Skip to main content

Advertisement

Log in

Prevalence of mental health disorders among low-income African American adolescents

  • Original Paper
  • Published:
Social Psychiatry and Psychiatric Epidemiology Aims and scope Submit manuscript

Abstract

Purpose

Data on the prevalence of mental health disorders for low-income, urban African American adolescents are scarce. This study presents data about the burden of mental disorders for this understudied population.

Methods

Mental disorders were assessed using the Diagnostic Interview Schedule for Children (C-DISC), Youth Self-Report (YSR), and Child Behavior Checklist (CBCL) among a sample of adolescents and their caregivers from very impoverished neighborhoods in a Southern city.

Results

Based on the C-DISC, 3.8, 5.1 and 7.7 % of adolescents met diagnostic criteria for major depression, post-traumatic stress disorder, and conduct disorder, respectively. There were significant differences among some of the mental health disorders based on adolescent and caregiver characteristics such as sex, school status, caregiver work status, and income level. We found a low prevalence of alcohol, marijuana, and substance abuse and dependence disorders.

Conclusions

Information about the prevalence of mental health disorders in specific communities and populations can assist in addressing unmet needs, planning for services and treatment, and reducing health disparities.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Kessler RC, Avenevoli S, Costello EJ, Georgiades K, Green JG, Gruber MJ, He J-P, Koretz D, McLaughlin KA, Petukhova M, Sampson NA, Zaslavsky AM, Merikangas KR (2012) Prevalence, persistence, and sociodemographic correlates of DSM-IV disorders in the National Comorbidity Survey Replication Adolescent Supplement. Arch Gen Psychiatry 69(4):372–380. doi:10.1001/archgenpsychiatry.2011.160

    Article  PubMed  Google Scholar 

  2. Wu LT, Woody GE, Yang C, Pan JJ, Blazer DG (2011) Racial/ethnic variations in substance-related disorders among adolescents in the United States. Arch Gen Psychiatry 68(11):1176–1185. doi:10.1001/archgenpsychiatry.2011.120

    Article  PubMed  Google Scholar 

  3. Roberts RE, Roberts CR, Xing Y (2006) Prevalence of youth-reported DSM-IV psychiatric disorders among African, European, and Mexican American adolescents. J Am Acad Child Adolesc Psychiatry 45(11):1329–1337. doi:10.1097/01.chi.0000235076.25038.81

    Article  PubMed  Google Scholar 

  4. Kessler RC, Avenevoli S, Costello EJ, Georgia K, Green JG, Gruber MJ, He J-P, Koretz D, McLaughlin KA, Petukhova M, Sampson NA, Zaslavsky AM, Merikangas KR Appendix tables for: Prevalence, persistence, and socio-demographic correlates of DSM-IV disorders in the NCS-R Adolescent Supplement (NCS-A). National Comorbidity Survey. http://www.hcp.med.harvard.edu/ncs/publications.php. Accessed 22 Jan 2013

  5. Latzman RD, Naifeh JA, Watson D, Vaidya JG, Heiden LJ, Damon JD, Hight TL, Young J (2011) Racial differences in symptoms of anxiety and depression among three cohorts of students in the southern United States. Psychiatry 74(4):332–348

    PubMed  Google Scholar 

  6. Alegria M, Vallas M, Pumariega AJ (2010) Racial and ethnic disparities in pediatric mental health. Child Adolesc Psychiatric Clin North America 19(4):759–774. doi:10.1016/j.chc.2010.07.001

    Article  Google Scholar 

  7. Elster A, Jarosik J, VanGeest J, Fleming M (2003) Racial and ethnic disparities in health care for adolescents: a systematic review of the literature. Arch Pediatr Adolesc Med 157(9):867–874. doi:10.1001/archpedi.157.9.867

    Article  PubMed  Google Scholar 

  8. Carson N, Cook B, Alegría M (2010) Social determinants of mental health treatment among Haitian, African American and White Youth in Community Health Centers. J Health Care Poor Underserved 21(2 Suppl):32–48. doi:10.1353/hpu.0.0297

    PubMed  Google Scholar 

  9. Kodjo CM, Auinger P (2004) Predictors for emotionally distressed adolescents to receive mental health care. J Adolesc Health 35(5):368–373. doi:10.1016/j.jadohealth.2003.12.005

