Hostname: page-component-8448b6f56d-gtxcr Total loading time: 0 Render date: 2024-04-18T21:21:21.695Z Has data issue: false hasContentIssue false
  • English
  • Français

Acculturation dimensions and 12-month mood and anxiety disorders across US Latino subgroups in the National Epidemiologic Survey of Alcohol and Related Conditions

Published online by Cambridge University Press:  18 April 2016

R. Lewis-Fernández ,
C. Morcillo ,
S. Wang ,
C. S. Duarte ,
N. K. Aggarwal ,
J. A. Sánchez-Lacay  and
C. Blanco
R. Lewis-Fernández*
Affiliation:
Department of Psychiatry, Columbia University, New York, NY, USA New York State Psychiatric Institute, New York, NY, USA
C. Morcillo
Affiliation:
Department of Psychiatry, University of Cambridge, Cambridgeshire and Peterborough Foundation Trust, Cambridge, UK
S. Wang
Affiliation:
New York State Psychiatric Institute, New York, NY, USA
C. S. Duarte
Affiliation:
Department of Psychiatry, Columbia University, New York, NY, USA New York State Psychiatric Institute, New York, NY, USA
N. K. Aggarwal
Affiliation:
Department of Psychiatry, Columbia University, New York, NY, USA New York State Psychiatric Institute, New York, NY, USA
J. A. Sánchez-Lacay
Affiliation:
Department of Psychiatry, Columbia University, New York, NY, USA New York State Psychiatric Institute, New York, NY, USA
C. Blanco
Affiliation:
Department of Psychiatry, Columbia University, New York, NY, USA New York State Psychiatric Institute, New York, NY, USA
*
*Address for correspondence: Professor R. Lewis-Fernández, Department of Psychiatry, Columbia University and New York State Psychiatric Institute, 1051 Riverside Drive, Unit 69, New York, NY 10032, USA. (Email: rlewis@nyspi.columbia.edu)
Get access Rights & Permissions [Opens in a new window]

Abstract

Background

Individual-level measures of acculturation (e.g. age of immigration) have a complex relationship with psychiatric disorders. Fine-grained analyses that tap various acculturation dimensions and population subgroups are needed to generate hypotheses regarding the mechanisms of action for the association between acculturation and mental health.

Method

Study participants were US Latinos (N = 6359) from Wave 2 of the 2004–2005 National Epidemiologic Survey of Alcohol and Related Conditions (N = 34 653). We used linear χ2 tests and logistic regression models to analyze the association between five acculturation dimensions and presence of 12-month DSM-IV mood/anxiety disorders across Latino subgroups (Mexican, Puerto Rican, Cuban, ‘Other Latinos’).

Results

Acculturation dimensions associated linearly with past-year presence of mood/anxiety disorders among Mexicans were: (1) younger age of immigration (linear χ21 = 11.04, p < 0.001), (2) longer time in the United States (linear χ21 = 10.52, p < 0.01), (3) greater English-language orientation (linear χ21 = 14.57, p < 0.001), (4) lower Latino composition of social network (linear χ21 = 15.03, p < 0.001), and (5) lower Latino ethnic identification (linear χ21 = 7.29, p < 0.01). However, the associations were less consistent among Cubans and Other Latinos, and no associations with acculturation were found among Puerto Ricans.

Conclusions

The relationship between different acculturation dimensions and 12-month mood/anxiety disorder varies across ethnic subgroups characterized by cultural and historical differences. The association between acculturation measures and disorder may depend on the extent to which they index protective or pathogenic adaptation pathways (e.g. loss of family support) across population subgroups preceding and/or following immigration. Future research should incorporate direct measures of maladaptive pathways and their relationship to various acculturation dimensions.

