title: Assessing racial/ethnic differences in the social consequences of early-onset psychiatric disorder.
abstract: Individuals with early onset of psychiatric disorder have worse social outcomes than individuals with adult onset. It is unknown whether this association varies by racial/ ethnic group. Identifying groups at risk for poor social outcomes is important for improving clinical and policy interventions. We compared unemployment, high school dropout, arrest, and welfare participation by race/ethnicity and time of onset using a nationally representative sample of Whites, Blacks, Asians, and Latinos with lifetime psychiatric disorder. Early onset was associated with worse social outcomes than adult onset. Significant Black-White and Latino-White differences in social outcomes were identified. The association between early onset and negative social outcomes was similar across Whites, Latinos, and Blacks. For Asians, the association between unemployment and early onset was opposite that of Whites. Increasing early detection and treatment of psychiatric illness should be prioritized. Further study will clarify the association between onset and social outcomes among sub-ethnic populations.
authors.affiliation: Harvard Medical School (Psychiatry) and Cambridge Health Alliance, USA. bcook@charesearch.org
authors.forename: Benjamin
authors.initials: B
authors.lastname: Lê Cook
authors.forename: Nicholas
authors.initials: N
authors.lastname: Carson
authors.forename: Margarita
authors.initials: M
authors.lastname: Alegria
mesh_terms: D000293:Adolescent; D000328:Adult; D017668:Age of Onset; D000368:Aged; D044466:Asian People / Q000706:statistics & numerical data; D044383:Black People / Q000706:statistics & numerical data; D003415:Crime / Q000208:ethnology / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data; D005260:Female; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000208:ethnology*; D008875:Middle Aged; D011593:Psychology, Social; D012307:Risk Factors; D012919:Social Behavior; D012946:Social Welfare / Q000208:ethnology / Q000706:statistics & numerical data; D013332:Student Dropouts / Q000523:psychology / Q000706:statistics & numerical data; D014478:Unemployment / Q000523:psychology / Q000706:statistics & numerical data; D044465:White People / Q000706:statistics & numerical data; D055815:Young Adult
references.citation: Am J Public Health. 2004 Jan;94(1):82-8
references.pmid: 14713703
references.citation: Milbank Q. 1998;76(3):403-48, 305
references.pmid: 9738169
references.citation: Am J Psychiatry. 2005 Jul;162(7):1336-43
references.pmid: 15994717
references.citation: Health Serv Res. 2007 Oct;42(5):2038-55
references.pmid: 17850532
references.citation: J Community Health. 2006 Apr;31(2):123-35
references.pmid: 16737173
references.citation: Am Psychol. 1991 Oct;46(10):1036-45
references.pmid: 1746771
references.citation: Ment Health Serv Res. 2002 Mar;4(1):7-12
references.pmid: 12090306
references.citation: Biodemography Soc Biol. 2009;55(1):30-51
references.pmid: 19835099
references.citation: J Am Acad Child Adolesc Psychiatry. 1991 Sep;30(5):752-61
references.pmid: 1938790
references.citation: Am J Public Health. 2007 Jan;97(1):91-8
references.pmid: 17138905
references.citation: J Consult Clin Psychol. 1990 Dec;58(6):832-9
references.pmid: 2292633
references.citation: J Health Soc Behav. 2005 Jun;46(2):156-69
references.pmid: 16028455
references.citation: J Behav Health Serv Res. 2002 Feb;29(1):45-60
references.pmid: 11840904
references.citation: J Am Acad Child Adolesc Psychiatry. 1992 May;31(3):439-48
references.pmid: 1592775
references.citation: Am J Drug Alcohol Abuse. 2000 Feb;26(1):77-95
references.pmid: 10718165
