Racial and ethnic disparities in the treatment of depression
a scoping review
DOI:
https://doi.org/10.29352/mill0207e.12.00362Keywords:
depression, ethnicity and health, race factorsAbstract
Introduction: It is now recognized that ethnic and racial minorities have less access to mental health in general and to the treatment of depression in particular. Where access exists, they receive a lower quality service.
Objective: To map and synthesise the existence of racial and ethnic inequality in the treatment of depression.
Methods: A scoping review has been performed using the method proposed by Joanna Briggs Institute. The selection of studies, extraction and synthesis of data were carried out by two independent reviewers.
Results: Five studies have been included in the study corpus that reveal unequivocal racial and ethnic inequalities in the treatment of depression. These inequalities lead to underdiagnosis and a lack of adequate treatment for non-caucasian patients, manifested by a lower probability of pharmacological prescription of antidepressants and counselling.
Conclusion: Race and ethnic inequalities in the treatment of depression are found to have a direct impact on underdiagnosis and lack of adequate treatment.
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References
Almeida, S. (2019). Racismo Estrutural. Brasil: Pólen Livros
APA. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). VA, United States: American Psychiatric Association Publishing.
Bailey, R. K., Mokonogho, J., & Kumar, A. (2019). Racial and ethnic differences in depression: current perspectives. Neuropsychiatric disease and treatment, 15, 603-609. doi:10.2147/NDT.S128584
Gameiro, S., Carona, C., Pereira, M., Canavarro, M. C., Simões, M., Rijo, D., . . . Serra, A. V. (2008). Sintomatologia depressiva e qualidade de vida na população geral. Psicologia, Saúde & Doenças, 9, 103-112.
Hankerson, S. H., Suite, D., & Bailey, R. K. (2015). Treatment disparities among African American men with depression: implications for clinical practice. Journal of health care for the poor and underserved, 26(1), 21-34. doi:10.1353/hpu.2015.0012
Kim, M. (2014). Racial/Ethnic disparities in depression and its theoretical perspectives. Psychiatr Q, 85(1), 1-8. doi:10.1007/s11126-013-9265-3
Lagomasino, I. T., Stockdale, S. E., & Miranda, J. (2011). Racial-ethnic composition of provider practices and disparities in treatment of depression and anxiety, 2003-2007. Psychiatric services (Washington, D.C.), 62(9), 1019-1025. doi:10.1176/appi.ps.62.9.1019
McGregor, B., Li, C., Baltrus, P., Douglas, M., Hopkins, J., Wrenn, G., . . . Gaglioti, A. (2020). Racial and Ethnic Disparities in Treatment and Treatment Type for Depression in a National Sample of Medicaid Recipients. Psychiatric Services, 71(7), 663-669. doi:10.1176/appi.ps.201900407
MIND. (2013). Mental health crisis care: Commissioning excellence for black and minority ethnic groups. Retrieved from https://www.mind.org.uk/media-a/4371/bme-commissioning-excellence-briefing.pdf
Office of the Surgeon General, U. S., Center for Mental Health Services, U. S., & National Institute of Mental Health, U. S. (2001). Mental Health: Culture, Race, and Ethnicity: A Supplement to Mental Health: A Report of the Surgeon General. Rockville (MD): Substance Abuse and Mental Health Services Administration. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK44243/
Peters, M. D., Godfrey, C. M., Khalil, H., McInerney, P., Parker, D., & Soares, C. B. (2015). Guidance for conducting systematic scoping reviews. Int J Evid Based Healthc, 13(3), 141-146. doi:10.1097/xeb.0000000000000050
Shao, Z., Richie, W. D., & Bailey, R. K. (2016). Racial and Ethnic Disparity in Major Depressive Disorder. J Racial Ethn Health Disparities, 3(4), 692-705. doi:10.1007/s40615-015-0188-6
Tricco, A. C., Lillie, E., Zarin, W., O'Brien, K. K., Colquhoun, H., Levac, D., . . . Straus, S. E. (2018). PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Ann Intern Med, 169(7), 467-473. doi:10.7326/m18-0850
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