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The Relationships Between Perceived Discrimination and Utilization of Mental Health Services Among African Americans and Caribbean Blacks

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Abstract

Although all ethnic/racial groups underutilize mental health services, only about one-third of African Americans and Caribbean Blacks in need utilize mental health services. An extensive literature review led us to examine if an association between perceived discrimination and mental health utilization exists. The National Survey of American Life 2001–2003 nationally representative dataset was analyzed. Variables including utilization of mental health services, perceived discrimination, and socio-demographic variables were assessed for their relationships. The study found that each of the following predictors statistically significant: being male, being employed, having household income higher than 100,000, perceiving no discrimination, being African American, or being Caribbean Black are less likely to utilize mental health services than their counterparts. This study contributes to the emerging body of evidence demonstrating that perceived discrimination has a strong connection with the utilization of mental health services.

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References

  1. Williams M. Discrimination and racial disparities in health: Evidence and needed research. J Behav Med. 2009;32(1):20–47.

    Article  Google Scholar 

  2. Williams D. Race, socioeconomic status, and health: The added effects of racism and discrimination. Ann N Y Acad Sci. 1999;896:173–88.

    Article  CAS  Google Scholar 

  3. Williams DR, Williams-Morris R. Racism and mental health: The African American experience. Ethn Health. 2000;5(3/4):243–68.

    Article  CAS  Google Scholar 

  4. Tobler AL, Maldonado-Molina MM, Staras SAS, O’Mara RJ, Livingston MD, Komro KA. Perceived racial/ethnic discrimination, problem behaviors, and mental health among minority urban youth. Ethn Health. 2013;18(4):337–49.

    Article  Google Scholar 

  5. Bonilla-Silva E. Rethinking racism: Toward a structural interpetation. Am Sociol Rev. 1997;62(3):465–80.

    Article  Google Scholar 

  6. Anderson KF. Diagnosing discrimination: stress from perceived racism and the mental and physical health effects. Sociol Inq. 2013;83(1):55–81.

    Article  Google Scholar 

  7. Ford ME, Kelly PA. Conceptualizing and categorizing race and ethnicity in health services research. Health Serv Res. 2005;40(5P2):1658–75.

    Article  Google Scholar 

  8. McFarland RL. An analysis of the association between perceived discrimination and self-reported health among university students in Southwest Florida. J Multidiscip Res. 2014;6(2):15–30.

    Google Scholar 

  9. Crawford C. Rescuing the concept of discrimination. Acad Quest. 2001;14(3):47.

    Article  Google Scholar 

  10. Gee G, Walsemann K. Does health predict the reporting of racial discrimination or do reports of discrimination predict health? Findings from the national longitudinal study of youth. Soc Sci Med. 2009;68(9):1676–84.

    Article  Google Scholar 

  11. Pascoe EA, Smart Richman L. Perceived discrimination and health: A meta-analytic review. Psychol Bull. 2009;135(4):531–54.

    Article  Google Scholar 

  12. Hunte HER, Williams DR. The association between perceived discrimination and obesity in a population-based multiracial and multiethnic adult sample. Am J Public Health. 2009;99(7):1285–92.

    Article  Google Scholar 

  13. Clark TT, Salas-Wright CP, Vaughn MG, Whitfield KE. Everyday discrimination and mood and substance use disorders: a latent profile analysis with African Americans and Caribbean Blacks. Addict Behav. 2015;40:119–25.

    Article  Google Scholar 

  14. Jackson JS, Torres M, Caldwell CH, et al. The National Survey of American Life: a study of racial, ethnic and cultural influences on mental disorders and mental health. Int J Methods Psychiatr Res. 2004;13(4):196–207.

    Article  Google Scholar 

  15. Cheng TC, Robinson MA. Factors leading African Americans and Black Caribbeans to use social work services for treating mental and substance use disorders. Health Soc Work. 2013;38(2):99–109.

    Article  Google Scholar 

  16. Woodward AT, Taylor RJ, Neighbors HW, Chatters LM, Jackson JS. The use of professional services and informal support among African Americans and Caribbean Blacks with a mental disorder. Psychiatr Serv. 2008;59(11):1292–8.

    Article  Google Scholar 

  17. Soto JA, Dawson-Andoh NA, BeLue R. The relationship between perceived discrimination and generalized anxiety disorder among African Americans, Afro Caribbeans, and non-Hispanic Whites. J Anxiety Disord. 2010;25:258–65.

    Article  Google Scholar 

  18. Taylor RJ, Forsythe-Brown I, Taylor HO, Chatters LM. Patterns of emotional social support and negative interactions among African American and Black Caribbean extended families. J Afr Am Stud. 2014;18(2):147–63.

    Article  Google Scholar 

  19. Keane F, Tappen RM, Williams CL, Rosselli M. Comparison of African American and Afro-Caribbean older adults’ self-reported health status, function, and substance use. J Black Psychol. 2009;35(1):18.

    Article  Google Scholar 

  20. Taylor RJ, Forsythe-Brown I, Mouzon DM, Keith VM, Chae DH, Chatters LM. Prevalence and correlates of everyday discrimination among black Caribbeans in the United States: the impact of nativity and country of origin. Ethn Health. 2017:1–21.

  21. Jackson JS, Caldwell CH, Chatters LM, et al. National Survey of American Life (NSAL). In: Alegria M, Jackson JS, Kessler RC, Takeuchi D, editors. Collaborative Psychiatric Epidemiology Surveys (CPES), 2001–2003. Ann Arbor: Institute for Social Research, Survey Research Center; 2007.

    Google Scholar 

  22. Jackson JS, Neighbors HW, Nesse RM, Trierweiler SJ, Torres M. Methodological innovations in the National Survey of American Life. Int J Methods Psychiatr Res. 2004;13(4):289–98.

    Article  Google Scholar 

  23. Taylor TR, Kamarck TW, Shiffman S. Validation of the Detroit area study discrimination scale in a community sample of older African American adults: The Pittsburgh Healthy Heart Project. Int J Behav Med. 2004;11(2):88–94.

    Article  Google Scholar 

  24. Williams S. Mental health service utilization among African American emerging adults. ProQuest Inf Learn. 2013;74(8-B):1–162.

    Google Scholar 

  25. Richman LS, Kohn-Wood LP, Williams DR. The role of discrimination and racial identity for mental health service utilization. J Soc Clin Psychol. 2007;26(8):960–81.

    Article  Google Scholar 

  26. Burgess DJ, Ding Y, Hargreaves M, Ryn M, Phelan S. The association between perceived discrimination and underutilization of needed medical and mental health care in a multi-ethnic community sample. J Health Care Poor Underserved. 2008;19(3):894–911.

    Article  Google Scholar 

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Correspondence to Jiunn-Jye Sheu.

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Evans, N., Sheu, JJ. The Relationships Between Perceived Discrimination and Utilization of Mental Health Services Among African Americans and Caribbean Blacks. J Immigrant Minority Health 21, 1241–1247 (2019). https://doi.org/10.1007/s10903-018-0836-0

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  • DOI: https://doi.org/10.1007/s10903-018-0836-0

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