references.citation: Arch Pediatr Adolesc Med. 2003 Sep;157(9):867-74
references.pmid: 12963591
references.citation: Am J Public Health. 2007 Jan;97(1):68-75
references.pmid: 17138910
references.citation: Am J Public Health. 2003 Feb;93(2):239-43
references.pmid: 12554576
references.citation: Am J Psychiatry. 2002 Sep;159(9):1548-55
references.pmid: 12202276
references.citation: Soc Sci Med. 1999 Jul;49(1):93-108
references.pmid: 10414843
references.citation: Int J Methods Psychiatr Res. 2004;13(4):221-40
references.pmid: 15719530
references.citation: Pediatrics. 2009 May;123(5):1273-9
references.pmid: 19403491
references.citation: J Biosoc Sci. 2003 Jul;35(3):433-53
references.pmid: 12887222
references.citation: Arch Gen Psychiatry. 2007 Apr;64(4):485-94
references.pmid: 17404125
references.citation: Psychiatr Serv. 2006 Nov;57(11):1623-8
references.pmid: 17085611
references.citation: Int J Methods Psychiatr Res. 2004;13(2):60-8
references.pmid: 15297904
references.citation: Eur Heart J. 2002 Nov;23(22):1757-63
references.pmid: 12419295
references.citation: Arch Pediatr Adolesc Med. 2002 Aug;156(8):824-30
references.pmid: 12144375
references.citation: Am J Public Health. 2003 May;93(5):792-7
references.pmid: 12721146
references.citation: Br J Psychiatry. 2007 Oct;191:335-42
references.pmid: 17906244
references.citation: Int J Methods Psychiatr Res. 2004;13(4):196-207
references.pmid: 15719528
references.citation: Int J Methods Psychiatr Res. 2004;13(4):208-20
references.pmid: 15719529
references.citation: Psychol Bull. 1992 Jan;111(1):127-55
references.pmid: 1539086
references.citation: J Adolesc Health. 2004 Nov;35(5):368-73
references.pmid: 15488430
references.citation: Int J Methods Psychiatr Res. 2004;13(2):93-121
references.pmid: 15297906
references.citation: J Pers Soc Psychol. 1986 Dec;51(6):1173-82
references.pmid: 3806354
references.citation: Health Econ. 2007 Oct;16(10):1069-90
references.pmid: 17294497
references.citation: Annu Rev Public Health. 2005;26:341-65
references.pmid: 15760293
references.citation: Arch Gen Psychiatry. 2005 Jun;62(6):593-602
references.pmid: 15939837
references.citation: Psychol Med. 2005 Mar;35(3):317-27
references.pmid: 15841868
references.citation: Am J Public Health. 2007 Jan;97(1):60-7
references.pmid: 17138907
references.citation: Ment Health Serv Res. 2001 Dec;3(4):201-14
references.pmid: 11859966
references.citation: Am J Public Health. 2007 Jan;97(1):76-83
references.pmid: 17138911
references.citation: Child Dev. 1997 Apr;68(2):351-63
references.pmid: 9180006
references.citation: Am J Public Health. 2006 May;96(5):826-33
references.pmid: 16380565
references.citation: Health Serv Res. 2008 Oct;43(5 Pt 1):1619-36
references.pmid: 18522671
references.citation: Arch Gen Psychiatry. 2002 Mar;59(3):225-31
references.pmid: 11879160
references.citation: Am J Epidemiol. 1992 Jan 1;135(1):59-67
references.pmid: 1736661
references.citation: Psychol Methods. 2002 Mar;7(1):83-104
references.pmid: 11928892
references.citation: N Engl J Med. 1998 Jan 15;338(3):171-9
references.pmid: 9428819
references.citation: Health Serv Res. 2008 Dec;43(6):1952-74
references.pmid: 18522664
references.citation: Health Aff (Millwood). 2002 Jan-Feb;21(1):225-39
references.pmid: 11900081
references.citation: Int J Methods Psychiatr Res. 2004;13(3):141-51
references.pmid: 15297898
references.citation: Am J Community Psychol. 1992 Aug;20(4):403-17
references.pmid: 1481784
references.citation: Biometrics. 1999 Jun;55(2):652-9
references.pmid: 11318229
references.citation: Psychiatr Serv. 2002 Dec;53(12):1556-62
references.pmid: 12461215
references.citation: Am J Psychiatry. 1995 Jul;152(7):1026-32
references.pmid: 7793438