    PubMed  Google Scholar 

  10. Garland A, Lau A, Yeh M, McCabe K, Hough R, Landsverk J (2005) Racial and Ethnic Differences in Utilization of Mental Health Services Among High-Risk Youths. A J Psychiatry 162:1336–1343

    Article  Google Scholar 

  11. Kataoka S, Zhang L, Wells K (2002) Unmet need for mental health care among U.S. children: variation by ethnicity and insurance status. Am J Psychiatry 159(9):1548–1555

    Article  PubMed  Google Scholar 

  12. Fergusson DM, Boden JM, Horwood LJ (2007) Recurrence of major depression in adolescence and early adulthood, and later mental health, educational and economic outcomes. British J Psychiatry 191(4):335–342. doi:10.1192/bjp.bp.107.036079

    Article  Google Scholar 

  13. Turnbull JE, George LK, Landerman R, Swartz MS, Blazer DG (1990) Social outcomes related to age of onset among psychiatric-disorders. J Consult Clin Psychol 58(6):832–839

    Article  PubMed  CAS  Google Scholar 

  14. Kessler RC, Foster CL, Saunders WB, Stang PE (1995) Social-Consequences of Psychiatric-Disorders 1, Educational-Attainment. Am J Psychiat 152(7):1026–1032

    PubMed  CAS  Google Scholar 

  15. Massoglia M (2008) Incarceration, health, and racial disparities in health. Law & Society Review 42:275–306. doi:10.1111/j.1540-5893.2008.00342.x

    Article  Google Scholar 

  16. National Research Council and Institute of Medicine (2009) Preventing mental, emotional, and behavioral disorders among young people: progress and possibilities. Board on children, youth, and families, division of behavioral and social sciences and education, Washington, DC

  17. Eaton DK, Kann L, Kinchen S, Shanklin S, Flint KH, Hawkins J, Harris WA, Lowry R, McManus T, Chyen D, Whittle L, Lim C, Wechsler H, (CDC) CfDCaP (2012) Youth risk behavior surveillance—United States, 2011. MMWR Surveill Summ 61(4):1–162

    PubMed  Google Scholar 

  18. McLeod JD, Shanahan MJ (1996) Trajectories of poverty and children’s mental health. J Health Soc Behav 37(3):207–220

    Article  PubMed  CAS  Google Scholar 

  19. Adkins DE, Wang V, Elder GHJ (2009) Structure and stress: trajectories of depressive symptoms across adolescence and young adulthood. Soc Forces 88(1):31–60

    Article  PubMed  Google Scholar 

  20. Schraedley MAPK, Gotlib IH, Hayward C (1999) Gender differences in correlates of depressive symptoms in adolescents. J Adolesc Health 25(2):98–108. doi:10.1016/s1054-139x(99)00038-5

    Article  PubMed  CAS  Google Scholar 

  21. Brook J, Richter L, Rubenstone E (2000) Consequences of adolescent drug use on psychiatric disorders in early adulthood. Ann Med 32(6):401–407

    Article  PubMed  CAS  Google Scholar 

  22. Brook JS, Balka EB, Crossman AM, Dermatis H, Galanter M, Brook DW (2010) The relationship between parental alcohol use, early and late adolescent alcohol use, and young adult psychological symptoms: a longitudinal study. Am J Addict 19(6):534–542. doi:10.1111/j.1521-0391.2010.00083.x

    Article  PubMed  Google Scholar 

  23. Schuckit MA (2006) Comorbidity between substance use disorders and psychiatric conditions. Addiction 101:76–88. doi:10.1111/j.1360-0443.2006.01592.x

    Article  PubMed  Google Scholar 

  24. Biglan A, Brennan PA, Foster SL, Holder HD (2004) Helping adolescents at risk: prevention of multiple problem behaviors. Guilford Press, New York

    Google Scholar 

  25. Bachman JG, Wallace JM Jr, O’Malley PM, Johnston LD, Kurth CL, Neighbors HW (1991) Racial/Ethnic differences in smoking, drinking, and illicit drug use among American high school seniors, 1976–1989. Am J Public Health 81(3):372–377

    Article  PubMed  CAS  Google Scholar 

  26. Johnston L, O’Malley PM, Bachman JG (1993) National survey results on drug use from Monitoring the Future Study. US Government Printing Office, Washington, DC

