Introduction
Does living in poverty increase the risks of mental illness? Is there a difference between race/ethnicity among the poor and those seeking mental health services? Racial/ethnic disparities in mental health issues have received an increase in attention. Recent studies indicate that people with mental illness and members of minority racial/ethnic populations are disproportionately concentrated in high poverty areas (Chung-Chung Chow, Jaffee & Snowdwn, 2003). Previous studies have indicated that African Americans with mental illness do not seek mental health services (Schnittker, 2000). Several reasons are the lack of mental health services in poverty areas and the mistrust of White physicians. However, the research article used for this research review indicates the opposite. According to Diala (2001), African Americans are more likely to accept and seek mental health issues than Whites. Costello, Keeler and Angold (2001) compared Black and White children living in poverty and those living in non-poor areas. White children living in poverty had more emotional disorders, particularly depression, more oppositional defiant disorders and conduct disorders than African American children. The use of mental health services by a community is applicable to community nursing. A part of nursing is education and it appears there needs to be more mental health education available in high poverty areas. Public awareness is the key to getting information out to those who do not know where to get help. Child services are needed in high poverty areas, because children are vulnerable to mental health problems due to living in poor conditions and high levels of violence in their neighborhoods, they experience chronic distress symptoms and behavioral problems (Chun-Chung Chow et.al., 2001). Nurses can help organize and set up programs to encourage those living in high poverty areas to seek mental health
References: Chun-Chung Chow, J., Jaffee, K., & Snowden, L. (2003). Racial/ethnic disparities in the use of mental health services in poverty areas. American Journal of Public Health, 93(5), 792-797. Costello, E., Keeler, G., Angold, A. (2001). Poverty, race/ethnicity, and psychiatric disorder: a study of rural children. American Journal of Public Health, 91(9), 1494-1498. Diala, C., Mutaner, C., Walrath, C., Nickerson, K., LaVeist, T., & Leaf, P. (2001). Racial/ethnic differences in attitudes toward seeking professional mental health services. American Journal of Public Health, 91(5), 805-807. Schnittker, J. (2000). Nature, nurture, neither, nor: Black-White differences in beliefs about the causes and appropriate treatment of mental illness. Social Forces: Vol. 78, 1100-1134. Department of Sociology, Indiana University.