Race-ethnicity and the prevalence and co-occurrence of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, alcohol and drug use disorders and Axis I and II disorders: United States, 2001 to 2002.
The objective of this study was to compare the current prevalence and co-occurrence of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, alcohol and drug use disorders and mood, anxiety, and personality disorders among whites, blacks, Native Americans, Asians, and Hispanics in a large representative sample of the US population. Striking mental health disparities were observed in the prevalences of psychiatric disorders, especially among Native Americans. Disparities in psychiatric comorbidity differed from those associated with prevalence. Most significantly, the association between alcohol disorders and personality disorders was significantly greater among Asians relative to whites, blacks, and Native Americans, despite lower prevalences of these disorders among Asians. Taken together, the results of this study highlight the need of future studies that help unravel the risk factors underlying the disparities in both prevalence and comorbidity of psychiatric disorders observed among race-ethnic groups in the United States.
Huang
Boji
B
Division of Intramural Clinical and Biological Research, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, US Department of Health and Human Services, Bethesda, MD 20892-9304, USA. HuangBo@mail.nih.gov
Grant
Bridget F
BF
Dawson
Deborah A
DA
Stinson
Frederick S
FS
Chou
S Patricia
SP
Saha
Tulshi D
TD
Goldstein
Risë B
RB
Smith
Sharon M
SM
Ruan
W June
WJ
Pickering
Roger P
RP
D000328:Adult; D000437:Alcoholism / Q000208:ethnology; D001008:Anxiety Disorders / Q000453:epidemiology; D015897:Comorbidity; D017831:Diagnosis, Dual (Psychiatry); D006801:Humans; D001523:Mental Disorders / Q000208:ethnology*; D019964:Mood Disorders / Q000453:epidemiology; D010554:Personality Disorders / Q000453:epidemiology; D015995:Prevalence; D019966:Substance-Related Disorders / Q000208:ethnology*; D014481:United States / Q000453:epidemiology