title: Understanding differences in past year psychiatric disorders for Latinos living in the US.
abstract: This study seeks to identify risk factors for psychiatric disorders that may explain differences in nativity effects among adult Latinos in the USA. We evaluate whether factors related to the processes of acculturation and enculturation, immigration factors, family stressors and supports, contextual factors, and social status in the US account for differences in 12-month prevalence of psychiatric disorders for eight subgroups of Latinos. We report results that differentiate Latino respondents by country of origin and age at immigration (whether they were US-born or arrived before age 6: In-US-as-Child [IUSC]; or whether they arrived after age 6: later-arrival immigrants [LAI]). After age and gender adjustments, LAI Mexicans and IUSC Cubans reported a significantly lower prevalence of depressive disorders than IUSC Mexicans. Once we adjust for differences in family stressors, contextual factors and social status factors, these differences are no longer significant. The risk for anxiety disorders appears no different for LAI compared to IUSC Latinos, after age and gender adjustments. For substance use disorders, family factors do not offset the elevated risk of early exposure to neighborhood disadvantage, but coming to the US after age 25 does offset it. Family conflict and burden were consistently related to the risk of mood disorders. Our findings suggest that successful adaptation into the US is a multidimensional process that includes maintenance of family harmony, integration in advantageous US neighborhoods, and positive perceptions of social standing. Our results uncover that nativity may be a less important independent risk factor for current psychiatric morbidity than originally thought.
authors.affiliation: Center for Multicultural Mental Health Research, Cambridge Health Alliance, USA; Harvard University Medical School, USA. malegria@charesearch.org <malegria@charesearch.org>
authors.forename: Margarita
authors.initials: M
authors.lastname: Alegria
authors.forename: Patrick E
authors.initials: PE
authors.lastname: Shrout
authors.forename: Meghan
authors.initials: M
authors.lastname: Woo
authors.forename: Peter
authors.initials: P
authors.lastname: Guarnaccia
authors.forename: William
authors.initials: W
authors.lastname: Sribney
authors.forename: Doryliz
authors.initials: D
authors.lastname: Vila
authors.forename: Antonio
authors.initials: A
authors.lastname: Polo
authors.forename: Zhun
authors.initials: Z
authors.lastname: Cao
authors.forename: Norah
authors.initials: N
authors.lastname: Mulvaney-Day
authors.forename: Maria
authors.initials: M
authors.lastname: Torres
authors.forename: Glorisa
authors.initials: G
authors.lastname: Canino
mesh_terms: D000069:Acculturation; D003462:Cuba / Q000208:ethnology; D004641:Emigration and Immigration; D005260:Female; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D016015:Logistic Models; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology / Q000209:etiology*; D008800:Mexico / Q000208:ethnology; D008960:Models, Psychological; D011647:Puerto Rico / Q000208:ethnology; D012307:Risk Factors; D012931:Social Environment; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology