Table 3.
Racial/ethnic differences in the receipt of treatment for major depression across provider types among U.S. adolescents
| Saw/Talked to a Mental Health Professional for MDE |
Saw/Talked to a Medical Professional for MDE |
|||||||
|---|---|---|---|---|---|---|---|---|
| Model 1 | Model 2 | Model 3 | Model 4 | |||||
| RD(%)a | 95% CI | RD(%)a | 95% CI | RD(%)a | 95% CI | RD(%)a | 95% CI | |
| Blackb | −6.0 | (−10.3, −1.8) | −5.0 | (−9.2, −0.7) | −5.4 | (−7.5, −3.4) | −5.7 | (−7.6, −3.8) |
| Hispanicb | −6.2 | (−10.0, −2.5) | −4.9 | (−8.8, −1.0) | −4.3 | (−6.9, −1.7) | −4.3 | (−7.0, −1.5) |
| Asianb | −16.0 | (−23.2, −8.7) | −14.6 | (−21.7, −7.5) | −10.2 | (−12.8, −7.5) | −10.1 | (−12.7, −7.5) |
| Other Raceb | −2.3 | (−8.4, 3.8) | −1.8 | (−7.8, 4.2) | −0.4 | (−5.1, 4.2) | −0.8 | (−5.4, 3.7) |
| Age (12–17) | 0.5 | (−0.5, 1.5) | 0.5 | (−0.5, 1.5) | 1.4 | (0.8, 2.0) | 1.5 | (0.9, 2.1) |
| Female | 5.2 | (2.0, 8.3) | 5.3 | (2.1, 8.4) | 2.6 | (0.5, 4.8) | 2.6 | (0.4, 4.7) |
| Lives w/ 2 parents (1=yes) | −5.1 | (−8.4, −1.7) | −6.8 | (−10.3, −3.2) | −1.1 | (−3.0, 0.8) | −1.2 | (−3.4, 1.0) |
| Severe MDE Impairment (1=yes) | 16.2 | (13.5, 19.0) | 16.1 | (13.4, 18.7) | 8.9 | (6.3, 11.5) | 8.8 | (6.3, 11.4) |
| Illicit Drug Abuse/Dependence (1=yes) | 3.6 | (−1.0, 8.2) | 3.6 | (−0.9, 8.1) | 3.7 | (0.2, 7.2) | 3.6 | (0.2, 7.1) |
| Alcohol Abuse/ Dependence (1=yes) | 6.4 | (1.4, 11.3) | 6.2 | (1.3, 11.1) | −0.5 | (−3.5, 2.5) | −0.4 | (−3.5, 2.6) |
| Fair/Poor Health (1=yes) | 7.0 | (2.2, 11.9) | 7.3 | (2.5, 12.2) | 3.1 | (−0.9, 7.2) | 3.1 | (−1.0, 7.2) |
| Income 20–50Kc | 3.2 | (−2.1, 8.5) | −1.0 | (−4.4, 2.4) | ||||
| Income 50–75Kc | 5.7 | (−0.3, 11.7) | 1.8 | (−2.0, 5.7) | ||||
| Income >75Kc | 6.7 | (0.5, 12.9) | 0.9 | (−3.2, 4.9) | ||||
| Private Insuranced | 7.2 | (0.7, 13.6) | 4.9 | (1.2, 8.7) | ||||
| Public Insuranced | 9.1 | (2.4, 15.7) | 9.6 | (4.0, 15.3) | ||||
| Insurance Unknownd | −1.5 | (−15.8, 12.9) | 5.6 | (−6.2, 17.3) | ||||
Note: N=7,618; All models include year fixed effects. MDE=Major Depressive Episode;
a
Risk differences for racial/ethnic categories estimated at the mean value of covariates Omitted Reference Categories:
b
Non-Hispanic Whites;
c
Family income <20K;
d
Uninsured