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Ethnic disparities in mental health treatment gap in a community-based survey and in access to care in psychiatric clinics

Author

Listed:
  • Ora Nakash
  • Maayan Nagar
  • Eli Danilovich
  • Daphne Bentov-Gofrit
  • Ido Lurie
  • Evelyne Steiner
  • Shiri Sadeh-Sharvit
  • Henri Szor
  • Itzhak Levav

Abstract

Background: Contrasting social status of ethnic groups differentially impacts the use of psychiatric services, including in Israel, despite its universal health system. However, relevant studies are limited. Aims: To examine ethnic differences in mental health treatment gap and in access to specialized care. Methods: Data were gathered from two sources. Study I included Mizrahi (Jews of North African/Asian origin, socially disadvantaged, n = 136) and Ashkenazi (Jews of European American origin, socially advantaged, n = 69) who were diagnosed with common mental disorders in the preceding 12 months in the Israeli component of the World Mental Health Survey. Study II included Mizrahi ( n = 133) and Ashkenazi ( n = 96) service users entering ambulatory mental health care. Results: Study I showed that the treatment gap was larger among Mizrahi compared with Ashkenazi respondents (28% standard error (SE) = 4.1 and 45% SE = 6.2, respectively, sought services) following adjustment for sociodemographic confounders (adjusted odds ratio (AOR) = 2.28, 95% confidence interval (CI) = 1.1–4.8). Study II showed that the access to specialized care lagged over a year among 40% of service users of both ethnic groups. No significant ethnic differences emerged in variables related to delay in accessing care. Conclusions: Treatment gap was larger among ethnically disadvantaged compared with the advantaged group. However, once in treatment, service users of both ethnic groups report similar barriers to care.

Suggested Citation

  • Ora Nakash & Maayan Nagar & Eli Danilovich & Daphne Bentov-Gofrit & Ido Lurie & Evelyne Steiner & Shiri Sadeh-Sharvit & Henri Szor & Itzhak Levav, 2014. "Ethnic disparities in mental health treatment gap in a community-based survey and in access to care in psychiatric clinics," International Journal of Social Psychiatry, , vol. 60(6), pages 575-583, September.
    • Handle: RePEc:sae:socpsy:v:60:y:2014:i:6:p:575-583
    DOI: 10.1177/0020764013504562
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    References listed on IDEAS

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    1. Katz, S.J. & Kessler, R.C. & Frank, R.G. & Leaf, P. & Elizabeth, L. & Edlund, M., 1997. "The use of outpatient mental health services in the United States and Ontario: The impact of mental morbidity and perceived need for care," American Journal of Public Health, American Public Health Association, vol. 87(7), pages 1136-1143.
    2. Nadia Kadri & Norman Sartorius, 2005. "The Global Fight against the Stigma of Schizophrenia," PLOS Medicine, Public Library of Science, vol. 2(7), pages 1-1, July.
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    Cited by:

    1. Katja Çilenti & Shadia Rask & Marko Elovainio & Eero Lilja & Hannamaria Kuusio & Seppo Koskinen & Päivikki Koponen & Anu E. Castaneda, 2021. "Use of Health Services and Unmet Need among Adults of Russian, Somali, and Kurdish Origin in Finland," IJERPH, MDPI, vol. 18(5), pages 1-21, February.
    2. Sarah Abu-Kaf & Ora Nakash & Tsahi Hayat & Michal Cohen, 2022. "Social Support and Psychological Distress among the Bedouin Arab Elderly in Israel: The Moderating Role of Gender," IJERPH, MDPI, vol. 19(7), pages 1-10, April.

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