Keywords

Acculturationadaptation pathwaysLatino subgroupsmeasurementmood/anxiety disorders
Type
Original Articles
Information
Psychological Medicine , Volume 46 , Issue 9 , July 2016 , pp. 1987 - 2001
Copyright
Copyright © Cambridge University Press 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abraido-Lanza, AF, Armbrister, AN, Florez, KR, Aguirre, AN (2006). Toward a theory-driven model of acculturation in public health research. American Journal of Public Health 96, 1342–1346.CrossRefGoogle Scholar
Agresti, A, Min, Y (2002). Unconditional small-sample confidence intervals for the odds ratio. Biostatistics 3, 379–386.CrossRefGoogle ScholarPubMed
Aguilar-Gaxiola, S, Loera, G, Méndez, L, Sala, M, Latino Mental Health Concilio, Nakamoto, J (2012). Community-Defined Solutions for Latino Mental Health Disparities: California Reducing Disparities Project. Latino Strategic Planning Workgroup Population Report. UC Davis: Sacramento, CA (https://www.ucdmc.ucdavis.edu/newsroom/pdf/Latino_mental_health_report-6-25-2012-1.pdf). Accessed 28 July 2015.Google Scholar
Alegría, M (2009). The challenge of acculturation measures: what are we missing? A commentary on Thomson & Hoffman-Goetz. Social Science & Medicine 69, 996–998.CrossRefGoogle ScholarPubMed
Alegría, M, Canino, G, Shrout, PE, Woo, M, Duan, N, Vila, D, Torres, M, Chen, CN, Meng, XL (2008). Prevalence of mental illness in immigrant and non-immigrant US Latino groups. American Journal of Psychiatry 165, 359–369.CrossRefGoogle ScholarPubMed
Alegría, M, Canino, G, Stinson, FS, Grant, BF (2006). Nativity and DSM-IV psychiatric disorders among Puerto Ricans, Cuban Americans, and non-Latino Whites in the United States: results from the National Epidemiological Survey on Alcohol and Related Conditions. Journal of Clinical Psychiatry 67, 56–65.CrossRefGoogle ScholarPubMed
Alegría, M, Mulvaney-Day, N, Torres, M, Polo, A, Cao, Z, Canino, G (2007 a). Prevalence of psychiatric disorders across Latino subgroups in the United States. American Journal of Public Health 97, 68–75.CrossRefGoogle ScholarPubMed
Alegría, M, Shrout, PE, Woo, M, Guarnaccia, P, Sribney, W, Vila, D, Polo, A, Cao, Z, Mulvaney-Day, N, Torres, M, Canino, G (2007 b). Understanding differences in past year psychiatric disorders for Latinos living in the US. Social Science & Medicine 65, 214–230.CrossRefGoogle ScholarPubMed
Alegría, M, Sribney, W, Woo, M, Torres, M, Guarnaccia, P (2007 c). Looking beyond nativity: the relation of age of immigration, length of residence, and birth cohorts to the risk of onset of psychiatric disorders for Latinos. Research on Human Development 4, 19–47.CrossRefGoogle Scholar
APA (1994). Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. American Psychiatric Association: Washington, DC.Google Scholar
Bird, HR (1982). The cultural dichotomy of colonial people. Journal of Academic Psychoanalysis 10, 195–209.CrossRefGoogle ScholarPubMed
Blanco, C, Morcillo, C, Alegría, M, Dedios, MC, Fernández-Navarro, P, Regíncos, R, Wang, S (2013). Acculturation and drug use disorders among Hispanics in the US. Journal of Psychiatric Research 47, 226–232.CrossRefGoogle Scholar
Breslau, J, Borges, G, Hagar, Y, Tancredi, D, Gilman, S (2009). Immigration to the USA and risk for mood and anxiety disorders: variation by origin and age at immigration. Psychological Medicine 39, 1117–1127.CrossRefGoogle Scholar
