Psychiatric disorder, impairment, and service use in rural African American and white youth
Psychiatric disorder, impairment, and service use in rural African American and white youth
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DOI：
10.1001/archpsyc.59.10.893
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发表时间：
2002-10-01
影响因子：
--
通讯作者：
Costello, EJ
中科院分区：
文献类型：
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作者：
Angold, A;Erkanli, A;Costello, EJ
背景：社区儿童护理研究调查了DSM-IV精神疾病的患病率以及农村非洲裔美国人和白人青年使用精神卫生服务的相关因素。方法：从北卡罗莱纳州4个县的学校数据库中随机抽取4500名9 ~ 17岁的青少年。家长们完成了关于孩子行为问题的电话调查问卷。第二阶段的1302个样本被确定进入研究的访谈阶段，其中920个（70.7%）通过儿童和青少年精神病学评估和相关的服务使用措施成功地在家中进行了访谈。结果：加权回到一般人群估计，21.1%的年轻人在过去3个月内有一种或更多的DSM-IV精神障碍。非裔美国青年（20.5%）和白人青年（21.9%）的患病率相似。唯一的种族差异是白人青年的抑郁症过多（4.6%对1.4%）。13%的参与者（36.0%的确诊患者）在过去3个月内接受了心理健康护理。白人青年比非裔美国青年更有可能使用专业心理健康服务（6.1%比3.2%），但学校提供的服务显示出很少的种族差异（8.6%比9.2%）。儿童症状对其父母的影响与专业心理健康护理的相关性最强。结论：在这个农村样本中，非洲裔美国人和白人青年患精神疾病的可能性相同，但非洲裔美国人较少使用专业精神卫生服务。学校服务为两个民族中人数最多的青年提供照顾。
Background: The Caring for Children in the Community Study examined the prevalence of DSM-IV psychiatric disorders and correlates of mental health service use in rural African American and white youth.Methods: Four thousand five hundred youth aged 9 to 17 years from 4 North Carolina counties were randomly selected from school databases. Parents completed telephone questionnaires about their childrens behavior problems. A second-stage sample of 1302 was identified for recruitment into the interview phase of the study, and 920 (70.7%) of these were successfully interviewed at home using the Child and Adolescent Psychiatric Assessment and related measures of service use.Results: Weighted back to general population estimates, 21.1% of youth had I or more DSM-IV psychiatric disorders in the past 3 months. Prevalence was similar in African American (20.5%) and white (21.9%) youth. The only ethnic difference was an excess of depressive disorders in white youth (4.6% vs 1.4%). Thirteen percent of participants (36.0% of those with a diagnosis) received mental health care in the past 3 months. White youth were more likely than African American youth to use specialty mental health services (6.1% vs 3.2%), but services provided by schools showed very little ethnic disparity (8.6% vs 9.2%). The effect of children's symptoms on their parents was the strongest correlate of specialty mental health care.Conclusions: In this rural sample, African American and white youth were equally likely to have psychiatric disorders, but African Americans were less likely to use specialty mental health services. School services provided care to the largest number of youths of both ethnic groups.