title: Treatment barriers for low-income, urban African Americans with undiagnosed posttraumatic stress disorder.
abstract: African Americans in low-income, urban communities are at high risk for exposure to traumatic events as well as for symptoms of posttraumatic stress disorder (PTSD). Approximately 22% of 220 participants recruited from urban hospital medical clinics met survey criteria for PTSD. Among the common traumas were having relatives/friends murdered (47%), being attacked with weapons (64% of men), and being sexually attacked (36% of women). Although desiring mental health services, only 13.3% of those with PTSD had prior trauma-focused treatment. Barriers to treatment included limited transportation and finances, family disapproval, and unfamiliarity with accessing treatment, among others. These data highlight the need for an awareness of the high prevalence of trauma and PTSD in this population.
authors.affiliation: Department of Psychiatry, Emory University, Grady Memorial Hospital, Atlanta, GA, USA.
authors.forename: Regina G
authors.initials: RG
authors.lastname: Davis
authors.forename: Kerry J
authors.initials: KJ
authors.lastname: Ressler
authors.forename: Ann C
authors.initials: AC
authors.lastname: Schwartz
authors.forename: Kisha James
authors.initials: KJ
authors.lastname: Stephens
authors.forename: Rebekah G
authors.initials: RG
authors.lastname: Bradley
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000523:psychology* / Q000706:statistics & numerical data; D000368:Aged; D003155:Community Mental Health Centers / Q000706:statistics & numerical data*; D003695:Delivery of Health Care / Q000379:methods* / Q000706:statistics & numerical data; D005192:Family Health; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D054625:Healthcare Disparities / Q000706:statistics & numerical data; D006801:Humans; D008016:Life Change Events; D008297:Male; D008875:Middle Aged; D010555:Personality Inventory / Q000706:statistics & numerical data; D011203:Poverty / Q000523:psychology* / Q000706:statistics & numerical data; D015995:Prevalence; D012737:Sex Factors; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D014186:Transportation / Q000592:standards; D014481:United States / Q000453:epidemiology