Brown, R, Baysu, G, Cameron, L, Nigbur, D, Rutland, A, Watters, C, Hossain, R, LeTouze, D, Landau, A (2013). Acculturation attitudes and social adjustment in British South Asian children: a longitudinal study. Personality and Social Psychology Bulletin 39, 1656–1667.CrossRefGoogle ScholarPubMed
Burnam, MA, Hough, RL, Karno, M, Escobar, JI, Telles, CA (1987). Acculturation and lifetime prevalence of psychiatric disorders among Mexican Americans in Los Angeles. Journal of Health and Social Behavior 28, 89–102.CrossRefGoogle ScholarPubMed
Canino, GJ, Bird, HR, Shrout, PE, Rubio-Stipec, M, Bravo, M, Martínez, R, Sesman, M, Guevara, LM (1987). The prevalence of specific psychiatric disorders in Puerto Rico. Archives of General Psychiatry 44, 727–735.CrossRefGoogle ScholarPubMed
Canino, GJ, Bravo, M, Ramírez, R, Febo, V, Lewis-Fernández, R, Hasin, DS (1999). The Spanish alcohol use disorder and associated disabilities interview schedule (AUDADIS): reliability and concordance with clinical diagnosis in a Hispanic population. Journal of Studies on Alcohol 60, 790–799.CrossRefGoogle Scholar
Comas-Díaz, L (1981). Effects of cognitive and behavioral group treatment on the depressive symptomatology of Puerto Rican women. Journal of Consulting and Clinical Psychology 49, 627–632.CrossRefGoogle ScholarPubMed
Comas-Díaz, L (1985). Cognitive and behavioral group therapy with Puerto Rican women: a comparison of content themes. Hispanic Journal of Behavioral Sciences 7, 273–283.CrossRefGoogle Scholar
Cook, B, Alegría, M, Lin, JY, Guo, J (2009). Pathways and correlates connecting Latinos’ mental health with exposure to the United States. American Journal of Public Health 99, 2247–2254.CrossRefGoogle ScholarPubMed
Duany, J (2002). The Puerto Rican Nation on the Move: Identities on the Island and in the United States. University of North Carolina Press: Chapel Hill, NC.Google Scholar
Duarte, CS, Bird, HR, Shrout, PE, Wu, P, Lewis-Fernández, R, Shen, S, Canino, G (2008). Culture and psychiatric symptoms in Puerto Rican children: longitudinal results from one ethnic group in two contexts. Journal of Child Psychology and Psychiatry 49, 563–572.CrossRefGoogle ScholarPubMed
Ell, K, Katon, W, Xie, B, Lee, PJ, Kapetanovic, S, Guterman, J, Chou, CP (2010). Collaborative care management of major depression among low-income, predominantly Hispanic subjects with diabetes. Diabetes Care 33, 706–713.CrossRefGoogle ScholarPubMed
Escobar, JI (1998). Immigration and mental health: why are immigrants better off? Archives of General Psychiatry 55, 781–782.CrossRefGoogle ScholarPubMed
Falicov, CJ (2001). The cultural meanings of money: the case of Latinos and Anglo-Americans. American Behavioral Scientist 45, 313–328.CrossRefGoogle Scholar
Finch, BK, Kolody, B, Vega, WA (2000). Perceived discrimination and depression among Mexican origin adults in California. Journal of Health and Social Behavior 41, 295–313.CrossRefGoogle ScholarPubMed
Grant, BF, Dawson, DA, Hasin, DS (2004 a). The Wave 2 National Epidemiological Survey on Alcohol and Related Conditions Alcohol Use Disorder and Associated Disabilities Interview Schedule - DSM-IV Version. National Institute on Alcohol Abuse and Alcoholism: Bethesda.Google Scholar
