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28 Jun 2014

Do minority men access mental health treatment?

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June 28, 2014 Category: Health Posted by:

By Gilan Gertz 

decodedscience.com

Men from ethnic minority groups resist using mental health treatment, but why? Researchers from the Royal Holloway University have found that male members of ethnic minority groups take longer to recover from mental illness than do white men, because the minorities are reluctant to seek professional help.

In a talk given during Mental Health Awareness week, Dr. Frank Keating shared insights into the research, which theorizes that the stigma associated with mental illness, among other factors, prevents men from obtaining treatment for depression, anxiety and other mental health disorders.

When interviewing men from African, Indian, Chinese and other communities in London, they found that the respondents were loathe to speak openly about their feelings, as it clashed with their ideas about masculine identity. Other studies, however, find that the reason for the lack of mental health care among minorities could be as simple as lack of access.

Uneven Access to Mental Health Care

This minority/mental health phenomenon stretches across the globe. In the U.S., the Office of Minority Health and Health Equity at the Center for Disease Control and Prevention laments the mental health conditions of minority men. Its 2013 report about health disparities notes that the highest suicide rates in the U.S. were among American Indian/Alaskan Natives, ages 15-34.

At the Surgeon General’s office, a similarly dismal statistic emerged: African Americans are more likely than their white counterparts to experience a mental disorder, but they are less likely to be treated for the disorder.

Aside from the stigma associated with mental illness, economics and distrust of the medical profession contribute to the low rate of treatment.

In 2011, records of the American Census Bureau indicated that 30.1 percent of Hispanic people and 19.5 percent of black people had no health insurance coverage. In comparison, only 11.1 percent of white, non-Hispanic people were uninsured.

Obviously, lack of health insurance presents a huge barrier to obtaining mental health treatment.

Cultural Sensitivity and Mental Health Services

Dr. Clifford Broman, a researcher at Michigan State University, reviewed survey answers from young adults to determine how race affects the receipt of mental health services. He used data from the National Longitudinal Study of Adolescent Health, which first interviewed students when they were in grades 7-12, then followed up with them when they were ages 18-26.

Broman found that young adult blacks are less likely to have received mental health services than their white counterparts. More surprisingly, he saw that blacks with higher levels of education are significantly less likely than uneducated black people to access mental health services.

Conversely, for whites, education is associated with greater use of mental health services. Also, blacks are unlikely to become return customers for mental health treatment.

Broman conjectures that poor treatment of blacks by practitioners leads them to avoid future visits. The absence of culturally sensitive treatment could erode the trust needed to establish a therapeutic relationship.

It’s Not the Attitude, It’s the System

A 2009 study led by Dr. Ruth S. Shim of the Morehouse School of Medicine in Atlanta examined attitudes and beliefs of people from racial-ethnic minority groups. They reviewed survey answers to determine the differences in thinking about seeking mental health treatment among non-Hispanic white, African-American, and Hispanic people.

The results of the study showed that the attitudes are not the problem. African Americans and Hispanics actually have more positive attitudes toward obtaining mental health treatment than whites do. Instead, according to this study, it is probably external barriers such as a lack of health insurance coverage or available care that are preventing people from minority groups from accessing treatment.

Mental Health Treatment: Opening the Door

Typically, people avoid mental health treatment because of stigma, fear of emotion, fear of disclosure, and anticipated utility, which is the perception of how useful a therapist will be, according to Vogel, et.al, 2007.  All of these factors, plus limited economic resources, are most likely the issues preventing minority men from seeking help when needed.

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