Correlates of Past-Year Mental Health Service Use Among Latinos: Results From the National Latino and Asian American Study

Alegrı́a, Margarita; Mulvaney-Day, Norah; Woo, Matthew; Torres, Maria; Gao, Shan; Oddo, Vanessa M.

doi:10.2105/ajph.2006.087197

Cited by 342 publications

(284 citation statements)

References 40 publications

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“…Findings suggest that patterns of longitudinal association between CMCs and depressive symptoms may depend on race in the USA. Our study provides longitudinal evidence supporting the Black-White health paradox [8,9], defined as a higher rate of CMCs [1,2] but lower prevalence of depression or depressive symptoms [1][2][3][4][5][6][7][8][9][10] among Blacks compared to Whites. Our findings are supported by the results reported by Capistrant and colleagues who showed that although among Whites and Blacks depressive symptoms are associated with cardiovascular mortality, the association between baseline depressive symptoms and subsequent cardiovascular mortality was only significant for Whites, but not Blacks, after adjusting for covariates [37].…”

Section: Discussionmentioning

confidence: 69%

“…Compared to Whites, Blacks have a higher prevalence of chronic medical conditions (CMCs) [1,2] but lower levels of clinical and subclinical depression [1][2][3][4][5][6][7][8], a phenomenon which has been labeled the Black-White health paradox [9,10]. In line with this phenomenon, a number of studies have shown that Blacks and Whites differ in the magnitude of the association between various CMCs and depression or depressive symptoms [11][12][13][14] suggesting that race may moderate the reciprocal associations between CMCs and depression.…”

Section: Introductionmentioning

confidence: 99%

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Long-Term Reciprocal Associations Between Depressive Symptoms and Number of Chronic Medical Conditions: Longitudinal Support for Black–White Health Paradox

Assari

Burgard

Zivin

2015

J. Racial and Ethnic Health Disparities

121

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Background Previous research has identified a Black-White health paradox, which can be defined as less frequent depression despite a higher prevalence of chronic medical conditions among Blacks compared to Whites in the USA. Based on this paradox, we would expect weaker associations between chronic medical conditions and depression among Blacks than Whites. However, the literature on this topic is mostly crosssectional and has provided findings that contradict the BlackWhite health paradox. The present longitudinal study extends prior research by assessing Black-White differences in reciprocal associations between number of chronic medical conditions and depressive symptoms over a 25-year period.Methods Data came from the Americans' Changing Lives Study that followed 1034 surviving Black and White respondents for 25 years from 1986 to 2011. Chronic medical conditions were measured based on a count of self-reported physician diagnoses including hypertension, diabetes, chronic lung disease, heart disease, stroke, cancer, and arthritis at baseline (1986) and follow-up (2011). Depressive symptoms were also measured at baseline and follow-up using a 10-item Center for Epidemiological Studies-Depression (CES-D) scale. Multi-group structural equation modeling was used to assess reciprocal associations between baseline and subsequent depressive symptoms and baseline and subsequent chronic medical conditions comparing Black and White respondents. Results Among White but not Black respondents, a higher number of chronic medical conditions at baseline predicted a greater increase in depressive symptoms over 25 years of follow-up. Among Whites but not Blacks, individuals with more depressive symptoms at baseline developed more chronic medical conditions over time. Conclusion Findings documented Black-White differences in reciprocal associations between chronic medical conditions and depressive symptoms over time. Our study provides longitudinal evidence for the Black-White health paradox across mid and later life, as reciprocal associations between depression and chronic medical conditions were weaker for Blacks compared to Whites.

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Section: Discussionmentioning

confidence: 69%

Section: Introductionmentioning

confidence: 99%

Long-Term Reciprocal Associations Between Depressive Symptoms and Number of Chronic Medical Conditions: Longitudinal Support for Black–White Health Paradox

Assari

Burgard

Zivin

2015

J. Racial and Ethnic Health Disparities

121

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“…This is consistent with previous research indicating that Latinos underutilize mental health services, 31 particularly those who have resided in the US for a short period of time. 31,32 Several limitations are evident, including the unstable prevalence estimates and the small sample sizes, which raise concern about adequate power to detect meaningful differences in this sample. Diagnoses were also based on unvalidated, fully structured lay interviews where lifetime prevalence was assessed retrospectively.…”

Section: Resultsmentioning

confidence: 99%

Prevalence and correlates of eating disorders in Latinos in the United States

Alegrı́a¹,

Woo²,

Torres³

et al. 2007

Int. J. Eat. Disord.