  27. Wallace JM Jr, Bachman JG, O’Malley PM, Schulenberg JE, Cooper SM, Johnston LD (2003) Gender and ethnic differences in smoking, drinking and illicit drug use among American 8th, 10th and 12th grade students, 1976–2000. Addiction 98(2):225–234

    Article  PubMed  Google Scholar 

  28. Maddahian E, Newcomb MD, Bentler PM (1988) Adolescent drug use and intention to use drugs: concurrent and longitudinal analyses of four ethnic groups. Addict Behav 13(2):191–195

    Article  PubMed  CAS  Google Scholar 

  29. Bolland JM, Bryant CM, Lian BE, McCallum DM, Vazsonyi AT, Barth JM (2007) Development and risk behavior among African American, Caucasian, and mixed-race adolescents living in high poverty inner-city neighborhoods. Am J Community Psychol 40(3–4):230–249. doi:10.1007/s10464-007-9132-1

    Article  PubMed  Google Scholar 

  30. CoUaEREDiH Care (2003) Unequal treatment: confronting racial and ethnic disparities in health care (full printed version). The National Academies Press, Washington

    Google Scholar 

  31. Zimmerman FJ (2005) Social and economic determinants of disparities in professional help-seeking for child mental health problems: evidence from a national sample. Health Serv Res 40(5 Pt 1):1514–1533. doi:10.1111/j.1475-6773.2005.00411.x

    Article  PubMed  Google Scholar 

  32. Salzinger S, Feldman RS, Stockhammer T, Hood J (2002) An ecological framework for understanding risk for exposure to community violence and the effects of exposure on children and adolescents. Aggress Violent Behav 7:423–451

    Article  Google Scholar 

  33. Fitzpatrick KM, Piko BF, Wright DR, LaGory M (2005) Depressive symptomatology, exposure to violence, and the role of social capital among African American adolescents. Am J Orthopsychiatry 75(2):262–274. doi:10.1037/0002-9432.75.2.262

    Article  PubMed  Google Scholar 

  34. Tynes BM, Umana-Taylor AJ, Rose CA, Lin J, Anderson CJ (2012) Online racial discrimination and the protective function of ethnic identity and self-esteem for African American adolescents. Dev Psychol 48(2):343–355. doi:10.1037/a0027032

    Article  PubMed  Google Scholar 

  35. Grant KE, McCormick A, Poindexter L, Simpkins T, Janda CM, Thomas KJ, Campbell A, Carleton R, Taylor J (2005) Exposure to violence and parenting as mediators between poverty and psychological symptoms in urban African American adolescents. J Adolesc 28(4):507–521. doi:10.1016/j.adolescence.2004.12.001

    Article  PubMed  Google Scholar 

  36. Services USDoHaH (2001) Mental health: culture, race, and ethnicity: a supplement to mental health: a report of the surgeon general. Rockville, MD

  37. McDowell I (2006) Measuring health: a guide to rating scales and questionnaires, 3rd edn. Oxford University Press, New York

    Google Scholar 

  38. Mustanski B, Garofalo R, Emerson E (2010) Mental health disorders, psychological distress, and suicidality in a diverse sample of lesbian, gay, bisexual, and transgender youths. Am J Public Health 100(12):2426–2432. doi:AJPH.2009.178319

    Article  PubMed  Google Scholar 

  39. US Census Bureau State and County QuickFacts. Data derived from Population Estimates, American Community Survey, Census of Population and Housing, State and County Housing Unit Estimates, County Business Patterns, Nonemployer Statistics, Economic Census, Survey of Business Owners, Building Permits, Consolidated Federal Funds Report. http://quickfacts.census.gov/qfd/states/01/01097.html. Accessed November 26 2012

  40. Bolland JM (2007) Overview of the Mobile Youth Study. University of Alabama at Birmingham, School of Public Health, USA

    Google Scholar 

  41. Park N, Lee B, Bolland J, Vazsonyi A, Sun F (2008) Early adolescent pathways of antisocial behaviors in poor, inner-city neighborhoods. SAGE, The Journal of Early Adolescence, California

    Google Scholar 

  42. Shaffer D, Fisher PW, Lucas CP (2004) The Diagnostic Interview Schedule for Children (DISC). In: Henson M (ed) Comprehensive Handbook of Psychological Assessment. Wiley, Hoboken

