Racial disparity in mental disorder diagnosis and treatment between non-hispanic White and Asian American patients in a general hospital
Department of Psychiatry; School of Medicine; Senior Scholars Program
Diagnosis | Medical Education | Psychiatry | Psychiatry and Psychology | Race and Ethnicity
PURPOSE: The present study sought to examine the diagnosis and treatment of mental disorders comparing Asian American (AA) and non-Hispanic Whites (WNH) drawn from a population accessing a large general hospital for any reason. Socio-demographic predictors of diagnosis and treatment were also explored.
METHODS: Data were obtained from de-identified medical records in the Partner Health Care System's Research Patient Data Registry.
RESULTS: The final sample included 345,070 self-identified WNH and 16,418 self-identified AA's between January 1, 2009 and December 31, 2009. WNH patients were more likely than AA patients to carry a diagnosis of a mental disorder (18.1% vs. 8.6%, p < 0.0001) and were more likely to receive psychotropic medication treatment (15.0% vs 8.5%, p < 0.0001). Logistic regression analyses of the AA cohort identified several risk factors (i.e. language, religion, gender, age) predicting the diagnosis of a mental disorder or use of psychotropic medication.
CONCLUSIONS: Our findings on the racial disparity in mental disorder diagnosis and treatment between AA and WNH patients suggest that mental disorders are under-recognized and mental health services are under-utilized in the AA community. There remains a need for health care providers to improve screening services and to gain a better understanding of the cultural barriers that hinder mental health care among AA patients.
Asian American, General hospital, Mental health, Racial disparity, Risk factor
DOI of Published Version
Wu C, Chiang M, Harrington A, Kim S, Ziedonis D, Fan X. Racial disparity in mental disorder diagnosis and treatment between non-hispanic White and Asian American patients in a general hospital. Asian J Psychiatr. 2018 Apr;34:78-83. doi: 10.1016/j.ajp.2018.04.019. Epub 2018 Apr 9. PMID: 29674132. Link to article on publisher's site
Asian journal of psychiatry
Wu, Carrie; Chiang, Mathew; Harrington, Amy; Kim, Sun; Ziedonis, Douglas M.; and Fan, Xiaoduo, "Racial disparity in mental disorder diagnosis and treatment between non-hispanic White and Asian American patients in a general hospital" (2018). University of Massachusetts Medical School. Senior Scholars Program. Paper 284.