Spillover Effects in Health Service Use: Evidence From Mental Health Care Using First-Year College Housing Assignments

2014 ◽  
Vol 25 (1) ◽  
pp. 40-55 ◽  
Author(s):  
Ezra Golberstein ◽  
Daniel Eisenberg ◽  
Marilyn F. Downs
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Service ◽  
Mental Health Care ◽  
Service Use ◽  
Spillover Effects ◽  
Health Service Use ◽  
First Year ◽  
First Year College ◽  
College Housing

scholarly journals Mental Health Service Use and Perceived Unmet Needs for Mental Health Care in Asian Americans

2018 ◽  
Vol 55 (2) ◽  
pp. 241-248 ◽  
Author(s):  
Yuri Jang ◽  
Hyunwoo Yoon ◽  
Nan Sook Park ◽  
Min-Kyoung Rhee ◽  
David A. Chiriboga
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Service ◽  
Health Service ◽  
Mental Health Care ◽  
Asian Americans ◽  
Service Use ◽  
Unmet Needs ◽  
Mental Health Service Use ◽  
Health Service Use

scholarly journals Factors Associated With Mental Health Service Use AmongBlack, Latinx, and Asian Older Adults in Community-Based Organizations

2021 ◽  
pp. 073346482110128
Author(s):  
Liao Zhang ◽  
Isabel O’Malley ◽  
Mario Cruz-Gonzalez ◽  
Mayra L. Sánchez González ◽  
Margarita Alegría
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Health Care ◽  
Mental Health Service ◽  
Health Service ◽  
Mental Health Care ◽  
Service Use ◽  
Mental Health Service Use ◽  
Health Service Use ◽  
Factors Associated

Objective: Older adults of color face systemic obstacles in seeking mental health care. Unaddressed late-life mental health issues can challenge independent living and increase disability and mortality risk. This study examined factors associated with mental health service use among community-dwelling older adults. Method: This cross-sectional analysis used data from the Positive Minds-Strong Bodies trial ( N= 1,013). Results: Higher anxiety, depressive, and posttraumatic stress disorder (PTSD) symptoms increased odds of service use (odds ratio [OR] = 1.05–2.11). Asian and Latinx, but not Black, older adults had lower odds of service use than Whites (OR = 0.15–0.35). Yet Asian and Latinx older adults with higher anxiety and depression symptoms and Asians with at least one PTSD symptom had higher odds of service use than Whites with the same symptomatology (OR = 1.16–2.88). Conclusion: White older adults might be more likely to seek mental health care at lower levels of need, while Asian and Latinx older adults might seek services when they perceive greater need.

scholarly journals Racial segregation and mental health service use by older adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 957-958
Author(s):  
Kyeongmo Kim ◽  
Denise Burnette
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Health Care ◽  
Mental Health Service ◽  
Health Service ◽  
Service Use ◽  
Racial Segregation ◽  
Mental Health Service Use ◽  
Health Service Use ◽  
Race Ethnicity

Abstract Older adults living in racially segregated neighborhoods often lack access to mental health care. This study assessed the role of racial segregation in mental health service use and examined whether the relationship between segregation and mental health service use differs by race/ethnicity. We linked residential segregation data from the National Neighborhood Change Database to the 2015 Medical Expenditure Panel Survey. The sample included 4,023 adults aged 65 and older. We measured mental health service use as visit(s) to a mental health professional and/or use of prescribed medication for mental health (1=yes, 0=no) during the past year. Residential segregation was assessed using a combined measure of isolation (level of interaction with the same racial and ethnic group members) and dissimilarity (evenness of distribution of racial groups). Indices ranged from 0 (integrated) to 1 (segregated). We adjusted for age, sex, race/ethnicity, marital status, education, income, attitude toward health care, health insurance, and mental health status. Multiple logistic regression analyses showed that older adults living in more segregated counties were less likely to use a mental health service than those living in more integrated counties (OR=0.77, p=.04). The relationship did not differ by race/ethnicity. As expected, Blacks and Hispanics underused mental health services compared to Whites. The findings highlight that racial segregation limits access to mental health care. Practitioners and policy-makers should identify mental health needs and service use patterns to target services effectively and efficiently. Future research should explore the intersection of income and mental health care resources in segregated neighborhoods.

Patterns of Care in Early-Stage Breast Cancer Survivors in the First Year After Cessation of Active Treatment

2006 ◽  
Vol 24 (1) ◽  
pp. 77-84 ◽  
Author(s):  
Jeanne S. Mandelblatt ◽  
William F. Lawrence ◽  
Jennifer Cullen ◽  
Annette L. Stanton ◽  
Janice L. Krupnick ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Health Service ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Service Use ◽  
Health Care Use ◽  
Health Service Use ◽  
First Year ◽  
Surveillance Mammography

Purpose Patterns of health care use have not been well described for breast cancer survivors. The purpose of this study was to describe the health service use in a survivor cohort. Patients and Methods Women with stage I or II breast cancer were recruited (n = 558) after primary treatment for a multicenter, randomized trial of psychoeducational interventions for facilitating transition to survivorship; 418 women completed the study. Participants completed calendar diaries detailing health care use for 1 year after treatment. Services were coded using Current Procedural Terminology–Fourth Edition codes; costs were estimated using year 2000 Medicare reimbursements. Results Health care use diary data were available for 391 women (70% of the sample). On average, these survivors reported 30 episodes of health service use in the year after treatment. Total annual costs of care averaged more than $1,800 per survivor; medical office visits were the major component of costs. Type of cancer treatment, depression, and physical function and comorbid illness were independent predictors of the costs of services. There were geographic variations in initial local treatment patterns and in post-treatment costs. Notably, all women should have received surveillance mammography in the time period, but only 61.9% did so; the odds of mammogram receipt were higher for women who had a lumpectomy (v mastectomy) and women who were white (v nonwhite). Conclusion Use of health services is frequent and intensive in the first year after treatment for breast cancer. Despite frequent contact with the health care system, there is room for improvement in providing guideline-suggested surveillance mammography for survivors.

Barriers to mental health service use in Asian American and European American college students.

2020 ◽  
Vol 11 (2) ◽  
pp. 98-107 ◽  
Author(s):  
Christina B. Gee ◽  
Gagan S. Khera ◽  
Alyssa T. Poblete ◽  
Barunie Kim ◽  
Syeda Y. Buchwach
Keyword(s):  
Mental Health ◽  
College Students ◽  
Mental Health Service ◽  
Health Service ◽  
Asian American ◽  
Service Use ◽  
Mental Health Service Use ◽  
Health Service Use ◽  
European American
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