The Relationships Among Neighborhood Disadvantage, Mental Health and Developmental Disabilities Diagnoses, and Race/Ethnicity in a U.S. Urban Location.

Autor: Davis DW; Department of Pediatrics, University of Louisville School of Medicine, 571 S. Floyd Street, Louisville, KY, 40202, USA. deborah.davis@louisville.edu.; Norton Children's Research Institute Affiliated With the University of Louisville School of Medicine, Louisville, KY, USA. deborah.davis@louisville.edu., Jawad K; Norton Children's Research Institute Affiliated With the University of Louisville School of Medicine, Louisville, KY, USA., Feygin YB; Norton Children's Research Institute Affiliated With the University of Louisville School of Medicine, Louisville, KY, USA., Stevenson M; Department of Pediatrics, University of Louisville School of Medicine, 571 S. Floyd Street, Louisville, KY, 40202, USA.; Norton Children's Medical Group, Louisville, KY, USA., Wattles B; Department of Pediatrics, University of Louisville School of Medicine, 571 S. Floyd Street, Louisville, KY, 40202, USA., Jones VF; Department of Pediatrics, University of Louisville School of Medicine, 571 S. Floyd Street, Louisville, KY, 40202, USA.; University of Louisville Health Science Center Office of Diversity and Inclusion, Louisville, KY, USA., Porter J; Department of Pediatrics, University of Louisville School of Medicine, 571 S. Floyd Street, Louisville, KY, 40202, USA.; Norton Children's Medical Group, Louisville, KY, USA., Lohr WD; Department of Pediatrics, University of Louisville School of Medicine, 571 S. Floyd Street, Louisville, KY, 40202, USA.; Norton Children's Medical Group, Louisville, KY, USA.; Kentucky Cabinet for Health and Family Services, Frankfort, KY, USA., Le J; Department of Pediatrics, University of Louisville School of Medicine, 571 S. Floyd Street, Louisville, KY, 40202, USA.; Norton Children's Medical Group, Louisville, KY, USA.
Jazyk: angličtina
Zdroj: Child psychiatry and human development [Child Psychiatry Hum Dev] 2024 Aug 27. Date of Electronic Publication: 2024 Aug 27.
DOI: 10.1007/s10578-024-01751-w
Abstrakt: Childhood health disparities by race have been found. Neighborhood disadvantage, which may result from racism, may impact outcomes. The aim of the study is to describe the distribution of mental health (MH) and developmental disabilities (DD) diagnosis across Child Opportunity Index (COI) levels by race/ethnicity. A cross-sectional study using 2022 outpatient visit data for children < 18 years living in the Louisville Metropolitan Area (n = 115,738) was conducted. Multivariable logistic regression analyses examined the association between diagnoses and COI levels, controlling for sex and age. Almost 18,000 children (15.5%) had a MH or DD (7,905 [6.8%]) diagnosis. In each COI level, the prevalence of MH diagnosis was lower for non-Hispanic (N-H) Black than for N-H White children. In adjusted analyses, there were no significant associations between diagnoses and COI for non-White children for MH or DD diagnoses. The odds of receiving a MH [OR: 1.74 (95% CI: 1.62, 1.87)] and DD [OR: 1.69 (95% CI: 1.51, 1.88)] diagnosis were higher among N-H White children living in Very Low compared to Very High COI areas. Current findings suggest that COI does not explain disparities in diagnosis for non-White children. More research is needed to identify potential multi-level drivers such as other forms of racism. Identifying programs, policies, and interventions to reduce childhood poverty and link children and families to affordable, family-centered, quality community mental and physical health resources is needed to ensure that families can build trusting relationships with the providers while minimizing stigma.
(© 2024. The Author(s).)
Databáze: MEDLINE
Externí odkaz: