Mental health care among blacks in America: Confronting racism and constructing solutions.

ABSTRACT:

Objectives

To describe reasons for unmet need for mental health care among blacks, identify factors associated with causes of unmet need, examine racism as a context of unmet need, and construct ways to improve service use.

Data sources

Data from the 2011-2015 National Survey on Drug Use and Health were pooled to create an analytic sample of black adults with unmet mental health need (N = 1237). Qualitative data came from focus groups (N = 30) recruited through purposive sampling.

Study design

Using sequential mixed methods, reasons for unmet need were regressed on sociodemographic, economic, and health characteristics of respondents. Findings were further explored in focus groups.

Principal findings

Higher education was associated with greater odds of reportin

SUBMITTER: Alang SM 

PROVIDER: S-EPMC6407345 | biostudies-literature | 2019 Apr

REPOSITORIES: biostudies-literature