Adolescent depression and the use of services and psychotropic medications in relation to family structure and race/ethnicity

Research output: Contribution to journalArticle

Abstract

The study examines how family structure and race/ethnicity are jointly associated with the discrepancy of adolescent past-year Major Depressive Episode (MDE) rates and the use of mental health services and psychotropic medications. Results through analyzing data from the National Survey on Drug Use and Health (2009–2016, N = 131,777) show that past-year MDE rates were low for adolescents in two-parent families (9.68%) relative to those in one-parent (11.09%) and non-parent families (12.26%, p < .001). Among adolescents with past-year MDE, the odds of receiving specialty mental health services and psychotropic medications for those in one-parent (AOR = 1.41, CI = 1.24–1.6 for specialty services; AOR = 1.32, CI = 1.12–1.56 for psychotropic medications) and non-parent (AOR = 1.38, CI = 1.07–1.77 for specialty services; AOR = 1.99, CI = 1.44–2.74 for psychotropic medications) families were substantially higher than those in two-parent families after controlling for covariates. Noticeable racial/ethnic differences existed in the family structure related variation. The results suggest that policies and practices need to be responsive to the fact that adolescents in single and non-parent families generally are at a higher risk of depression and those with a past-year MDE have an unbalanced use of psychotropic medications across race and family structure.

Original languageEnglish (US)
JournalChildren and Youth Services Review
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

family structure
medication
ethnicity
Depression
adolescent
parents
health service
Mental Health Services
mental health
Single-Parent Family
drug use
health
Health
Pharmaceutical Preparations

Keywords

  • Adolescents
  • Depression
  • Family structure
  • Mental health services
  • Psychotropic medications
  • Race/ethnicity

ASJC Scopus subject areas

  • Education
  • Developmental and Educational Psychology
  • Sociology and Political Science

Cite this

@article{70ba42f7a16b489abaa9a79ff7b77e15,
title = "Adolescent depression and the use of services and psychotropic medications in relation to family structure and race/ethnicity",
abstract = "The study examines how family structure and race/ethnicity are jointly associated with the discrepancy of adolescent past-year Major Depressive Episode (MDE) rates and the use of mental health services and psychotropic medications. Results through analyzing data from the National Survey on Drug Use and Health (2009–2016, N = 131,777) show that past-year MDE rates were low for adolescents in two-parent families (9.68{\%}) relative to those in one-parent (11.09{\%}) and non-parent families (12.26{\%}, p < .001). Among adolescents with past-year MDE, the odds of receiving specialty mental health services and psychotropic medications for those in one-parent (AOR = 1.41, CI = 1.24–1.6 for specialty services; AOR = 1.32, CI = 1.12–1.56 for psychotropic medications) and non-parent (AOR = 1.38, CI = 1.07–1.77 for specialty services; AOR = 1.99, CI = 1.44–2.74 for psychotropic medications) families were substantially higher than those in two-parent families after controlling for covariates. Noticeable racial/ethnic differences existed in the family structure related variation. The results suggest that policies and practices need to be responsive to the fact that adolescents in single and non-parent families generally are at a higher risk of depression and those with a past-year MDE have an unbalanced use of psychotropic medications across race and family structure.",
keywords = "Adolescents, Depression, Family structure, Mental health services, Psychotropic medications, Race/ethnicity",
author = "Saijun Zhang and Smith, {Douglas Cary} and Dina, {Karen Margaret-Tabb}",
year = "2018",
month = "1",
day = "1",
doi = "10.1016/j.childyouth.2018.09.004",
language = "English (US)",
journal = "Children and Youth Services Review",
issn = "0190-7409",
publisher = "Elsevier Limited",

}

TY - JOUR

T1 - Adolescent depression and the use of services and psychotropic medications in relation to family structure and race/ethnicity

AU - Zhang, Saijun

AU - Smith, Douglas Cary

AU - Dina, Karen Margaret-Tabb

PY - 2018/1/1

Y1 - 2018/1/1

N2 - The study examines how family structure and race/ethnicity are jointly associated with the discrepancy of adolescent past-year Major Depressive Episode (MDE) rates and the use of mental health services and psychotropic medications. Results through analyzing data from the National Survey on Drug Use and Health (2009–2016, N = 131,777) show that past-year MDE rates were low for adolescents in two-parent families (9.68%) relative to those in one-parent (11.09%) and non-parent families (12.26%, p < .001). Among adolescents with past-year MDE, the odds of receiving specialty mental health services and psychotropic medications for those in one-parent (AOR = 1.41, CI = 1.24–1.6 for specialty services; AOR = 1.32, CI = 1.12–1.56 for psychotropic medications) and non-parent (AOR = 1.38, CI = 1.07–1.77 for specialty services; AOR = 1.99, CI = 1.44–2.74 for psychotropic medications) families were substantially higher than those in two-parent families after controlling for covariates. Noticeable racial/ethnic differences existed in the family structure related variation. The results suggest that policies and practices need to be responsive to the fact that adolescents in single and non-parent families generally are at a higher risk of depression and those with a past-year MDE have an unbalanced use of psychotropic medications across race and family structure.

AB - The study examines how family structure and race/ethnicity are jointly associated with the discrepancy of adolescent past-year Major Depressive Episode (MDE) rates and the use of mental health services and psychotropic medications. Results through analyzing data from the National Survey on Drug Use and Health (2009–2016, N = 131,777) show that past-year MDE rates were low for adolescents in two-parent families (9.68%) relative to those in one-parent (11.09%) and non-parent families (12.26%, p < .001). Among adolescents with past-year MDE, the odds of receiving specialty mental health services and psychotropic medications for those in one-parent (AOR = 1.41, CI = 1.24–1.6 for specialty services; AOR = 1.32, CI = 1.12–1.56 for psychotropic medications) and non-parent (AOR = 1.38, CI = 1.07–1.77 for specialty services; AOR = 1.99, CI = 1.44–2.74 for psychotropic medications) families were substantially higher than those in two-parent families after controlling for covariates. Noticeable racial/ethnic differences existed in the family structure related variation. The results suggest that policies and practices need to be responsive to the fact that adolescents in single and non-parent families generally are at a higher risk of depression and those with a past-year MDE have an unbalanced use of psychotropic medications across race and family structure.

KW - Adolescents

KW - Depression

KW - Family structure

KW - Mental health services

KW - Psychotropic medications

KW - Race/ethnicity

UR - http://www.scopus.com/inward/record.url?scp=85053860750&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85053860750&partnerID=8YFLogxK

U2 - 10.1016/j.childyouth.2018.09.004

DO - 10.1016/j.childyouth.2018.09.004

M3 - Article

JO - Children and Youth Services Review

JF - Children and Youth Services Review

SN - 0190-7409

ER -