Article

Considering context, place and culture: The National Latino and Asian American Study

Center for Multicultural Mental Health Research, Cambridge Health Alliance/Harvard Medical School, Boston, MA 02143, USA.
International Journal of Methods in Psychiatric Research (Impact Factor: 3.42). 11/2004; 13(4):208-20. DOI: 10.1002/mpr.178
Source: PubMed

ABSTRACT This paper provides a rationale for, and overview of, procedures used to develop the National Latino and Asian American Study (NLAAS). The NLAAS is nationally representative community household survey that estimates the prevalence of mental disorders and rates of mental health service utilization by Latinos and Asian Americans in the US. The central aims of the NLAAS are to: 1) describe the lifetime and 12-month prevalence of psychiatric disorders and the rates of mental health services use for Latino and Asian American populations using nationwide representative samples of Latinos and Asian Americans, 2) assess the associations among social position, environmental context, and psychosocial factors with the prevalence of psychiatric disorders and utilization rates of mental health services, and 3) compare the lifetime and 12-month prevalence of psychiatric disorders, and utilization of mental health services of Latinos and Asian Americans with national representative samples of non-Latino whites (from the National Comorbidity Study-Replication) (NCS-R) and African Americans (from the National Survey of American Life) (NSAL). This paper presents new concepts and methods utilized in the development of the NLAAS to capture and investigate ethnic, cultural and environmental considerations that are often ignored in mental health research.

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    • "The current study restricted analyses to Hispanic immigrants ages 18 or older (n = 1,630). Sample and procedures are presented here in a summarized form; however, a more detailed description of the NLAAS study design, sample, measures, and procedures is available elsewhere (Alegria et al., 2004; Guarnaccia et al., 2007). "
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    ABSTRACT: The objective of this study is to identify latent classes of Hispanic immigrants on the basis of acculturative stress and, in turn, examine the links between membership in acculturative stress classes and the prevalence of mental disorders. We use latent class analysis (LCA) and multinomial logistic regression with data from a population-based study of Hispanic immigrants in the United States (n = 1,630). Classes were identified as " Low Acculturative Stress " (38.40%); " Social and Linguistic Stress " (32.27%); " Acculturative Stress, No Fear of Deportation " (20.06%); and " Acculturative Stress, Fear of Deportation " (9.26%). Members of the " Acculturative Stress, Fear of Deportation " class were significantly more likely than members of the " Low Acculturative Stress " class to meet criteria for generalized anxiety disorder (risk ratios [RR] = 3.55, 95% confidence interval [CI] [1.00, 12.56]). The present study represents an important step in the development of a typology of acculturative stress among Hispanic immigrants in the United States.
    Hispanic Journal of Behavioral Sciences 03/2015; 37(2). DOI:10.1177/0739986315573967 · 0.50 Impact Factor
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    • "The four ethnic community questions included in the study covered social cohesion, community support, community participation, and negative interaction. As modified from previous studies on social capital in general populations (e.g., Alegria et al. 2004; Cagney et al. 2009 "
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    ABSTRACT: This study examined how social capital in ethnic communities (e.g., social cohesion, community support, community participation, and negative interaction) influences depressive symptoms of older Korean immigrants. Using survey data from 209 participants in Central Texas (M age = 69.6, SD = 7.50), hierarchical regression models of depressive symptoms were examined with the following sets of predictors: (1) demographics, (2) physical health, (3) sociocultural factors, and (4) ethnic community factors. After controlling for the multiple sets of individual-level variables previously known to be important predictors of mental health, ethnic community factors made a substantial contribution. Higher levels of depressive symptoms were observed among individuals who received lower levels of community support (β = -0.14, p < 0.05), had limited participation in ethnic community events and activities (β = -0.15, p < 0.05), and reported more frequent negative interactions with ethnic community members (β = 0.12, p < 0.05). Findings highlight the importance of social capital in ethnic communities and hold implications for improving older ethnic immigrants' mental well-being.
    Journal of Cross-Cultural Gerontology 02/2015; 30(2). DOI:10.1007/s10823-015-9258-9
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    • "The NLAAS measures of psychiatric disorders were based on diagnostic interview using the World Mental Health Survey Initiative version of the Composite International Diagnostic Interview (WMH-CIDI; Pennell et al., 2004; World Health Organization, 1998). The Spanish and Asian versions of the CIDI went through an intensive process of translation and adaptation to ensure cross-cultural equivalency in semantic, content, and criterion/conceptual perspectives (Alegría et al., 2004). The NLAAS data contained separate diagnoses of each of the six anxiety disorders (i.e., GAD, PTSD, social phobia, panic attack, panic disorder, and agoraphobia) and two mood disorders (i.e., major depressive episode and dysthymia). "
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    ABSTRACT: Using a nationally representative sample, we compared Latino and Asian older adults in terms of lifetime and 12-month prevalence of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, anxiety and mood disorders. Given the strong family norms and collectivist cultures shared by the two groups, we also examined whether 12-month prevalence rates were associated with various family relation and social connection variables. The findings showed that older Latinos were almost twice as likely as older Asians to have any anxiety or mood disorders in their lifetime (34.5% vs. 17.7%) and in the past year (14.3% vs. 7.4%). Logistic regressions revealed different predictors of anxiety and mood disorders in the two groups: Family cultural conflict was associated with a higher prevalence of anxiety disorders, whereas family cohesion was associated with a lower prevalence of mood disorders. We argue that more research is needed on negative family interactions and their implications for the mental health of older ethnic minorities. © The Author(s) 2014.
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