Ethnic Identity, Acculturation, and 12-Month Psychiatric Service Utilization Among Black and Hispanic Adults in the U.S.

  • Inger Burnett-Zeigler
  • Yuri Lee
  • Kipling M. Bohnert

DOI: 10.1007/s11414-017-9557-8

Cite this article as:
Burnett-Zeigler, I., Lee, Y. & Bohnert, K.M. J Behav Health Serv Res (2017). doi:10.1007/s11414-017-9557-8


A cross-sectional study design was used to examine the associations of ethnic identity, acculturation, and psychiatric service utilization among Wave 2 respondents of the National Epidemiologic Survey on Alcohol Related Conditions with 12-month psychiatric disorders who self-identified as Black (6587, 19%) and Hispanic (6359, 18%). Weighted multivariable regression analyses were conducted to examine the relationships between ethnic identity, acculturation, and 12-month psychiatric service utilization. Stronger ethnic identity was associated with decreased odds of using psychiatric services among Black (AOR = 0.956; CI = 0.923–0.991) and Hispanic individuals (AOR = 0.967; CI = 0.945–0.990). Greater acculturation was associated with an increased odds of psychiatric service utilization for Hispanic individuals (AOR = 1.025; CI = 1.000–1.050). These findings suggest that a sense of pride, belonging, and attachment to one’s racial/ethnic group and participating in ethnic behaviors is associated with lower rates of participation in psychiatric services; alternatively, acquiring key elements of the U.S. culture is associated with greater participation in psychiatric services.


Ethnic identity Acculturation Race/ethnicity Psychiatry Service utilization 

Copyright information

© National Council for Behavioral Health 2017

Authors and Affiliations

  • Inger Burnett-Zeigler
    • 1
  • Yuri Lee
    • 1
  • Kipling M. Bohnert
    • 2
    • 3
  1. 1.Department of Psychiatry and Behavioral SciencesNorthwestern University, Feinberg School of MedicineChicagoUSA
  2. 2.Department of PsychiatryUniversity of Michigan Medical SchoolAnn ArborUSA
  3. 3.VA Ann Arbor Healthcare System, VA Serious Mental Illness Treatment Research and Evaluation Center (SMITREC) and VA Center for Clinical Management ResearchAnn ArborUSA

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