Psychiatric disorders and mental health treatment in American Indians and Alaska Natives: results of the National Epidemiologic Survey on Alcohol and Related Conditions.
Psychiatric disorders and mental health treatment in American Indians and Alaska Natives: results of the National Epidemiologic Survey on Alcohol and Related Conditions.
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DOI：
10.1007/s00127-016-1225-4
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发表时间：
2016-07
影响因子：
4.4
通讯作者：
Blanco C
中科院分区：
文献类型：
--
作者：
Brave Heart MY;Lewis-Fernández R;Beals J;Hasin DS;Sugaya L;Wang S;Grant BF;Blanco C
旨在调查美国印第安人/阿拉斯加原住民和非西班牙裔白人中常见精神疾病的患病率以及相关的治疗寻求（按性别分层）。终生比率和 12 个月比率是估计的，未根据社会人口统计学相关因素进行调整和调整。对 2001-2002 年全国酒精及相关疾病流行病学调查 ([NESARC] n=43,093) 中的美洲印第安人/阿拉斯加原住民 (n=701) 和非西班牙裔白人 (n=24,507) 样本进行了分析。总体而言，70% 的美洲印第安人/阿拉斯加原住民男性和 63% 的女性符合至少一种《诊断和统计手册 IV 终生疾病》的标准，而非西班牙裔白人男性和女性的这一比例分别为 62% 和 53%。对社会人口统计学相关性进行调整后，发现的差异被削弱了。近一半的美洲印第安人/阿拉斯加原住民在前一年患有精神疾病；社会人口统计的调整再次解释了所发现的一些差异。总体而言，与非西班牙裔白人的比较表明，美洲印第安人/阿拉斯加原住民女性中的差异比男性更常见。在患有这种疾病的人中，美洲印第安人/阿拉斯加原住民女性因 12 个月焦虑症寻求治疗的可能性更大。作为第一项按性别对美洲印第安人/阿拉斯加原住民中各种精神疾病的患病率和治疗情况进行全国估计的研究，发现了相对于非西班牙裔白人精神疾病患病率较高的模式。这种差异在女性中比男性更常见。由于测量中的文化限制，患病率可能被高估。未测量的风险因素（其中一些是美洲印第安人/阿拉斯加原住民特有的）也可能部分解释这些结果。
To examine the prevalence of common psychiatric disorders and associated treatment-seeking, stratified by gender, among American Indians/Alaska Natives and non-Hispanic whites in the United States. Lifetime and 12-month rates are estimated, both unadjusted and adjusted for sociodemographic correlates. Analyses were conducted with the American Indians/Alaska Native (n=701) and Non-Hispanic white (n=24,507) samples in the 2001–2002 National Epidemiologic Survey on Alcohol and Related Conditions ([NESARC] n=43,093). Overall, 70% of the American Indian/Alaska Native men and 63% of the women met criteria for at least one Diagnostic and Statistical Manual-IV lifetime disorder, compared to 62% and 53% of Non-Hispanic white men and women, respectively. Adjusting for sociodemographic correlates attenuated the differences found. Nearly half of American Indians/Alaska Natives had a psychiatric disorder in the previous year; again, sociodemographic adjustments explained some of the differences found. Overall, the comparisons to non-Hispanic whites showed differences were more common among American Indian/Alaska Native women than men. Among those with a disorder, American Indian/Alaska Native women had greater odds of treatment-seeking for 12-month anxiety disorders. As the first study to provide national estimates, by gender, of the prevalence and treatment of a broad range of psychiatric disorders among American Indians/Alaska Natives, a pattern of higher prevalence of psychiatric disorder was found relative to Non-Hispanic whites. Such differences were more common among women than men. Prevalence may be overestimated due to cultural limitations in measurement. Unmeasured risk factors, some specific to American Indians/Alaska Natives, may also partially explain these results.