title: Racial/Ethnic Disparities in Mental Health Care Utilization among U.S. College Students: Applying the Institution of Medicine Definition of Health Care Disparities.
abstract: OBJECTIVE
  The authors apply the Institute of Medicine's definition of health care disparities to college students.
  
  
  METHODS
  The analysis pools data from the first two waves of the Healthy Minds Study, a multicampus survey of students' mental health (N = 13,028). A probit model was used for any past-year service utilization, and group differences in health status were adjusted by transforming the entire distribution for each minority population to approximate the white distribution.
  
  
  RESULTS
  Disparities existed between whites and all minority groups. Compared to other approaches, the predicted service disparities were greater because this method included the effects of mediating SES variables.
  
  
  CONCLUSIONS
  Health care disparities persist in the college setting despite improved access and nearly universal insurance coverage. Our findings emphasize the importance of investigating potential sources of disparities beyond geography and coverage.
authors.affiliation: University of Arkansas for Medical Sciences Psychiatric Research Institute, Little Rock, AR, USA. huntjustinb@uams.edu.
authors.forename: Justin B
authors.initials: JB
authors.lastname: Hunt
authors.affiliation: University of Michigan School of Public Health, Ann Arbor, MI, USA.
authors.forename: Daniel
authors.initials: D
authors.lastname: Eisenberg
authors.affiliation: University of Arkansas for Medical Sciences Psychiatric Research Institute, Little Rock, AR, USA.
authors.forename: Liya
authors.initials: L
authors.lastname: Lu
authors.affiliation: University of Arkansas for Medical Sciences Psychiatric Research Institute, Little Rock, AR, USA.
authors.forename: Molly
authors.initials: M
authors.lastname: Gathright
mesh_terms: D000293:Adolescent; D000328:Adult; D005006:Ethnicity / Q000706:statistics & numerical data; D005260:Female; D054625:Healthcare Disparities / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology* / Q000628:therapy; D008605:Mental Health Services / Q000706:statistics & numerical data*; D044469:Racial Groups / Q000706:statistics & numerical data; D013333:Student Health Services / Q000706:statistics & numerical data*; D013334:Students / Q000706:statistics & numerical data*; D014481:United States / Q000453:epidemiology; D014495:Universities / Q000706:statistics & numerical data*; D055815:Young Adult
keywords: College mental health; Disparities; Statistical adjustment for mental health