title: An audiotaped mental health evaluation tool for Hispanic immigrants with a range of literacy levels.
abstract: Debilitating mental illness is treatable if found. There is no validated self-administered mental illness evaluation tool for immigrant Hispanic farm workers with variable literacy levels. This study tested sensitivity and specificity of an audiotaped survey developed for low literacy levels compared with standard interview instruments. Subjects from 11 migrant camps completed a self-administered audiotaped survey in Spanish to diagnose major depression, substance abuse, panic and generalized anxiety, and domestic violence. Primary care clinics assisted in finding camps and provided follow-up treatment. For 154 men and 156 women, the audio tool was most sensitive for major depression and specific for anxiety disorder, alcohol abuse, and domestic violence. Seventy percent of those diagnosed with major depression received appropriate treatment. This study validated an inexpensive, self-administered audio tool to evaluate the mental health of immigrant Hispanic farm workers with a wide range of literacy levels.
authors.affiliation: Department of Environmental Health, School of Public Health and Community Medicine, University of Washington, 4545 49th Avenue NE, Seattle, WA 98105, USA. patriciaboiko@yahoo.com
authors.forename: Patricia
authors.initials: P
authors.lastname: Boiko
authors.forename: Wayne
authors.initials: W
authors.lastname: Katon
authors.forename: Juan C
authors.initials: JC
authors.lastname: Guerra
authors.forename: Sara
authors.initials: S
authors.lastname: Mazzoni
mesh_terms: D000328:Adult; D000437:Alcoholism; D001008:Anxiety Disorders / Q000175:diagnosis* / Q000453:epidemiology; D003866:Depressive Disorder / Q000175:diagnosis* / Q000453:epidemiology; D017579:Domestic Violence; D004522:Educational Status; D004641:Emigration and Immigration; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis* / Q000453:epidemiology; D017058:Mexican Americans; D019303:Multilingualism; D012680:Sensitivity and Specificity; D013637:Tape Recording; D014481:United States / Q000453:epidemiology
references.citation: J Gen Intern Med. 2001 Sep;16(9):606-13
references.pmid: 11556941
references.citation: JAMA. 1994 Dec 14;272(22):1741-8
references.pmid: 7966922
references.citation: Am J Ind Med. 2001 Nov;40(5):490-501
references.pmid: 11675618
references.citation: Risk Anal. 1995 Jun;15(3):369-90
references.pmid: 7604170
references.citation: J Trauma. 2001 Oct;51(4):758-66
references.pmid: 11586172
references.citation: JAMA. 2001 Sep 19;286(11):1325-30
references.pmid: 11560537