Grant, BF, Goldstein, RB, Chou, SP, Huang, B, Stinson, FS, Dawson, DA, Saha, TD, Smith, SM, Pulay, AJ, Pickering, RP, Ruan, WJ, Compton, WM (2008). Sociodemographic and psychopathologic predictors of first incidence of DSM-IV substance use, mood and anxiety disorders: results from the Wave 2 National Epidemiologic Survey on Alcohol and Related Conditions. Molecular Psychiatry 14, 1051–1066.CrossRefGoogle ScholarPubMed
Grant, BF, Hasin, DS, Stinson, FS, Dawson, DA, Ruan, WJ, Goldstein, RB, Smith, SM, Saha, TD, Huang, B (2005). Prevalence, correlates, co-morbidity, and comparative disability of DSM-IV generalized anxiety disorder in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Psychological Medicine 35, 1747–1759.CrossRefGoogle ScholarPubMed
Grant, BF, Kaplan, KK, Stinson, FS (2007). Source and Accuracy Statement: The Wave 2 National Epidemiologic Survey on Alcohol and Related Conditions. National Institute on Alcohol Abuse and Alcoholism: Bethesda.Google Scholar
Grant, BF, Stinson, FS, Hasin, DS, Dawson, DA, Chou, SP, Anderson, K (2004 b). Immigration and lifetime prevalence of DSM-IV psychiatric disorders among Mexican Americans and non-Hispanic whites in the United States. Archives of General Psychiatry 61, 1226–1233.CrossRefGoogle ScholarPubMed
Guarnaccia, PJ, Martínez Pincay, I, Alegría, M, Shrout, PE, Lewis-Fernández, R, Canino, GJ (2007). Assessing diversity among Latinos. Hispanic Journal of Behavioral Sciences 29, 510–534.CrossRefGoogle ScholarPubMed
Hasin, DS, Grant, BF (2004). The co-occurrence of DSM-IV alcohol abuse in DSM-IV alcohol dependence: results of the National Epidemiologic Survey on Alcohol and Related Conditions on heterogeneity that differ by population subgroup. Archives of General Psychiatry 61, 891–896.CrossRefGoogle ScholarPubMed
Hovey, JD (2000). Acculturative stress, depression, and suicidal ideation in Mexican immigrants. Cultural Diversity and Ethnic Minority Psychology 6, 134–151.CrossRefGoogle ScholarPubMed
Hovey, JD, Magaña, CG (2002). Cognitive, affective, and physiological expressions of anxiety symptomatology among Mexican migrant farmworkers: predictors and generational differences. Community Mental Health Journal 38, 223–237.CrossRefGoogle ScholarPubMed
Laria, AJ, Lewis-Fernández, R (2015). Issues in the assessment and treatment of Latino patients. In Clinical Manual of Cultural Psychiatry (ed. Lim, R. F.), pp. 183–249. American Psychiatric Publishing, Inc.: Washington, DC.Google Scholar
Lewis-Fernández, R, Aggarwal, NK, Hinton, L, Hinton, DE, Kirmayer, LK (eds.) (2016). DSM-5 Handbook on the Cultural Formulation Interview. American Psychiatric Publishing, Inc.: Washington, DC.Google Scholar
Marín, G, Sabogal, F, Marín, BV, Otero-Sabogal, R, Pérez-Stable, EJ (1987). Development of a short acculturation scale for Hispanics. Hispanic Journal of Behavioral Sciences 9, 183.CrossRefGoogle Scholar
Markowitz, JC, Patel, SR, Balan, I, McNamara, M, Blanco, C, Brave Heart, MYH, Sosa, S, Lewis-Fernández, R (2009). Toward an adaptation of interpersonal psychotherapy for depressed Hispanic patients. Journal of Clinical Psychiatry 70, 627–632.Google Scholar
Massey, DS, Sana, M (2003). Patterns of US migration from Mexico, the Caribbean, and Central America. Migraciones Internacionales 2, 5–39.Google Scholar
Medina-Mora, ME, Borges, G, Lara, C, Benjet, C, Blanco, J, Fleiz, C, Villatoro, J, Rojas, E, Zambrano, J (2005). Prevalence, service use, and demographic correlates of 12-month DSM-IV psychiatric disorders in Mexico: results from the Mexican National Comorbidity Survey. Psychological Medicine 35, 1773–1783.CrossRefGoogle ScholarPubMed
