Journal of the American Academy of Child & Adolescent Psychiatry
New researchPrevalence of Mental Disorder and Service Use by Immigrant Generation and Race/Ethnicity Among U.S. Adolescents
Section snippets
Sample
The NCS-A is a nationally-representative survey of 10,123 adolescents 13 to 17 years of age in the continental United States that was conducted in 2001 to 2004. Study design, sampling, recruitment, and weighting are described elsewhere.33, 34, 35 Briefly, participants were recruited via a dual-frame sampling strategy that included a household (n = 879) and school-based (n = 9,244) sample, with an overall response rate of 82.9%.34 One parent or parent surrogate provided written informed consent,
Results
Table 1 presents the distribution of sociodemographic/economic characteristics, lifetime mental disorder, and service use by immigrant generation and race/ethnicity. Third+ generation, non-Hispanic white adolescents constituted the largest group (n = 4,006; 64.10%), followed by third+generation non-Hispanic black (n = 999; 15.98%) and third+generation Hispanic (n = 476; 7.62%) adolescents. Parental education, family structure, income to poverty ratio, urbanicity, and region differed across
Discussion
This is the first study of a nationally representative sample to document differences in the lifetime prevalence of mental disorders and mental health service use among U.S. adolescents cross-classified by immigrant generation and race/ethnicity. We found disparities in the prevalence of mood/anxiety and behavior disorders and service use when comparing third+generation non-Hispanic white adolescents to other groups defined by both immigrant generation and race/ethnicity. Many of these
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This work was supported by the David R. (Dan) Offord Chair in Child Studies, a CHIR New Investigator Award, and the Intramural Research Program of the National Institute of Mental Health (ZIAMH002808). The views and opinions expressed in this article are those of the authors and should not be construed to represent the views of any of the sponsoring organizations, agencies, or U.S. Government. The NCS-A and the larger program of related NCS surveys were supported by the National Institute of Mental Health (UOI-MH60220) and the National Institute on Drug Abuse (ROI DAO 16558) with supplemental support from Substance Abuse and Mental Health Services Administration, the Robert Wood Johnson Foundation (Grant 044708), and the John W. Alden Trust. The NCS-A was carried out in conjunction with the World Health Organization World Mental Health Survey Initiative. The funding organizations had no further role in the study design; collection, analysis, and interpretation of data; writing of the report; and decision to submit the manuscript for publication.
Dr. Rudolph served as the statistical expert for this research.
Disclosure: Drs. Georgiades, Paksarian, Rudolph, and Merikangas report no biomedical financial interests or potential conflicts of interest.