Audrey L Jones1,2, Jane Rafferty3,4, Susan D Cochran5,6, Jamie Abelson3,4, Vickie M Mays6,7. 1. Informatics, Decision-Enhancement and Analytic Sciences Center (IDEAS), 422567Veteran Affairs Salt Lake City Health Care System, UT, USA. 2. Department of Internal Medicine, School of Medicine, University of Utah, Salt Lake City, USA. 3. Program for Research on Black Americans, 51331Institute of Social Research, Ann Arbor, MI, USA. 4. School of Social Work, 143265University of Michigan, Ann Arbor, USA. 5. Departments of Epidemiology and Statistics, Fielding School of Public Health, 25808University of California, Los Angeles, USA. 6. UCLA Center for Bridging Research Innovation, Training and Education for Minority Health Disparities Solutions (BRITE), Los Angeles, CA, USA. 7. Departments of Psychology and Health Policy and Management, Fielding School of Public Health, 8783University of California, Los Angeles, USA.
Abstract
Objectives: To examine anxiety disorders in aging Black adults. Methods: Using nationally representative data from the National Survey of American Life, we estimated lifetime/12-month prevalence of anxiety disorders in Black men and women, age 50+ (N = 1561). Disorder-specific persistence and severity, functional impairment, and mental health service utilization were investigated using multivariate regressions. Results: Black men and women who met criteria for anxiety disorders (lifetime prevalence=12.4%/18.3% in men/women) also demonstrated persistent disorders (percent meeting criteria = 40.3%-61.2%). Those with a 12-month anxiety disorder (6.2%/10.5% of men/women) typically reported severe task interference (38.3%-85.7%). Those with any 12-month anxiety disorder, compared to those without, experienced greater impairment in days out of role, work, family burden, cognition and, in women, mobility (p's < .05). Only 47.0%/65.2% of Black men/women with any lifetime anxiety disorder used mental health services. Discussion: Despite low prevalence, older Blacks with anxiety disorders experience substantial mental health burden in middle age and later.
Objectives: To examine anxiety disorders in aging Black adults. Methods: Using nationally representative data from the National Survey of American Life, we estimated lifetime/12-month prevalence of anxiety disorders in Black men and women, age 50+ (N = 1561). Disorder-specific persistence and severity, functional impairment, and mental health service utilization were investigated using multivariate regressions. Results: Black men and women who met criteria for anxiety disorders (lifetime prevalence=12.4%/18.3% in men/women) also demonstrated persistent disorders (percent meeting criteria = 40.3%-61.2%). Those with a 12-month anxiety disorder (6.2%/10.5% of men/women) typically reported severe task interference (38.3%-85.7%). Those with any 12-month anxiety disorder, compared to those without, experienced greater impairment in days out of role, work, family burden, cognition and, in women, mobility (p's < .05). Only 47.0%/65.2% of Black men/women with any lifetime anxiety disorder used mental health services. Discussion: Despite low prevalence, older Blacks with anxiety disorders experience substantial mental health burden in middle age and later.
Authors: Nicholas J Sibrava; Courtney Beard; Andri S Bjornsson; Ethan Moitra; Risa B Weisberg; Martin B Keller Journal: J Consult Clin Psychol Date: 2013-09-16
Authors: Vickie M Mays; Audrey L Jones; Susan D Cochran; Robert Joseph Taylor; Jane Rafferty; James S Jackson Journal: Healthcare (Basel) Date: 2018-05-23
Authors: Joseph A Himle; Richard T LeBeau; Addie Weaver; Daphne M Brydon; Deborah Bybee; Amy M Kilbourne; Raphael D Rose; Katherine M Tucker; Richard Kim; Marcelina Perez; Fonda N Smith; Brandy R Sinco; Scott Levine; Nicole Hamameh; Zipora Golenberg; Monique McKiver; Paul T Wierzbicki; Anni M Hasratian; Michelle G Craske Journal: Contemp Clin Trials Commun Date: 2019-10-15