Prevalence of Youth-Reported DSM-IV Psychiatric Disorders Among African, European, and Mexican American Adolescents
ABSTRACT The authors present prevalence data for adolescents in a large metropolitan area and examine the association of DSM-IV diagnoses with functional impairment and selected demographic correlates among European Americans (EA), African Americans (AA), and Mexican (MA) Americans.
The authors sampled 4,175 youths ages 11 to 17 years whose households were enrolled in large health maintenance organizations. Data were collected using questionnaires, the Diagnostic Interview Schedule for Children-IV and the Children's Global Assessment Scale. The data were collected in the Houston Metropolitan area in 1998-2000. Data on psychiatric disorders were derived from interviews with youths only.
AA had a lower prevalence of mood disorders, substance use disorders, and any disorders adjusted for Diagnostic Interview Schedule for Children-IV impairment or Children's Global Assessment Scale score than did others. EA had greatest prevalence of substance use disorders, whereas AA were lowest. After adjusting for covariates, EA had a higher risk for some disorders than AA. Effects of gender, age, parent education, family income, and marital status were not consistent across groups. Family income was protective only for EA.
There appear to be few systematic differences between majority and minority adolescents at risk for psychiatric disorders. MA are not at increased risk contrasted to EA. AA had lower risk for some disorders, but adjusting for impairment and covariates eliminated most differences. Thus, multivariate analyses support the hypothesis that initial ethnic differences appear to be a function of factors associated with disadvantaged minority status rather than to distinctive ethnic culture. A noteworthy finding was that disadvantaged social status did not appear to increase the risk for disorders among minority youths.
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- "Although no national data are available on the prevalence of anxiety disorders or anxiety-related problems among Latino youth, studies also suggest that Latino youth experience significantly higher levels of anxiety than whites but not African Americans (Glover et al., 1999; Roberts et al., 2006). Approximately, 8% of Mexican-American youth (age 11–17) have had an anxiety disorder in the past year (Roberts et al., 2006). "
ABSTRACT: We examined how the migration and acculturation experiences of first-generation Latino youth contributed to their psychological well-being. Data came from the LAMHA (Latino Adolescent Migration, Health, and Adaptation) study, which surveyed 281 first-generation Latino immigrant youth, ages 12 to 19. Using logistic regression, we evaluated how migration stressors (i.e., traumatic events, choice of migration, discrimination, and documentation status) and migration supports (i.e. family and teacher support, acculturation, and personal-motivation) were associated with depressive symptoms and anxiety. We found that migration stressors increased the risk of both depressive symptoms and anxiety. Time in the United States and support from family and teachers reduced the risk of depressive symptoms and anxiety. Compared with documented adolescents, undocumented adolescents were at greater risk of anxiety, and children in mixed-status families were at greater risk of anxiety and marginally greater risk of depressive symptoms.The Journal of nervous and mental disease 07/2010; 198(7):470-7. DOI:10.1097/NMD.0b013e3181e4ce24 · 1.69 Impact Factor
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ABSTRACT: This study examined family and neighborhood influences relevant to low-income status to determine how they combine to predict the parenting behaviors of Mexican–American mothers and fathers. The study also examined the role of parenting as a mediator of these contextual influences on adolescent internalizing and externalizing symptoms. Study hypotheses were examined in a diverse sample of Mexican–American families in which 750 mothers and 467 fathers reported on their own levels of parental warmth and harsh parenting. Family economic hardship, neighborhood familism values, and neighborhood risk indicators were all uniquely associated with maternal and paternal warmth, and maternal warmth mediated the effects of these contextual influences on adolescent externalizing symptoms in prospective analyses. Parents’ subjective perceptions of neighborhood danger interacted with objective indicators of neighborhood disadvantage to influence maternal and paternal warmth. Neighborhood familism values had unique direct effects on adolescent externalizing symptoms in prospective analyses, after accounting for all other context and parenting effects. KeywordsEconomic hardship–Neighborhood–Parenting–Culture–Adolescence–Mental healthAmerican Journal of Community Psychology 03/2010; 47(1):98-113. DOI:10.1007/s10464-010-9366-1 · 1.74 Impact Factor
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ABSTRACT: The current study examined the relation between antisocial behaviors and cultural status in a sample of Mexican American youth. Because rates of externalizing problems are high and because Mexican American children and adolescents represent the largest and fastest growing segments of the population, the present study sought to examine how attachment to cultural group might serve as a protective mechanism. Research shows that acculturation style can impact the prevalence of antisocial behavior and adaptive behavior. Because there have been methodological problems with measurements of acculturation, as it relates to both maladaptive and adaptive behavior, the current study examined the responses of 73 Mexican American students (ages 12-18) and their parents from two sites (an urban Midwest area and an urban and rural West Texas area). Using a series of ANOVA's and t-tests, both antisocial and adaptive behavior was compared among three different types of acculturation style: acculturation, enculturation, and biculturation. The prediction that biculturated individuals will score lower on measures of antisocial behavior and higher on measures of adaptive behavior than their acculturated and enculturated cohorts was not supported. Implications of the findings and the relevance for grouping by acculturation status are discussed.