TY - JOUR KW - Adolescent KW - African Americans KW - Child KW - Child, Preschool KW - Cross-Sectional Studies KW - Female KW - Health Knowledge, Attitudes, Practice KW - Hispanic Americans KW - Humans KW - Male KW - Mental Health Services/organization & administration/utilization KW - Parents KW - Primary Health Care/organization & administration AU - J. D. Brown AU - L. S. Wissow AU - C. Zachary AU - B. L. Cook A1 - AB - BACKGROUND: Primary care providers (PCPs) play a critical role in the identification and treatment of child and adolescent mental health problems but few studies have examined parents' attitudes on receiving advice about child mental health from a PCP and whether attitudes are associated with race or ethnicity. OBJECTIVE: To determine if race and ethnicity were associated with parents' attitudes on receiving advice about child mental health from a PCP. SUBJECTS: Data were collected during 773 visits to 54 PCPs in 13 diverse clinics. Families were 56.5% white, 33.3% African American, and 10.1% Hispanic. MEASURES: The parent reported attitudes associated with receiving advice about child mental health from the PCP. The parent completed the Strengths and Difficulties Questionnaire to report youth mental health. PCPs completed measures of psychosocial orientation, confidence in mental health treatment skills, and the accessibility of mental health specialists. RESULTS: Hispanics were more likely than Non-Hispanics to agree that PCPs should treat child mental health and were more willing to allow their child to receive medications or visit a therapist for a mental health problem if recommended by the PCP. African Americans were significantly less willing than whites and Hispanics to allow their child to receive medication for mental health but did not differ in their willingness to visit a therapist. CONCLUSIONS: Race and ethnicity were associated with parents' attitudes on receiving advice about child mental health from a PCP. Primary care may be a good point of intervention for Hispanic youth with mental health needs. BT - Medical care C5 - Healthcare Disparities CP - 11 CY - United States DO - 10.1097/MLR.0b013e31812da7fd IS - 11 JF - Medical care N2 - BACKGROUND: Primary care providers (PCPs) play a critical role in the identification and treatment of child and adolescent mental health problems but few studies have examined parents' attitudes on receiving advice about child mental health from a PCP and whether attitudes are associated with race or ethnicity. OBJECTIVE: To determine if race and ethnicity were associated with parents' attitudes on receiving advice about child mental health from a PCP. SUBJECTS: Data were collected during 773 visits to 54 PCPs in 13 diverse clinics. Families were 56.5% white, 33.3% African American, and 10.1% Hispanic. MEASURES: The parent reported attitudes associated with receiving advice about child mental health from the PCP. The parent completed the Strengths and Difficulties Questionnaire to report youth mental health. PCPs completed measures of psychosocial orientation, confidence in mental health treatment skills, and the accessibility of mental health specialists. RESULTS: Hispanics were more likely than Non-Hispanics to agree that PCPs should treat child mental health and were more willing to allow their child to receive medications or visit a therapist for a mental health problem if recommended by the PCP. African Americans were significantly less willing than whites and Hispanics to allow their child to receive medication for mental health but did not differ in their willingness to visit a therapist. CONCLUSIONS: Race and ethnicity were associated with parents' attitudes on receiving advice about child mental health from a PCP. Primary care may be a good point of intervention for Hispanic youth with mental health needs. PP - United States PY - 2007 SN - 0025-7079; 0025-7079 SP - 1076 EP - 1082 EP - T1 - Receiving advice about child mental health from a primary care provider: African American and Hispanic parent attitudes T2 - Medical care TI - Receiving advice about child mental health from a primary care provider: African American and Hispanic parent attitudes U1 - Healthcare Disparities U2 - 18049348 U3 - 10.1097/MLR.0b013e31812da7fd VL - 45 VO - 0025-7079; 0025-7079 Y1 - 2007 ER -