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234

141

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Objective: To present national estimates and correlates of lifetime and 12-month DSM-IV eating disorders for Latinos.Method: Data come from the National Latino and Asian American Study (NLAAS), a national epidemiological household survey of Latinos in the United States.Results: Latinos have elevated rates of any binge eating and binge eating disorder but low prevalence of anorexia nervosa and bulimia nervosa. The US born and those living a greater percentage of their lifetime in the US evidenced higher risk for certain eating disorders while severe obesity and low levels of education were significant correlates. Rates of treatment utilization were exceedingly low. Conclusion:Standard eating disorder criteria may not be appropriate for understanding psychological morbidity of eating disorders for Latinos, particularly less acculturated Latinos, due to cultural differences in the presentation of eating disorder symptoms. Criteria for disturbed eating patterns that are more reflective of the illness experience of Latinos should be developed. V V C 2007 by Wiley Periodicals, Inc.

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“…Language preference may influence MH care use. 34 VA now collects data on preferred language; however, that was not available at the time of this study, and this study was not powered to examine the influence of language preference. Despite these limitations, the relative relationship between PTSDpositive status and MH services use that we detected is likely to reflect true associations in the U.S. women veteran population.…”

Section: Discussionmentioning

confidence: 99%

PTSD Risk and Mental Health Care Engagement in a Multi-War Era Community Sample of Women Veterans

et al. 2013

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BACKGROUND: Post-traumatic stress disorder (PTSD) is common in women veterans (WVs), and associated with significant co-morbidity. Effective treatment is available; however, PTSD is often unrecognized. OBJECTIVES: Identify PTSD prevalence and mental healthcare (MHC) use in a representative national WV sample. DESIGN AND PARTICIPANTS: Cross-sectional, population-based 2008-2009 national survey of 3,611 WVs, weighted to the population. MAIN MEASURES: We screened for PTSD using a validated instrument, and also assessed demographic characteristics, health characteristics, and MHC use in the prior 12 months. Among those screening positive, we conducted multivariate logistic regression to identify independent predictors of MHC use. KEY RESULTS: Overall, 13.0 % (95 % confidence interval [CI] 9.8-16.2) of WVs screened PTSD-positive. Veterans Health Administration (VA) healthcare was used by 31.1 % of PTSD-positives and 11.4 % of PTSD-negatives (p<0.001). Among those screening positive, 48.7 % (95 % CI 35.9-61.6) used MHC services (66.3 % of VA-users, 40.8 % of VA-nonusers; p<0.001). Having a diagnosis of depression (OR=8.6; 95 % CI 1.5-48.9) and VA healthcare use (OR=2.7; 95 % CI 1.1-7.0) predicted MHC use, whereas lacking a regular provider for health care (OR=0.2; 95 % CI 0.1-0.4) and household income below the federal poverty level (OR=0.2; 95 % CI 0.1-0.5) predicted nonuse. CONCLUSIONS: More than one in eight WVs screened positive for PTSD. Though a majority of VA-users received MHC, low income predicted nonuse. Only a minority of VA-nonusers received MHC. The majority of WVs use non-VA healthcare providers, who may be unaware of their veteran status and PTSD risk. VA outreach to educate VA-nonusers and their healthcare providers about WVs' PTSD risk and available evidencebased VA treatment options is one approach to extend the reach of VA MHC. Research to characterize barriers to VA MHC use for VA-nonusers and low income VAusers is warranted to better understand low service utilization, and to inform program development to engage more WVs in needed MHC.

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Correlates of Past-Year Mental Health Service Use Among Latinos: Results From the National Latino and Asian American Study

Cited by 342 publications

References 40 publications

Long-Term Reciprocal Associations Between Depressive Symptoms and Number of Chronic Medical Conditions: Longitudinal Support for Black–White Health Paradox

Long-Term Reciprocal Associations Between Depressive Symptoms and Number of Chronic Medical Conditions: Longitudinal Support for Black–White Health Paradox

Prevalence and correlates of eating disorders in Latinos in the United States

PTSD Risk and Mental Health Care Engagement in a Multi-War Era Community Sample of Women Veterans

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