Glorisa Canino1, Patrick E Shrout2, Amanda NeMoyer3,4, Doryliz Vila5, Katyana M Santiago5, Pedro Garcia5, Amarilis Quiñones5, Vilmary Cruz5, Margarita Alegria3,4. 1. Behavioral Sciences Research Institute, Medical School, University of Puerto Rico, Medical Sciences Campus, PO Box 5067, San Juan, PR, 00936-5067, USA. glorisa.canino@upr.edu. 2. Department of Psychology, New York University, New York, USA. 3. Department of Health Care Policy, Harvard Medical School, Boston, MA, USA. 4. Department of Psychiatry, Harvard Medical School, Boston, MA, USA. 5. Behavioral Sciences Research Institute, Medical School, University of Puerto Rico, Medical Sciences Campus, PO Box 5067, San Juan, PR, 00936-5067, USA.
Abstract
PURPOSE: The manuscript compares the rates of psychiatric disorder among island Puerto Ricans, the US population and US Puerto Ricans in order to examine whether social support explains differences in psychiatric disorder among these three groups. METHODS: Unadjusted and adjusted rates for sociodemographic factors and social support of main psychiatric disorders are compared among three population-based psychiatric epidemiology studies carried in Puerto Rico (PR) and the United States (US) as part of the NCS-R and NLAAS studies. RESULTS: Comparison of adjusted rates showed island Puerto Ricans had similar overall rates of psychiatric disorder as those of the US, lower rates of anxiety disorders, but higher rates of substance use disorders. US Puerto Ricans had higher rates of adjusted anxiety and depression but not of overall psychiatric disorder, as compared to the island. When the rates of disorder were adjusted also for social support, the differences between these two groups disappeared. CONCLUSIONS: The findings suggest that social support is a variable worthy of further exploration for explaining differences in disorder prevalence particularly among Puerto Ricans depending on where they live.
PURPOSE: The manuscript compares the rates of psychiatric disorder among island Puerto Ricans, the US population and US Puerto Ricans in order to examine whether social support explains differences in psychiatric disorder among these three groups. METHODS: Unadjusted and adjusted rates for sociodemographic factors and social support of main psychiatric disorders are compared among three population-based psychiatric epidemiology studies carried in Puerto Rico (PR) and the United States (US) as part of the NCS-R and NLAAS studies. RESULTS: Comparison of adjusted rates showed island Puerto Ricans had similar overall rates of psychiatric disorder as those of the US, lower rates of anxiety disorders, but higher rates of substance use disorders. US Puerto Ricans had higher rates of adjusted anxiety and depression but not of overall psychiatric disorder, as compared to the island. When the rates of disorder were adjusted also for social support, the differences between these two groups disappeared. CONCLUSIONS: The findings suggest that social support is a variable worthy of further exploration for explaining differences in disorder prevalence particularly among Puerto Ricans depending on where they live.
Entities:
Keywords:
Mental disorders; Population samples; Psychiatric epidemiology
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