The impact of socioeconomic status on mental health and health-seeking behavior across race and ethnicity in a large multiple sclerosis cohort

Maldonado, Daniela A. Pimentel; Eusebio, Justin; Amezcua, Lilyana; Vasileiou, Eleni S; Mowry, Ellen M.; Hemond, Christopher C.; Umeton, Raffaella Pizzolato; Morales, Idanis Berrios; Radu, Irina; Ionete, Carolina; Fitzgerald, Kathryn C.

doi:10.1016/j.msard.2021.103451

Cited by 16 publications

(10 citation statements)

References 48 publications

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“…Likewise, there is evidence that co-locating allied care services (mental health, physical medicine and rehabilitation, etc.) may increase utilization among Black and Hispanic pwMS [ 50 ]. In a previously mentioned report on correlations of income and mental health comorbidities, Black and Hispanic pwMS were more likely to seek mental health care if it was co-located with sites at which their MS care was provided [ 50 ].…”

Section: Discussion and Future Directionsmentioning

confidence: 99%

“…A study involving pwMS identified as Black, Hispanic, or White correlated neighborhood socioeconomic status (nSES) scores with results of screening tests for multiple mental health disorders, including anxiety, depression, and alcohol use disorder. This study found that patients in the lowest quartile of nSES (lower relative income) in all groups had lower screening test scores for mental health disorders overall [ 50 ]. In addition, Black and Hispanic pwMS more frequently occupied the lower quartile of nSES in this study population.…”

Section: Social Determinants Of Health and Healthcare Utilizationmentioning

confidence: 99%

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Health Disparities in Multiple Sclerosis among Hispanic and Black Populations in the United States

et al. 2023

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Multiple sclerosis (MS) is an acquired demyelinating disease of the central nervous system (CNS). Historically, research on MS has focused on White persons with MS. This preponderance of representation has important possible implications for minority populations with MS, from developing effective therapeutic agents to understanding the role of unique constellations of social determinants of health. A growing body of literature involving persons of historically underrepresented races and ethnicities in the field of multiple sclerosis is assembling. Our purpose in this narrative review is to highlight two populations in the United States: Black and Hispanic persons with multiple sclerosis. We will review the current understanding about the patterns of disease presentation, genetic considerations, response to treatment, roles of social determinants of health, and healthcare utilization. In addition, we explore future directions of inquiry as well as practical methods of meeting these challenges.

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Section: Discussion and Future Directionsmentioning

confidence: 99%

Section: Social Determinants Of Health and Healthcare Utilizationmentioning

confidence: 99%

Health Disparities in Multiple Sclerosis among Hispanic and Black Populations in the United States

et al. 2023

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“…32 Lower socioeconomic status (e.g., education level and income) was associated with greater health disparities, including higher disease burden and more cognitive/psychiatric symptoms. [32][33][34][35][36][37] The reasons for these disparities and inequities are likely multifactorial (Figure 1), including but not limited to gaps between need of and access to medical care and supportive services, [38][39][40] societal/cultural constructs (e.g., systemic/unconscious bias and racism), and lack of culturally competent care. Further observational, epidemiologic, and long-term longitudinal studies (taking into consideration both the genetic ancestry and social determinants of health) will be important for developing optimal treatment strategies for the Black and African American patient population with MS, with increased efforts to better understand and help alleviate the racial/ethnic disparities and inequities in clinical care in the United States.…”

Section: Disparities In Clinical Outcomes and Healthcare Accessmentioning

confidence: 99%

Advancing Care and Outcomes for African American Patients With Multiple Sclerosis

et al. 2022

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Multiple sclerosis (MS) has historically been underdiagnosed and undertreated among African Americans. Recent evidence suggests that African Americans with MS have a different clinical presentation, increased disease incidence and burden, and worsened long-term outcomes versus their White counterparts. Due to limited data available for African Americans in MS clinical trials, it is difficult to make informed, generalizable conclusions about the natural history, prognosis, and therapeutic response in this population. In this narrative review, we highlight the nature and magnitude of the health disparities experienced by African Americans with MS and underscore the pressing need to increase knowledge about and understanding of MS disease manifestations in this group. Additionally, we describe the mission and objectives of the recently established National African Americans with Multiple Sclerosis Registry (NAAMSR), which is intended to be a platform to advance the care of African Americans with MS and address health disparities they may experience.

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“…The development of modern diagnostic criteria and implementation of effective disease-modifying therapies (DMTs) for multiple sclerosis (MS) have improved overall disease progression in patients with MS. 1 However, despite all the progress, diverse communities including Hispanic and African American populations have multiple barriers to MS care, including lack of access and lack of awareness, leading to poor outcomes. 2 Furthermore, the knowledge of early MS symptoms among the public at large remains poor, leading to delays in early diagnosis and treatment. 3 In addition, in medical education, neurophobia, the fear of neurology, is experienced by many medical students and may contribute to missed signs and symptoms due to perceived difficulty of neurological topics.…”

Section: Introductionmentioning

confidence: 99%

“…5 However, these efforts are insufficient to address lack of awareness among medical students and neurologists attending to diverse bilingual communities, since Hispanic and African American communities have critical barriers to MS care. 2…”

Section: Introductionmentioning

confidence: 99%

VISIBL-MS: A bilingual educational framework to increase awareness of early multiple sclerosis

Patel,

Rafferty,

Aquino

et al. 2024

Mult Scler

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Background: Despite advancements in treatments of multiple sclerosis (MS), there is a lack of awareness of early MS symptoms, especially in students and the public, contributing to delays in diagnosis and treatment. This review aims to identify gaps in tools to increase awareness and to provide a bilingual framework to facilitate recognition of early MS symptoms. Methods: We performed a literature review to determine the use of English and Spanish mnemonics in MS education for medical students and patients. Results: There is no educational tool to help remember the early signs of MS at present. Here we present a framework for early awareness encompassed in the bilingual mnemonics VISIBLY (English) and VISIBLE (Spanish). VISIBLY stands for (1) Vision changes: Painful vision loss, loss of color vision or double vision; (2) Belly or Back numbness and Balance issues; (3) Limb weakness or Numbness; (4), Young people. Spanish version is included in the manuscript. Conclusion: We posit that VISIBL-MS provides a framework for MS awareness that addresses the interconnection between language, culture, health literacy, and health outcomes and can be a useful educational tool to tackle the effects of health literacy on diverse communities.

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The impact of socioeconomic status on mental health and health-seeking behavior across race and ethnicity in a large multiple sclerosis cohort

Cited by 16 publications

References 48 publications

Health Disparities in Multiple Sclerosis among Hispanic and Black Populations in the United States

Health Disparities in Multiple Sclerosis among Hispanic and Black Populations in the United States

Advancing Care and Outcomes for African American Patients With Multiple Sclerosis

VISIBL-MS: A bilingual educational framework to increase awareness of early multiple sclerosis

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