Lifetime Prevalence of DSM-III-R Psychiatric Disorders Among Urban and Rural Mexican Americans in California

Vega, William A.; Kolody, Bohdan; Aguilar‐Gaxiola, Sergio; Alderete, Ethel; Catalano, Ralph; Caraveo-Anduaga, Jorge J.

doi:10.1001/archpsyc.55.9.771

Cited by 774 publications

(617 citation statements)

References 23 publications

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“…Contrary to the initial studies which found improved protective behavior with increased acculturation, more recent studies have found that acculturated Mexican immigrants have a higher incidence of lifetime DSM-III-R psychiatric disorders than their less acculturated counterparts (11,12). Research has also linked lower levels of acculturation, as measured by length of stay in the United States and/or language usage, to increased incidence of protective health behaviors such as breastfeeding and better immunization among Mexican Americans (13)(14)(15)(16)(17)(18).…”

Section: Introductionmentioning

confidence: 85%

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Wallen

Feldman

Anliker

2002

Journal of Immigrant Health

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The purpose of this study was to test the reliability and validity of a brief language usage scale as a measure of acculturation in 197 Central American immigrant women. This study presents an analysis of cross-sectional survey data collected during face-to-face interviews conducted in Spanish as part of the program evaluation of the Infant Feeding for Hispanic Supplemental Nutrition Program for Women, Infants, and Children (WIC) Populations a Peer Education Model. The Short Acculturation Scale, a four-item language usage scale exploring the participants' language preferences, was used as a measure of acculturation. The participant's age, length of time in the United States, and perceived social support for breastfeeding were used as validation measures. Results demonstrated good internal reliability for the acculturation summary scale. Consistent with previous studies, significant correlations (p < 0.01) were found between acculturation and mother's age, perceived social support for breastfeeding, and mother's length of time in the United States. The reliability and validity data from this group of Central American immigrants support the continued use of this brief measure of acculturation in diverse Latino subpopulations when multidimensional measures are neither practical nor feasible.

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Section: Introductionmentioning

confidence: 85%

Untitled

Wallen

Feldman

Anliker

2002

Journal of Immigrant Health

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“…Immigrants from Mexico, who comprise the largest group of immigrants in the United States, had lower risk for mood and anxiety disorders than US-born Mexican-Americans in two large national studies Grant et al, 2004) and in two smaller regional studies of Mexican-American communities (Burnam et al, 1987;Vega et al, 1998). This finding suggests that environmental factors to which US-born descendants of Mexican immigrants are exposed lead to an increase in risk for common psychiatric disorders (Rogler et al, 1991).…”

Section: Introductionmentioning

confidence: 95%

“…That study compared data obtained in community epidemiological surveys of Mexican-Americans living in Fresno County, California and residents of Mexico City (Vega et al, 1998). Lifetime prevalence of mental disorders was found to be lowest among recent immigrants to the US (1-12 years in the US), intermediate among residents of Mexico City and highest among less recent immigrants to the US (13+ years in the US).…”

Section: Introductionmentioning

confidence: 99%

Mental disorders among English-speaking Mexican immigrants to the US compared to a national sample of Mexicans

Breslau

Aguilar‐Gaxiola

Borges³

et al. 2007

Psychiatry Research

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Our understanding of the relationship between immigration and mental health can be advanced by comparing immigrants pre-and post-immigration with residents of the immigrants' home countries. DSM-IV anxiety and mood disorders were assessed using identical methods in representative samples of English-speaking Mexican immigrants to the US, a subsample of the US National Comorbidity Survey Replication (NCSR), and Mexicans, the Mexican National Comorbidity Survey (MNCS). Retrospective reports of age of onset of disorders and, in the immigrant sample, age of immigration were analyzed to study the associations of pre-existing mental disorders with immigration and of immigration with the subsequent onset and persistence of mental disorders. Preexisting anxiety disorders predicted immigration (OR=3.0; 95% CI 1.2-7.4). Immigration predicted subsequent onset of anxiety (OR=1.9; 95% CI 0.9-3.9) and mood (OR=2.3; 95% CI 1.3-4.0) disorders and persistence of anxiety (OR=3.7 95% CI 1.2-11.2) disorders. The results are inconsistent with the "healthy immigrant" hypothesis (that mentally healthy people immigrate) and partly consistent with the "acculturation stress" hypothesis (i.e., that stresses of living in a foreign culture promote mental disorder). Replication and extension of these results in a larger bi-national sample using a single field staff are needed.

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“…Latinos; acculturation; psychiatric diagnosis; epidemiology; culture; race; immigrants; USA Latino immigrants have better overall mental health than their U.S.-born counterparts and nonLatino whites (Burnam, Hough, Karno, Escobar, & Telles, 1987;Ortega, Rosenheck, Alegría, & Desai, 2000;Vega et al, 1998), but the universality of this claim for all Latino subgroups has not been rigorously tested. Our findings from the National Latino and Asian-American Study (NLAAS) on the prevalence of psychiatric disorders among Latinos in the U.S. indicate that foreign nativity is protective for some Latino groups (e.g., Mexicans), but not others (e.g., Puerto Ricans) (Alegría et al, 2007) and that protectiveness varies by disorder.…”

Section: Introductionmentioning

confidence: 99%

Understanding differences in past year psychiatric disorders for Latinos living in the US

Alegrı́a

Shrout

Woo

et al. 2007

Social Science & Medicine

218

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This study seeks to identify risk factors for psychiatric disorders that may explain differences in nativity effects among adult Latinos in the USA. We evaluate whether factors related to the processes of acculturation and enculturation, immigration factors, family stressors and supports, contextual factors, and social status in the U.S. account for differences in twelve-month prevalence of psychiatric disorders for eight subgroups of Latinos. We report results that differentiate Latino respondents by country of origin and age at immigration (whether they were U.S.-born or arrived before age 6 [IUSC] or whether they arrived after age 6 [LAI]). After age and gender adjustments, LAI Mexicans and IUSC Cubans reported a significantly lower prevalence of depressive disorders than IUSC Mexicans. Once we adjust for differences in family stressors, contextual factors and social status factors, these differences are no longer significant. The risk for anxiety disorders appears no different for LAI Correspondence to: Margarita Alegria. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. NIH Public Access Author ManuscriptSoc Sci Med. Author manuscript; available in PMC 2008 July 1. NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript compared to IUSC Latinos, after age and gender adjustments. For substance use disorders, family factors do not offset the elevated risk of early exposure to neighborhood disadvantage, but coming to the U.S. after age 25 does offset it. Family conflict and burden were consistently related to the risk of mood disorders. Our findings suggest that successful adaptation into the U.S. is a multidimensional process that includes maintenance of family harmony, integration in advantageous U.S. neighborhoods, and positive perceptions of social standing. Our results uncover that nativity may be a less important independent risk factor for current psychiatric morbidity than originally thought.

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Lifetime Prevalence of DSM-III-R Psychiatric Disorders Among Urban and Rural Mexican Americans in California

Cited by 774 publications

References 23 publications

Untitled

Untitled

Mental disorders among English-speaking Mexican immigrants to the US compared to a national sample of Mexicans

Understanding differences in past year psychiatric disorders for Latinos living in the US

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