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Research shows that mental health disparities among marginalized communities exist. Daily discrimination faced by marginalized groups have been found to be associated with increased depressive symptoms and feelings of loneliness. [21]
Programs led by NGOs show that community-based monitoring, designating and training community activists, and forming solidarity groups can improve healthcare utilization in Dalit communities. [15] Successful execution of these efforts can potentially help India improve healthcare access for marginalized castes and move towards universal healthcare.
The National Health Interview Survey indicated that in 1998, 16% of rural adults reported poor health. [67] Poor rural residents have only 21% Medicaid coverage, while poor urban populations report 30% coverage. [67] Demographic and socioeconomic factors vary between rural and urban areas, which contributes to some health disparities. [67]
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Because mental health inequality is largely due to disparities in health insurance, ways to improve mental health equity must come from changes in healthcare policies. Much of mental health disparity comes from a lack of access to healthcare in low socioeconomic communities and, often, underprivileged minorities.
NIMHD addresses disparities in minority health in the United States. It defines minority health as "all aspects of health and disease in one or more racial/ethnic minority populations as defined by the Office of Management and Budget, including Blacks/African Americans, Hispanics/Latinos, Asians, American Indians/Alaska Natives, and Native Hawaiians/other Pacific Islanders."
This includes: Access to health education, community and social context, access to quality healthcare, food security, neighborhood and physical environment, and economic stability. Up to 80% of a person's health is determined by SDOH, not clinical care and genetics. Health disparities exist in countries around the world.