Table 3.
Possible Mechanisms of Disparities in Services Use in Those with Need for Behavioral Services in the Past Year (bootstrap intervals presented in square brackets)†
| Non-Latino Whites | Latinos | African Americans | Latinos - Non-Latino Whites | Non-Latino Whites - African Americans | |
|---|---|---|---|---|---|
| A. Community health clinic | |||||
| Insurance No Clinic No | N = 142; n = 66 0.28 [0.21, 0.35] | N = 151; n = 26 0.20 [0.00, 0.76] | N = 199; n = 43 0.37 [0.15, 0.59] | −0.08 [−0.65, 0.49] | 0.09 [−0.14, 0.32] |
| Insurance No Clinic Yes | N = 98; n = 71 0.24 [0.14, 0.34] | N = 218; n = 34 0.37 [0.06, 0.68] | N = 245; n = 60 0.13 [0.04, 0.22] | 0.13 [−0.19, 0.46] | −0.11 [−0.25, 0.03] |
| Insurance Yes Clinic No | N = 1,172; n = 415 0.41 [0.37, 0.45] | N = 332; n = 57 0.19 [0.05, 0.34] | N = 878; n = 121 0.22 [0.11, 0.33] | −0.22 [−0.37, −0.06] | −0.19 [−0.31, −0.07] |
| Insurance Yes Clinic Yes | N = 906; n = 406 0.38 [0.33, 0.43] | N = 462; n = 99 0.41 [0.27, 0.56] | N = 1,144; n = 185 0.34 [0.25, 0.43] | 0.03 [−0.12, 0.18] | −0.04 [−0.14, 0.07] |
| B. Literacy | |||||
| Insurance No HS Edu No | N = 43; n = 24 0.21 [0.05, 0.37] | N = 204; n = 32 0.11 [0.00, 0.24] | N = 147; n = 40 0.12 [0.00, 0.25] | −0.11 [−0.32, 0.10] | −0.10 [−0.31, 0.11] |
| Insurance No HS Edu Yes | N = 196; n = 101 0.28 [0.21, 0.35] | N = 168; n = 28 0.13 [0.00, 0.32] | N = 296; n = 63 0.22 [0.09, 0.35] | −0.15 [−0.34, 0.05] | −0.06 [−0.21, 0.09] |
| Insurance Yes HS Edu No | N = 240; n = 102 0.43 [0.30, 0.57] | N = 264; n = 66 0.48 [0.22, 0.75] | N = 495; n = 100 0.21 [0.12, 0.30] | 0.05 [−0.25, 0.35] | −0.22 [−0.39, −0.06] |
| Insurance Yes HS Edu Yes | N = 1,835; n = 695 0.39 [0.36, 0.42] | N = 527; n = 89 0.39 [0.13, 0.65] | N = 1,531; n = 205 0.31 [0.23, 0.40] | −0.00 [−0.26, 0.26] | −0.08 [−0.17, 0.01] |
| C. Poverty | |||||
| Insurance No Poverty No | N = 210; n = 95 0.27 [0.20, 0.34] | N = 240; n = 42 0.11 [0.00, 0.27] | N = 288; n = 63 0.21 [0.10, 0.32] | −0.16 [−0.34, 0.01] | −0.06 [−0.19, 0.08] |
| Insurance No Poverty Yes | N = 29; n = 31 0.25 [0.09, 0.41] | N = 129; n = 18 0.25 [0.01, 0.49] | N = 156; n = 43 0.04 [0.00, 0.10] | 0.00 [−0.29, 0.29] | −0.22 [−0.38, −0.05] |
| Insurance Yes Poverty No | N = 1,899; n = 703 0.39 [0.36, 0.42] | N = 637; n = 110 0.35 [0.16, 0.54] | N = 1,551; n = 194 0.26 [0.18, 0.34] | −0.04 [−0.23, 0.16] | −0.13 [−0.22, −0.04] |
| Insurance Yes Poverty Yes | N = 175; n = 93 0.47 [0.36, 0.58] | N = 153; n = 45 0.55 [0.32, 0.78] | N = 471; n = 112 0.33 [0.20, 0.46] | 0.08 [−0.17, 0.34] | −0.14 [−0.31, 0.03] |
| D. Stigma | |||||
| Insurance No Stigma No | N = 129; n = 70 0.36 [0.26, 0.46] | N = 201; n = 31 0.28 [0.06, 0.51] | −0.08 [−0.32, 0.17] | ||
| Insurance No Stigma Yes | N = 111; n = 57 0.18 [0.10, 0.25] | N = 169; n = 30 0.21 [0.00, 0.48] | 0.03 [−0.25, 0.31] | ||
| Insurance Yes Stigma No | N = 1,103; n = 404 0.52 [0.48, 0.56] | N = 455; n = 86 0.50 [0.30, 0.70] | −0.02 [−0.22, 0.18] | ||
| Insurance Yes Stigma Yes | N = 972; n = 393 0.28 [0.23, 0.33] | N = 335; n = 74 0.25 [0.13, 0.37] | −0.03 [−0.16, 0.11] | ||
Notes. Table 3 is adjusted by the need for behavioral services. Our definition of need includes the following variables that the literature has found to be closely correlated with need (see McGuire et al. 2006; Kessler et al. 2010): gender, age, any past year psychiatric disorders, number of last year psychiatric disorders, number of chronic conditions, and measures of functional impairment.
N = effective sample size for that cell.
n = effective sample size for those with any past year disorders in that cell.
†
The bootstrap intervals are estimated as 2*SD of bootstrap estimates.