    Google Scholar 

  43. Shaffer D, Fisher PW, Lucas CP, Dulcan MK, Schwab-Stone ME (2000) NIMH Diagnostic Interview Schedule for Children Version IV (NIMH DISC-IV): description, differences from previous versions, and reliability of some common diagnoses. J Am Acad Child Adolesc Psychiatry 39(1):28–38

    Article  PubMed  CAS  Google Scholar 

  44. Achenbach T, Rescorla L (2001) The Manual for the ASEBA School-Age Forms & Profiles. University of Vermont, Research Center for Children, Youth, and Families, Burlington

  45. IBM SPSS Statistics for Windows (Released 2011). 20.0 edn. IBM Corp., Armonk, NY

  46. Raudenbush SW, Bryk AS (2002) Hierarchical linear models: applications and data analysis methods. Advanced quantitative techniques in the social sciences; 1, 2nd edn. Sage Publications, Thousand Oaks

  47. Weitzman BC, Guttmacher S, Weinberg S, Kapadia F (2003) Low response rate schools in surveys of adolescent risk taking behaviours: possible biases, possible solutions. J Epidemiol Community Health 57(1):63–67

    Article  PubMed  CAS  Google Scholar 

  48. Swaim RC, Beauvais F, Chavez EL, Oetting ER (1997) The effect of school dropout rates on estimates of adolescent substance use among three racial/ethnic groups. Am J Public Health 87(1):51–55

    Article  PubMed  CAS  Google Scholar 

  49. US Department of Health and Human Services About Healthy People, Foundation Health Measures, Disparities. http://healthypeople.gov/2020/about/DisparitiesAbout.aspx. Accessed 6 Feb 2012

  50. Tobler AL, Maldonado-Molina MM, Staras SA, O’Mara RJ, Livingston MD, Komro KA (2012) Perceived racial/ethnic discrimination, problem behaviors, and mental health among minority urban youth. Ethn Health. doi:10.1080/13557858.2012.730609

    PubMed  Google Scholar 

  51. Estrada-Martinez LM, Caldwell CH, Bauermeister JA, Zimmerman MA (2012) Stressors in multiple life-domains and the risk for externalizing and internalizing behaviors among African Americans during emerging adulthood. J Youth Adolesc. doi:10.1007/s10964-012-9778-3

    PubMed  Google Scholar 

  52. Wong CA, Eccles JS, Sameroff A (2003) The influence of ethnic discrimination and ethnic identification on African American adolescents’ school and socioemotional adjustment. J Pers 71(6):1197–1232

    Article  PubMed  Google Scholar 

  53. Brody GH, Chen YF, Murry VM, Ge X, Simons RL, Gibbons FX, Gerrard M, Cutrona CE (2006) Perceived discrimination and the adjustment of African American youths: a five-year longitudinal analysis with contextual moderation effects. Child Dev 77(5):1170–1189. doi:10.1111/j.1467-8624.2006.00927.x

    Article  PubMed  Google Scholar 

  54. Schraedley PK, Gotlib IH, Hayward C (1999) Gender differences in correlates of depressive symptoms in adolescents. J Adolesc Health 25(2):98–108

    Article  PubMed  CAS  Google Scholar 

  55. Rosenfield S (2012) Triple jeopardy? Mental health at the intersection of gender, race, and class. Soc Sci Med 74(11):1791–1801

    Article  PubMed  Google Scholar 

  56. Voisin DR, Neilands TB (2010) Community violence and health risk factors among adolescents on Chicago’s Southside: does gender matter? J Adolesc Health 46(6):600–602. doi:10.1016/j.jadohealth.2009.11.213

    Article  PubMed  Google Scholar 

  57. Costello EJ, Mustillo S, Erkanli A, Keeler G, Angold A (2003) Prevalence and development of psychiatric disorders in childhood and adolescence. Arch Gen Psychiatry 60:837–844

    Article  PubMed  Google Scholar 

  58. Cote S, Tremblay RE, Nagin DS, Zoccolillo M, Vitaro F (2002) Childhood behavioral profiles leading to adolescent conduct disorder: risk trajectories for boys and girls. J Am Acad Child Adolesc Psychiatry 41(9):1086–1094. doi:10.1097/00004583-200209000-00009

    Article  PubMed  Google Scholar 

  59. Zahn-Waxler C, Shirtcliff EA, Marceau K (2008) Disorders of childhood and adolescence: gender and psychopathology. Ann Rev Clin Psychol 4(1):275–303. doi:10.1146/annurev.clinpsy.3.022806.091358

