美国墨西哥裔美国人与非西班牙裔白人中《精神疾病诊断与统计手册》第四版(DSM-IV)精神障碍的移民情况及终生患病率:酒精及相关状况全国流行病学调查结果

Immigration and lifetime prevalence of DSM-IV psychiatric disorders among Mexican Americans and non-Hispanic whites in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions.

作者信息

Grant Bridget F, Stinson Frederick S, Hasin Deborah S, Dawson Deborah A, Chou S Patricia, Anderson Karyn

机构信息

Laboratory of Epidemiology and Biometry, Division of Intramural Clinical and Biological Research, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, DHHS, Bethesda, MD 20892-9304, USA.

出版信息

Arch Gen Psychiatry. 2004 Dec;61(12):1226-33. doi: 10.1001/archpsyc.61.12.1226.

Abstract

BACKGROUND

There exist no national prevalence data on specific DSM-IV Axis I psychiatric disorders among foreign-born and US-born Mexican Americans and non-Hispanic whites.

OBJECTIVE

To present nationally representative data on the prevalence of DSM-IV lifetime psychiatric disorders among foreign-born and US-born Mexican Americans and non-Hispanic whites.

DESIGN

Face-to-face survey conducted in the 2001-2002 National Epidemiologic Survey on Alcohol and Related Conditions.

SETTING

The United States and District of Columbia, including Alaska and Hawaii.

PARTICIPANTS

Household and group-quarters residents, aged 18 years and older (n = 43 093).

MAIN OUTCOME MEASURES

Prevalence of DSM-IV substance use disorders and mood and anxiety disorders.

RESULTS

With few exceptions, foreign-born Mexican Americans and foreign-born non-Hispanic whites were at significantly lower risk (P<.05) of DSM-IV substance use and mood and anxiety disorders compared with their US-born counterparts. Although the risk of specific psychiatric disorders was similar between foreign-born Mexican Americans and foreign-born non-Hispanic whites, US-born Mexican Americans were at significantly lower risk (P<.05) of psychiatric morbidity than US-born non-Hispanic whites.

CONCLUSIONS

Data favoring foreign-born Mexican Americans with respect to mental health may extend to foreign-born non-Hispanic whites. Future research among foreign-born and US-born Mexican Americans and the foreign-born and US-born of other origins and descents is needed to understand what appears to be the protective effects of culture and the deleterious effects of acculturation on psychiatric morbidity in the United States.

摘要

背景

目前尚无关于外国出生和美国出生的墨西哥裔美国人以及非西班牙裔白人中特定《精神疾病诊断与统计手册》第四版(DSM-IV)轴I精神障碍的全国患病率数据。

目的

呈现关于外国出生和美国出生的墨西哥裔美国人以及非西班牙裔白人中DSM-IV终生精神障碍患病率的全国代表性数据。

设计

在2001 - 2002年全国酒精及相关疾病流行病学调查中进行的面对面调查。

地点

美国及哥伦比亚特区,包括阿拉斯加和夏威夷。

参与者

年龄在18岁及以上的家庭和集体居住场所居民(n = 43093)。

主要观察指标

DSM-IV物质使用障碍以及情绪和焦虑障碍的患病率。

结果

除少数例外情况外,与美国出生的同类人群相比,外国出生的墨西哥裔美国人和外国出生的非西班牙裔白人患DSM-IV物质使用、情绪和焦虑障碍的风险显著更低(P <.05)。虽然外国出生的墨西哥裔美国人和外国出生的非西班牙裔白人患特定精神障碍的风险相似,但美国出生的墨西哥裔美国人患精神疾病的风险显著低于美国出生的非西班牙裔白人(P <.05)。

结论

在心理健康方面有利于外国出生的墨西哥裔美国人的数据可能也适用于外国出生的非西班牙裔白人。需要对外国出生和美国出生的墨西哥裔美国人以及其他血统和出身的外国出生和美国出生的人群进行进一步研究,以了解文化在美国对精神疾病似乎具有的保护作用以及文化适应对精神疾病的有害影响。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索