Prevalence of DSM-IV Disorders and Attendant Help-Seeking in 2 American Indian Reservation Populations

Beals, Janette; Manson, Spero M.; Whitesell, Nancy Rumbaugh; Spicer, Paul; Novins, Douglas K.; Mitchell, Christina M.

doi:10.1001/archpsyc.62.1.99

Cited by 256 publications

(222 citation statements)

References 33 publications

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“…1,28 Although we found few ethnic differences and very small effect sizes for between group differences, most of these were in the direction of greater pathology in the AI/NA sample compared with the white sample and warrant consideration of the possibility that eating pathology is more prevalent in AI/NA populations, similar to other mental health problems. 29 Whereas most of the study data reflect point prevalence, we also assessed lifetime prevalence of having received an eating disorder diagnosis. A substantial number of AI/NA women had been told by a doctor that they had an eating disorder; this prevalence was comparable to that of white female study participants and is also consistent with epidemiological surveys of predominantly white samples.…”

Section: Discussionmentioning

confidence: 99%

“…Finally, although there has been extensive research about mental health problems among Indigenous peoples of the US, including a large scale epidemiological study focused exclusively on relatively homogenous cultural subgroups, 29 such prior work did not include items measuring eating disorders. As such, the Add Health sample offers an important, albeit preliminary, glimpse into the problem of eating pathology among AI/NA young adults.…”

Section: Discussionmentioning

confidence: 99%

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Behavioral symptoms of eating disorders in Native Americans: Results from the add health survey wave III

Striegel‐Moore

Rosselli

Holtzman

et al. 2011

Intl J Eating Disorders

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Objective: To examine prevalence and correlates (gender, Body Mass Index) of disordered eating in American Indian/ Native American (AI/NA) and white young adults.Method: We examined data from the 10,334 participants (mean age 21.93 years, SD 5 1.8) of the National Longitudinal Study of Adolescent Health (ADD Health) Wave III for gender differences among AI/NA participants (236 women, 253 men) and ethnic group differences on measures of eating pathology.Results: Among AI/NA groups, women were significantly more likely than men to report loss of control and embarrassment due to overeating. In gender-stratified analyses, a significantly higher prevalence of AI/NA women reported disordered eating behaviors compared with white women; there were no between group differences in prevalence for breakfast skipping or having been diagnosed with an eating disorder. Among men, disordered eating behaviors were uncommon and no comparison was statistically significant. Discussion: Our study offers a first glimpse into the problem of eating pathology among AI/NA individuals. Gender differences among AI/NA participants are similar to results reported in white samples. That AI/NA women were as likely as white women to have been diagnosed with an eating disorder is striking in light of well documented under-utilization of mental health care among AI/NA individuals. V V C 2011 by Wiley Periodicals, Inc.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Behavioral symptoms of eating disorders in Native Americans: Results from the add health survey wave III

Striegel‐Moore

Rosselli

Holtzman

et al. 2011

Intl J Eating Disorders

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“…Interestingly, others have found that minority group members have equal or better mental health than White Americans (Beals et al, 2005;McGuire & Miranda, 2008); however, the psychological symptoms for those with mental health diagnoses are often worse (U.S. Department of Health and Human Services, 2001).…”

Section: Mental Healthmentioning

confidence: 99%

Health Disparities: A Primer for Public Health Social Workers

Keefe

2010

Social Work in Public Health

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“…AI-SUPERPFP surveyed a stratified random sample of 3084 American Indians (Beals et al, 2003;Beals et al, 2005), 2878 (93.3%) of whom answered the three distinct sets of service utilization questions described later. The populations of inference were 15-to 54-year-old enrolled members of two closely related Northern Plains tribes and a South-west tribe living on or within 20 miles of their respective reservations at the time of sampling (1997).…”

Section: American Indian Service Utilization and Psychiatric Epidemiomentioning

confidence: 99%

“…Sample weights, used in all inferential analyses presented here, accounted for differential selection probabilities across all strata and for patterns of non-response. Detailed information regarding the design and methods utilized in AI-SUPERPFP are described elsewhere (Beals et al, 2003;Beals et al, 2004;Beals et al, 2005). The diagnostic interview utilized in AI-SUPERPFP was a version of the NCS University of Michigan version of the Composite International Diagnostic Interview (UM-CIDI) adapted for use in American Indian communities in the context of a previous study (Beals et al, 2002).…”

Section: American Indian Service Utilization and Psychiatric Epidemiomentioning

confidence: 99%

Methods for measuring utilization of mental health services in two epidemiologic studies

Novins

Beals

Croy

et al. 2008

Int J Methods Psych Res

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Objectives of Study-Psychiatric epidemiologic studies often include two or more sets of questions regarding service utilization, but the agreement across these different questions and the factors associated with their endorsement have not been examined. The objectives of this study were to describe the agreement of different sets of mental health service utilization questions that were included in the American Indian Service Utilization Psychiatric Epidemiology Risk and Protective Factors Project (AI-SUPERPFP), and compare the results to similar questions included in the baseline National Comorbidity Survey (NCS).Methods-Responses to service utilization questions by 2878 AI-SUPERPFP and 5877 NCS participants were examined by calculating estimates of service use and agreement (κ) across the different sets of questions. Logistic regression models were developed to identify factors associated with endorsement of specific sets of questions.Results-In both studies, estimates of mental health service utilization varied across the different sets of questions. Agreement across the different question sets was marginal to good (κ = 0.27-0.69). Characteristics of identified service users varied across the question sets.Limitations-Neither survey included data to examine the validity of participant responses to service utilization questions.Recommendations for Further Research-Question wording and placement appear to impact estimates of service utilization in psychiatric epidemiologic studies. Given the importance of these estimates for policy-making, further research into the validity of survey responses as well as impacts of question wording and context on rates of service utilization is warranted.

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Prevalence of DSM-IV Disorders and Attendant Help-Seeking in 2 American Indian Reservation Populations

Cited by 256 publications

References 33 publications

Behavioral symptoms of eating disorders in Native Americans: Results from the add health survey wave III

Behavioral symptoms of eating disorders in Native Americans: Results from the add health survey wave III

Health Disparities: A Primer for Public Health Social Workers

Methods for measuring utilization of mental health services in two epidemiologic studies

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