.
- 1.President’s Commission on Mental Health.Task Panel Reports: The nature and Scope of the Problem (Vol. 2). Washington, DC: U.S. Govt. Printing Office, 1978.Google Scholar
- 3.Robins LN, Regier DA (Eds.):Psychiatric Disorders in America: The Epidemiologic Catchment Area Study. New York: Free Press, 1991.Google Scholar
- 7.Hough RL, Landsverk JA, Karno M et al.: Utilization of health and mental health services by Los Angeles Mexican American and non-Hispanic whites.Archives of General Psychiatry 1978; 44:702–709.Google Scholar
- 13.Penn NE, Levy VL, Penn BP: Professional services preferred by urban elderly women.American Journal of Social Psychiatry 1986; 4:129–130.Google Scholar
- 14.Palacios M, Franco JN: Counseling Mexican-American women.Journal of Multicultural Counseling and Development 1986; 14:124–131.Google Scholar
- 17.Yamamoto J, Silva JA: Do Hispanics underutilize mental health services? In: Gaviria M, Arana JD (Eds.):Health and Behavior: Research Agenda for Hispanics. Chicago: Simon Bolivar Hispanic American Psychiatric Research and Training Center, 1987, pp. 88–99.Google Scholar
- 25.Rosenstein MJ:Hispanic Americans and Mental Health Services: A Comparison of Hispanic, Black, and White Admissions to Selected Mental Health Facilities, 1975. Washington, DC: U.S. Govt. Printing Office, 1980.Google Scholar
- 30.Lopez S: Mexican-American usage of mental health facilities: Under-utilization considered. In: Baron A (Ed.):Explorations in Chicano Psychology. New York: Praeger, 1981, pp. 139–148.Google Scholar
- 34.Wells K, Manning W, Duan J, et al.:Cost Sharing and the Demand for Ambulatory Mental Health Services. Santa Monica, CA: RAND, 1982.Google Scholar
- 37.Steinberg D, Colla P:Logit: A Supplementary Module for Systat. Evanston, IL: Systat, Inc., 1991.Google Scholar
- 38.Cohen J, Cohen P:Applied Multiple Regression/Correlation for the Behavioral Sciences, Hillsdale, NJ: Lawrence Erlbaum Associates, 1983.Google Scholar