Treatment Utilization among Diverse Patients with PTSD: Nationwide Trends and Moderation by Health Insurance
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Posttraumatic stress disorder (PTSD) is a debilitating mental health condition that is estimated to affect 6% of American adults. Research suggests that racial/ethnic minority groups have elevated risk for experiencing trauma and developing PTSD and they are also less likely to receive treatment. To address this problem, we examined the relationship between treatment utilization for PTSD, race/ethnicity, and health insurance coverage. Data were obtained from a nationally representative dataset (National Epidemiologic Survey on Alcohol and Related Conditions-III). Two series of hierarchical logistic regression models were conducted to estimate likelihood of treatment utilization among varying racial/ethnic groups and insurance status, after first including education and income in models. Results found that insured individuals had more than twice the odds of utilizing PTSD-specific treatment. Black participants were significantly less likely to utilize treatment regardless of insurance status. A significant interaction was also found, where American Indian/Alaska Native participants without insurance were significantly more likely to utilize care compared to White participants without insurance. Centralized healthcare services available to individuals who identify as American Indian/Alaska Native may explain this finding and suggests a model for reducing other group-based disparities.
CitationArteaga, K. (2022). Treatment utilization among diverse patients with PTSD: Nationwide trends and moderation by health insurance (Unpublished thesis). Texas State University, San Marcos, Texas.