J Breslau1, G Borges, Y Hagar, D Tancredi, S Gilman. 1. University of California, Davis, School of Medicine, Department of Internal Medicine, Center for Reducing Health Disparities, Sacramento, CA 95817, USA. jabreslau@ucdavis.edu
Abstract
BACKGROUND: Risk for mood and anxiety disorders associated with US-nativity may vary across immigrant groups. METHOD: Using data from the National Epidemiological Study of Alcohol and Related Conditions (NESARC), we examined the association of lifetime risk for mood and anxiety disorders with US-nativity and age at immigration across seven subgroups of the US population defined by country or region of ancestral origin: Mexico, Puerto-Rico, Cuba, Central and South America, Western Europe, Eastern Europe, and Africa and the Caribbean. Discrete time survival models were used to compare lifetime risk between the US-born, immigrants who arrived in the USA prior to the age of 13 years and immigrants who arrived in the USA at the age of 13 years or older. RESULTS: The association of risk for mood and anxiety disorders with US-nativity varies significantly across ancestral origin groups (p<0.001). Among people from Mexico, Eastern Europe, and Africa or the Caribbean, risk for disorders is lower relative to the US-born among immigrants who arrived at the age of 13 years or higher (odds ratios in the range 0.34-0.49) but not among immigrants who arrived prior to the age of 13 years. There is no association between US-nativity and risk for disorder among people from Western Europe and Puerto Rico. CONCLUSIONS: Low risk among immigrants relative to the US-born is limited to groups among whom risk for mood and anxiety disorder is low in immigrants who spent their pre-adolescent years outside of the USA.
BACKGROUND: Risk for mood and anxiety disorders associated with US-nativity may vary across immigrant groups. METHOD: Using data from the National Epidemiological Study of Alcohol and Related Conditions (NESARC), we examined the association of lifetime risk for mood and anxiety disorders with US-nativity and age at immigration across seven subgroups of the US population defined by country or region of ancestral origin: Mexico, Puerto-Rico, Cuba, Central and South America, Western Europe, Eastern Europe, and Africa and the Caribbean. Discrete time survival models were used to compare lifetime risk between the US-born, immigrants who arrived in the USA prior to the age of 13 years and immigrants who arrived in the USA at the age of 13 years or older. RESULTS: The association of risk for mood and anxiety disorders with US-nativity varies significantly across ancestral origin groups (p<0.001). Among people from Mexico, Eastern Europe, and Africa or the Caribbean, risk for disorders is lower relative to the US-born among immigrants who arrived at the age of 13 years or higher (odds ratios in the range 0.34-0.49) but not among immigrants who arrived prior to the age of 13 years. There is no association between US-nativity and risk for disorder among people from Western Europe and Puerto Rico. CONCLUSIONS: Low risk among immigrants relative to the US-born is limited to groups among whom risk for mood and anxiety disorder is low in immigrants who spent their pre-adolescent years outside of the USA.
Authors: Bridget F Grant; Frederick S Stinson; Deborah S Hasin; Deborah A Dawson; S Patricia Chou; Karyn Anderson Journal: Arch Gen Psychiatry Date: 2004-12
Authors: Margarita Alegria; Patrick E Shrout; Meghan Woo; Peter Guarnaccia; William Sribney; Doryliz Vila; Antonio Polo; Zhun Cao; Norah Mulvaney-Day; Maria Torres; Glorisa Canino Journal: Soc Sci Med Date: 2007-05-17 Impact factor: 4.634
Authors: Bridget F Grant; Deborah A Dawson; Frederick S Stinson; Patricia S Chou; Ward Kay; Roger Pickering Journal: Drug Alcohol Depend Date: 2003-07-20 Impact factor: 4.492
Authors: Joshua Breslau; Guilherme Borges; Naomi Saito; Daniel J Tancredi; Corina Benjet; Ladson Hinton; Kenneth S Kendler; Richard Kravitz; William Vega; Sergio Aguilar-Gaxiola; Maria Elena Medina-Mora Journal: Arch Gen Psychiatry Date: 2011-12
Authors: Magdalena Szaflarski; Lisa A Cubbins; Shawn Bauldry; Karthikeyan Meganathan; Daniel H Klepinger; Eugene Somoza Journal: J Immigr Minor Health Date: 2016-08