Prevalence and correlates of mental disorders among native American women in primary care

Prevalence and correlates of mental disorders among native American women in primary care
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DOI:
10.2105/ajph.94.1.71
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发表时间:
2004-01-01
影响因子:
12.7
通讯作者:
Yager, J
Yager, J
中科院分区:
医学2区
文献类型:
--
作者:
Duran, B;Sanders, M;Yager, J

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目标.我们研究了美国印第安人和阿拉斯加土著妇女谁提出的初级保健的生活和过去一年的患病率和相关的常见精神障碍。我们筛选了489名连续提出的女性初级保健患者,年龄在18岁至45岁的一般健康问卷,12项版本。一个子样本(n = 234)完成了复合国际诊断访谈。我们研究了精神疾病与社会人口学变量、寄宿学校出勤率和起源家庭的精神病理学之间的关联。与其他非美国印第安人/阿拉斯加原住民妇女在初级保健环境中的样本相比,该研究参与者的酒精使用障碍、焦虑障碍和焦虑/抑郁共病率较高。有必要提供文化上适当的心理健康治疗和预防服务。(Am J公共卫生。2004;94:71-77)。
Objectives. We examined the lifetime and the past-year prevalence and correlates of common mental disorders among American Indian and Alaska Native women who presented for primary care.Methods. We screened 489 consecutively presenting female primary care patients aged 18 through 45 years with the General Health Questionnaire, 12-item version. A subsample (n = 234) completed the Composite International Diagnostic Interview. We examined associations between psychiatric disorders and sociodemographic variables, boarding school attendance, and psychopathology in the family of origin.Results. The study participants had high rates of alcohol use disorders, anxiety disorders, and anxiety/depression comorbidity compared with other samples of non-American Indian/Alaska Native women in primary care settings.Conclusions. There is a need for culturally appropriate mental health treatments and preventive services. (Am J Public Health. 2004;94:71-77).