Morcillo, C, Duarte, CS, Shen, S, Blanco, C, Canino, G, Bird, HR (2011). Parental familism and antisocial behaviors: development, gender, and potential mechanisms. Journal of American Academic Child & Adolescent Psychiatry 50, 471–479.CrossRefGoogle ScholarPubMed
Ortega, AN, Rosenheck, R, Alegría, M, Desai, RA (2000). Acculturation and the lifetime risk of psychiatric and substance use disorders among Hispanics. Journal of Nervous and Mental Disease 188, 728–735.CrossRefGoogle ScholarPubMed
Pérez-Rodríguez, MM, Baca-García, E, Oquendo, MA, Wang, S, Wall, MM, Liu, SM, Blanco, C (2014). Relationship between acculturation, discrimination, and suicidal ideation and attempts among US Hispanics in the National Epidemiologic Survey of Alcohol and Related Conditions. Journal of Clinical Psychiatry 75, 399–407.CrossRefGoogle ScholarPubMed
Research Triangle Institute (2004). SUDAAN Software for Survey Data Analysis. Version 9.0 [computer program]. Research Triangle Park.Google Scholar
Sabogal, F, Marín, G, Otero-Sabogal, R (1987). Hispanic familism and acculturation: what changes and what doesn't? Hispanic Journal of Behavioral Sciences 9, 397–412.CrossRefGoogle Scholar
Scribner, R (1996). Editorial: paradox as Paradigm – the health outcomes of Mexican Americans. American Journal of Public Health 86, 303–304.CrossRefGoogle ScholarPubMed
Spector, PE, Cooper, CL, Poelmans, S, Allen, TD, O'Driscoll, M, Sánchez, JI, Siu, OL, Dewe, P, Hart, P, Lu, L (2004). A cross-national comparative study of work-family stressors, working hours, and well-being: China, and Latin America versus the Anglo world. Personnel Psychology 57, 119–142.CrossRefGoogle Scholar
Szapocznik, J, Kurtines, WM (1993). Family psychology and cultural diversity: opportunity for theory, research, and application. American Psychologist 48, 400–407.CrossRefGoogle Scholar
Turner, RJ, Gil, AG (2002). Psychiatric and substance use disorders in South Florida: racial/ethnic and gender contrasts in a young adult cohort. Archives of General Psychiatry 59, 43–50.CrossRefGoogle Scholar
Vega, WA, Kolody, B, Aguilar-Gaxiola, S, Alderete, E, Catalano, R, Caraveo-Anduaga, J (1998). Lifetime prevalence of DSM-III-R psychiatric disorders among urban and rural Mexican Americans in California. Archives of General Psychiatry 55, 771–778.CrossRefGoogle Scholar
Vega, WA, Sribney, WM, Aguilar-Gaxiola, S, Kolody, B (2004). 12-month prevalence of DSM-III-R psychiatric disorders among Mexican Americans: nativity, social assimilation, and age determinants. Journal of Nervous and Mental Disease 192, 532–541.CrossRefGoogle ScholarPubMed
Zane, N, Mak, W (2003). Major approaches to the measurement of acculturation among ethnic minority populations: A content analysis and an alternative empirical strategy. In Acculturation: Advances in Theory, Measurement, and Applied Research (ed. Chun, K. M., Organista, P. B., and Marín, G.), pp. 39–60. American Psychological Association: Washington, DC.CrossRefGoogle Scholar
Zentella, AC (1997). Growing Up Bilingual: Puerto Rican Children in New York. Blackwell: Malden, MA.Google Scholar
Zhou, M (1997). Segmented assimilation: issues, controversies, and recent research on the new second generation. International Migration Review 31, 975–1008.CrossRefGoogle ScholarPubMed