title: Examining Latino differences in mental healthcare use: the roles of acculturation and attitudes towards healthcare.
abstract: Latinos are less likely to use mental health services compared to non-Latino whites, but little research has examined the relative contribution of acculturation and attitudes towards healthcare. In the current study, we analyze data from a nationally representative sample of Mexicans, Cubans, Puerto Ricans and non-Latino whites from the 2002-2003 Medical Expenditure Panel Survey (n = 30,234). Findings show different utilization patterns in use of specialty, non-specialty, and any type of mental healthcare across the three Latino subgroups. The predictive efficacy of acculturation variables on ethnic group differences varies by subgroup. Self-reliant attitudes towards healthcare are associated with lower use, but these attitudes do not explain the ethnic gaps in use.
authors.affiliation: Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality, 540 Gaither Road, Suite 5000, Rockville, MD 20850, USA. terceira.berdahl@ahrq.hhs.gov
authors.forename: Terceira A
authors.initials: TA
authors.lastname: Berdahl
authors.forename: Rosalie A
authors.initials: RA
authors.lastname: Torres Stone
mesh_terms: D000069:Acculturation; D003625:Data Collection; D005260:Female; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data*; D010342:Patient Acceptance of Health Care; D055815:Young Adult
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