Boston has a poverty problem that it has not effectively addressed: 21.6% of the population lives below the federal poverty threshold. This is well above the national rate of 15.9%. A large number of those in poverty are minorities.
The empirical link between poverty and depression is similarly stark, especially for racial and ethnic minorities. For example, a study by Dunlop et al. in 2003, shows that minority groups were significantly more likely to experience major depression and factors associated with depression than were white people.
Adolescence adds an intense layer with important implications. More recent data from Brandeis University’s Massachusetts Health Policy Forum of 2014 show that adolescent racial or ethnic minorities in Massachusetts experience disproportionately high levels of sadness, suicidal ideation, and suicide attempts. There is also a large disparity between white youth and minority youth receiving depression treatment. MassHealth, Massachusetts’ Medicaid program, does offer mental health treatment services, but stigma, practical accessibility, patient knowledge, and lack of bandwidth all make obtaining and sustaining treatment very difficult. Moreover, though mental health treatment is crucial, it very often does not address the systemic inequities that people of color and those in poverty face, meaning the underlying problems do not get solved.
Feature image graphs from Massachusetts Health Policy Forum Issue Brief, The Time is Now: Tackling Racial and Ethnic Disparities in Mental and Behavioral Health Services in Massachusetts. Graph showing breakdown of Boston by races of poor residents from City Data.