title: Associations between self-rated mental health and psychiatric disorders among older adults: do racial/ethnic differences exist?
abstract: OBJECTIVE
  [corrected] This study examined racial/ethnic differences in the association between self-rated mental health (SRMH) and psychiatric disorders among community-dwelling older adults in the United States.
  
  
  METHODS
  Cross-sectional analyses of nationally representative data from the Collaborative Psychiatric Epidemiology Surveys (2001-2003).
  
  
  METHODS
  In-person household interviews.
  
  
  METHODS
  Older adults aged 60 and older (N = 1,840), including non-Hispanic Whites (N = 351), Blacks (N = 826), Hispanics (N = 406), and Asians (N = 257).
  
  
  METHODS
  SRMH was measured with a single item, "How would you rate your own mental health?" Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), diagnoses for mood and anxiety disorders were measured with the World Health Organization's World Mental Health version of the Composite International Diagnostic Interview.
  
  
  RESULTS
  Results from logistic regression analyses showed significant main effects of both SRMH and race/ethnicity on the presence of mood and anxiety disorders: people who have poor SRMH and are non-Hispanic Whites were more likely to have mood and anxiety disorders. There were also significant interaction effects between SRMH and race/ethnicity, such that the relation of SRMH with diagnoses of psychiatric disorders was strongest in non-Hispanic Whites.
  
  
  CONCLUSIONS
  Racial/ethnic variations were found in the relationship between self-perception of mental health and DSM-IV psychiatric disorders. The findings suggest the need to develop race/ethnicity-specific strategies to screen psychiatric disorders in diverse elderly populations. Future studies are needed to investigate possible reasons for the racial/ethnic group differences.
authors.affiliation: From the Center for Mental Health and Aging, Department of Psychology, University of Alabama, Tuscaloosa, AL 35486, USA. Giyeon.Kim@ua.edu
authors.forename: Giyeon
authors.initials: G
authors.lastname: Kim
authors.forename: Jamie
authors.initials: J
authors.lastname: DeCoster
authors.forename: David A
authors.initials: DA
authors.lastname: Chiriboga
authors.forename: Yuri
authors.initials: Y
authors.lastname: Jang
authors.forename: Rebecca S
authors.initials: RS
authors.lastname: Allen
authors.forename: Patricia
authors.initials: P
authors.lastname: Parmelee
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001008:Anxiety Disorders / Q000175:diagnosis* / Q000208:ethnology* / Q000523:psychology; D044383:Black People / Q000523:psychology / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005006:Ethnicity; D005260:Female; D054624:Health Status Disparities; D006630:Hispanic or Latino / Q000523:psychology / Q000706:statistics & numerical data; D006801:Humans; D016015:Logistic Models; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D019964:Mood Disorders / Q000175:diagnosis* / Q000208:ethnology* / Q000523:psychology; D011237:Predictive Value of Tests; D012647:Self-Assessment; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014481:United States; D044465:White People / Q000523:psychology / Q000706:statistics & numerical data; D001741:Black or African American