Nguyen Kevin H, Oh Eunhae G, Ðoàn Lan N, Chu Christina T, Banawa Rachel A, Oronce Carlos Irwin A, Choy Courtney C, Zhou Sasha
Department of Health Law, Policy, and Management, Boston University School of Public Health, Boston (Nguyen); Department of Health Services, Policy, and Practice (Nguyen) and Department of Epidemiology (Choy), Brown University School of Public Health, Providence, Rhode Island; Medicare Payment Advisory Commission, Washington, D.C. (Oh); Department of Population Health, Section for Health Equity, New York University Grossman School of Medicine, New York City (Ðoàn); Asian American Research Center on Health, San Francisco (Chu); Department of Health Policy and Management, Fielding School of Public Health (Banawa), Center for Health Policy Research (Banawa), and Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine (Oronce), University of California, Los Angeles, Los Angeles; Department of Medicine, VA Greater Los Angeles Healthcare System, Los Angeles (Oronce); Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, Connecticut (Choy); Department of Public Health, Wayne State University, Detroit (Zhou).
Psychiatr Serv. 2024 Dec 19:appips20230637. doi: 10.1176/appi.ps.20230637.
Asian American (AA) and Native Hawaiian and Pacific Islander (NHPI) people are often aggregated into a monolithic group, but when they are disaggregated into ethnic groups (e.g., Chinese), inequities can be identified. Using a representative sample of adult Medicaid enrollees (N=55,215), the authors assessed inequities in self-reported access to mental or behavioral health services between non-Hispanic AA and NHPI Medicaid enrollees and non-Hispanic White Medicaid enrollees, both by racial group and across 10 disaggregated ethnic groups. AA and NHPI enrollees, by race and all 10 ethnicities, reported significantly worse mental health care access than did White enrollees. The magnitude of disparities also differed between ethnic groups, ranging from -14.6 percentage points for Native Hawaiian enrollees to -43.6 percentage points for Vietnamese enrollees.
亚裔美国人（AA）以及夏威夷原住民和太平洋岛民（NHPI）常常被归为一个单一的群体，但当他们被细分为不同的族裔群体（如华裔）时，就会发现存在不平等现象。作者利用成年医疗补助计划参保者的代表性样本（N = 55,215），按种族群体以及10个细分族裔群体，评估了非西班牙裔AA和NHPI医疗补助计划参保者与非西班牙裔白人医疗补助计划参保者在自我报告的获得心理或行为健康服务方面的不平等情况。按种族以及所有10个族裔划分，AA和NHPI参保者报告的心理健康护理可及性明显比白人参保者差。不同族裔群体之间的差距幅度也有所不同，从夏威夷原住民参保者的-14.6个百分点到越南裔参保者的-43.6个百分点不等。
