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Understanding differences in past year psychiatric disorders for Latinos living in the US

Author

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  • Alegria, Margarita
  • Shrout, Patrick E.
  • Woo, Meghan
  • Guarnaccia, Peter
  • Sribney, William
  • Vila, Doryliz
  • Polo, Antonio
  • Cao, Zhun
  • Mulvaney-Day, Norah
  • Torres, Maria
  • Canino, Glorisa

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.

Suggested Citation

  • Alegria, Margarita & Shrout, Patrick E. & Woo, Meghan & Guarnaccia, Peter & Sribney, William & Vila, Doryliz & Polo, Antonio & Cao, Zhun & Mulvaney-Day, Norah & Torres, Maria & Canino, Glorisa, 2007. "Understanding differences in past year psychiatric disorders for Latinos living in the US," Social Science & Medicine, Elsevier, vol. 65(2), pages 214-230, July.
    • Handle: RePEc:eee:socmed:v:65:y:2007:i:2:p:214-230
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    References listed on IDEAS

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    2. Manuel, Jennifer I. & Martinson, Melissa L. & Bledsoe-Mansori, Sarah E. & Bellamy, Jennifer L., 2012. "The influence of stress and social support on depressive symptoms in mothers with young children," Social Science & Medicine, Elsevier, vol. 75(11), pages 2013-2020.
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    5. Bauer, Amy M. & Chen, Chih-Nan & Alegría, Margarita, 2012. "Associations of physical symptoms with perceived need for and use of mental health services among Latino and Asian Americans," Social Science & Medicine, Elsevier, vol. 75(6), pages 1128-1133.
    6. Gutierrez-Vazquez, Edith & Flippen, Chenoa & Parrado, Emilio, 2018. "Migration and depression: A cross-national comparison of Mexicans in sending communities and Durham, NC," Social Science & Medicine, Elsevier, vol. 219(C), pages 1-10.
    7. Krista M. Perreira & India Ornelas, 2013. "Painful Passages: Traumatic Experiences and Post-Traumatic Stress among U.S. Immigrant Latino Adolescents and their Primary Caregivers," International Migration Review, Wiley Blackwell, vol. 47(4), pages 976-1005, December.
    8. Sloane Burke Winkelman & Elizabeth H. Chaney & Jeffrey W. Bethel, 2013. "Stress, Depression and Coping among Latino Migrant and Seasonal Farmworkers," IJERPH, MDPI, vol. 10(5), pages 1-16, May.
    9. Almeida, Joanna & Johnson, Renee M. & Matsumoto, Atsushi & Godette, Dionne C., 2012. "Substance use, generation and time in the United States: The modifying role of gender for immigrant urban adolescents," Social Science & Medicine, Elsevier, vol. 75(12), pages 2069-2075.
    10. Ornelas, India J. & Perreira, Krista M., 2011. "The role of migration in the development of depressive symptoms among Latino immigrant parents in the USA," Social Science & Medicine, Elsevier, vol. 73(8), pages 1169-1177.
    11. Christina J. Diaz & Liwen Zeng & Ana P. Martinez-Donate, 2018. "Investigating Health Selection Within Mexico and Across the US Border," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 37(2), pages 181-204, April.

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