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132. The Main and Interactive Effects of Demographic Factors on Child Depression and Treatment Utilization: A Test of Intersectionality in the ABCD Study
Demographic factors may influence risk for psychopathology and pose barriers to accessing intervention among youth. This study examined the main and interactive effects of race/ethnicity, sex, and socioeconomic status (SES) on likelihood of depression and treatment utilization in the ABCD study. Logistic regression models found that African American and biracial African American/Caucasian youth were more likely to have had a lifetime depressive disorder than Caucasian youth per child but not parent report. Further, African American, Asian American, and Hispanic/Latinx youth were less likely to have utilized treatment than Caucasian or non-Hispanic/Latinx youth. There was a significant interaction between race/ethnicity and SES, such that disparities in treatment utilization between African American and Caucasian youth (B=.15, SE=.03, OR=1.16, 95% CI=1.08-1.23, p<0.001) – and between Hispanic/Latinx and non-Hispanic/Latinx youth (B=.12, SE=.04, OR=1.12, 95% CI=1.05-1.22, p<0.01) – were evident only at lower levels of SES. This study partially supports intersectionality theory in the context of mental health in youth, and identifies potential demographic markers of risk for pediatric depression and/or barriers to service utilization.