    Article  Google Scholar 

  60. Keenan K, Wroblewski K, Hipwell A, Loeber R, Stouthamer-Loeber M (2010) Age of onset, symptom threshold, and expansion of the nosology of conduct disorder for girls. J Abnorm Psychol 119(4):689–698. doi:10.1037/a0019346

    Article  PubMed  Google Scholar 

  61. Zona K, Milan S (2011) Gender differences in the longitudinal impact of exposure to violence on mental health in urban youth. J Youth Adolesc 40(12):1674–1690. doi:10.1007/s10964-011-9649-3

    Article  PubMed  Google Scholar 

  62. Foster JD, Kuperminc GP, Price AW (2004) Gender differences in posttraumatic stress and related symptoms among inner-city minority youth exposed to community violence. J Youth Adolesc 33(1):59–69. doi:10.1023/a:1027386430859

    Article  Google Scholar 

  63. Lee S, Tsang A, Breslau J et al (2009) Mental disorders and termination of education in high-income and low- and middle-income countries: epidemiological study. Erratum in: Br J Psychiatry. 2011 Apr; 198: 327. Br J Psychiatry 194(5):411–417

    Article  PubMed  CAS  Google Scholar 

  64. Benjet C, Hernandez-Montoya D, Borges G, Mendez E, Medina-Mora ME, Aguilar-Gaxiola S (2012) Youth who neither study nor work: mental health, education and employment. Salud Publica Mex 54(4):410–417

    Article  PubMed  Google Scholar 

  65. Vaughn M, Wexler J, Beaver K, Perron B, Roberts G, Fu Q (2011) Psychiatric correlates of behavioral indicators of school disengagement in the United States. Psychiatr Q 82(3):191–206. doi:10.1007/s11126-010-9160-0

    Article  PubMed  Google Scholar 

  66. Miles DR, van den Bree MBM, Pickens RW (2002) Sex differences in shared genetic and environmental influences between conduct disorder symptoms and marijuana use in adolescents. Am J Med Genet 114(2):159–168. doi:10.1002/ajmg.10178

    Article  PubMed  Google Scholar 

  67. Shelton K, Lifford K, Fowler T, Rice F, Neale M, Harold G, Thapar A, van den Bree M (2007) The association between conduct problems and the initiation and progression of marijuana use during adolescence: a genetic analysis across time. Behav Genet 37(2):314–325. doi:10.1007/s10519-006-9124-1

    Article  PubMed  Google Scholar 

  68. Fergusson DM, Horwood LJ, Ridder EM (2007) Conduct and attentional problems in childhood and adolescence and later substance use, abuse and dependence: results of a 25-year longitudinal study. drug and alcohol dependence 88. Supplement 1:S14–S26. doi:10.1016/j.drugalcdep.2006.12.011

    Google Scholar 

  69. Pardini D, White HR, Stouthamer-Loeber M (2007) Early adolescent psychopathology as a predictor of alcohol use disorders by young adulthood. drug and alcohol dependence 88. Supplement 1:S38–S49. doi:10.1016/j.drugalcdep.2006.12.014

    Google Scholar 

  70. Weinberg NZ, Rahdert E, Colliver JD, Glantz MD (1998) Adolescent substance abuse: a review of the past 10 years. J Am Acad Child Adolesc Psychiatry 37(3):252–261. doi:10.1097/00004583-199803000-00009

    Article  PubMed  CAS  Google Scholar 

  71. De Los Reyes A, Kazdin AE (2005) Informant discrepancies in the assessment of childhood psychopathology: a critical review, theoretical framework, and recommendations for further study. Psychol Bull 13(4):483–509

    Google Scholar 

Download references

Acknowledgments

This project was supported by a Grant from the National Institute of Drug Abuse (RO1DA025039). The content is solely the responsibility of the authors and does not necessarily represent the official views of the funders.

Conflict of interest

There are no conflicts of interest by any authors in regard to this study or this publication.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Brian S. Mustanski.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Byck, G.R., Bolland, J., Dick, D. et al. Prevalence of mental health disorders among low-income African American adolescents. Soc Psychiatry Psychiatr Epidemiol 48, 1555–1567 (2013). https://doi.org/10.1007/s00127-013-0657-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00127-013-0657-3

Keywords

Navigation