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Journal article
Racial and Ethnic Disparities in Community Mental Health Use Among Autistic Adolescents and Young Adults
Journal of adolescent health, v 74(6), pp 1208-1216
Jun 2024
PMID: 38493400
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The purpose of this cohort study was to evaluate differences in rate of co-occurring mental health (MH) conditions among transition-age autistic youth (TAYA) who are Black, indigenous, and other people of color, and to identify enabling variables associated with any community MH visit in this population.
Medicare-Medicaid Linked Enrollees Analytic Data Source 2012 data were used for this study. TAYA 14–29 years old who received fee-for-service Medicare, Medicaid, or both were included. Predisposing, enabling, and need variables associated with both presence of MH conditions and any community MH visit were examined with general linear modeling.
N = 122,250 TAYA were included. Black, Asian/Pacific Islander, and Hispanic TAYA were significantly less likely than White TAYA to have a diagnosis of substance-use, depressive, anxiety, attention-deficit hyperactivity disorder, or post-traumatic stress disorders. These groups were also significantly less likely to have had a community MH visit in the past year after controlling for predisposing, enabling, and need variables. Enabling variables associated with greater use of at least one community MH visit included dual enrollment in both Medicare and Medicaid and 12+ months of enrollment in 1115 or 1915(C) Medicaid waivers.
Service delivery factors are an important area of future research, particularly dual enrollment and coverage disparities for Black, indigenous, and other people of color TAYA. Examining coverage of managed care enrollees, including differences by state, may offer additional insights on how these factors impact care.
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Details
- Title
- Racial and Ethnic Disparities in Community Mental Health Use Among Autistic Adolescents and Young Adults
- Creators
- Teal W. Benevides - Augusta UniversityJennifer E. Jaremski - Institute of Public and Preventive Health, Augusta University, Augusta, GeorgiaEd-Dee Williams - Boston CollegeWei Song - Drexel University, A.J. Drexel Autism InstituteHoangmai H. Pham - Institute for Exceptional Care, Washington, D.CLindsay Shea - Drexel University, Urban Health Collaborative
- Publication Details
- Journal of adolescent health, v 74(6), pp 1208-1216
- Publisher
- Elsevier
- Number of pages
- 9
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- A.J. Drexel Autism Institute; Health Management and Policy
- Web of Science ID
- WOS:001243251400001
- Scopus ID
- 2-s2.0-85188698512
- Other Identifier
- 991022025537604721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Pediatrics
- Psychology, Developmental
- Public, Environmental & Occupational Health