Abstract
Objectives. We examined differences in the use of mental health services, conditional on the presence of psychiatric disorders, across groups of Mexico's population with different US migration exposure and in successive generations of Mexican Americans in the United States. Methods. We merged surveys conducted in Mexico (Mexican National Comorbidity Survey, 2001-2002) and the United States (Collaborative Psychiatric Epidemiology Surveys, 2001-2003). We compared psychiatric disorders and mental health service use, assessed in both countries with the Composite International Diagnostic Interview, across migration groups. Results. The 12-month prevalence of any disorder was more than twice as high among third-and higher generation Mexican Americans (21%) than among Mexicans with no migrant in their family (8%). Among people with a disorder, the odds of receiving any mental health service were higher in the latter group relative to the former (odds ratio = 3.35; 95% confidence interval = 1.82, 6.17) but the age-and gender-adjusted prevalence of untreated disorder was also higher. Conclusions. Advancing understanding of the specific enabling and dispositional factors that result in increases in mental health care may contribute to reducing service use disparities across ethnic groups in the United States.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1610-1618 |
| Number of pages | 9 |
| Journal | American Journal of Public Health |
| Volume | 103 |
| Issue number | 9 |
| DOIs | |
| State | Published - Sep 2013 |
Fingerprint
ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health
Cite this
A cross-national study on prevalence of mental disorders, service use, and adequacy of treatment among Mexican and Mexican American populations. / Orozco, Ricardo; Borges, Guilherme; Medina-Mora, Maria Elena; Aguilar-Gaxiola, Sergio; Breslau, Joshua.
In: American Journal of Public Health, Vol. 103, No. 9, 09.2013, p. 1610-1618.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - A cross-national study on prevalence of mental disorders, service use, and adequacy of treatment among Mexican and Mexican American populations
AU - Orozco, Ricardo
AU - Borges, Guilherme
AU - Medina-Mora, Maria Elena
AU - Aguilar-Gaxiola, Sergio
AU - Breslau, Joshua
PY - 2013/9
Y1 - 2013/9
N2 - Objectives. We examined differences in the use of mental health services, conditional on the presence of psychiatric disorders, across groups of Mexico's population with different US migration exposure and in successive generations of Mexican Americans in the United States. Methods. We merged surveys conducted in Mexico (Mexican National Comorbidity Survey, 2001-2002) and the United States (Collaborative Psychiatric Epidemiology Surveys, 2001-2003). We compared psychiatric disorders and mental health service use, assessed in both countries with the Composite International Diagnostic Interview, across migration groups. Results. The 12-month prevalence of any disorder was more than twice as high among third-and higher generation Mexican Americans (21%) than among Mexicans with no migrant in their family (8%). Among people with a disorder, the odds of receiving any mental health service were higher in the latter group relative to the former (odds ratio = 3.35; 95% confidence interval = 1.82, 6.17) but the age-and gender-adjusted prevalence of untreated disorder was also higher. Conclusions. Advancing understanding of the specific enabling and dispositional factors that result in increases in mental health care may contribute to reducing service use disparities across ethnic groups in the United States.
AB - Objectives. We examined differences in the use of mental health services, conditional on the presence of psychiatric disorders, across groups of Mexico's population with different US migration exposure and in successive generations of Mexican Americans in the United States. Methods. We merged surveys conducted in Mexico (Mexican National Comorbidity Survey, 2001-2002) and the United States (Collaborative Psychiatric Epidemiology Surveys, 2001-2003). We compared psychiatric disorders and mental health service use, assessed in both countries with the Composite International Diagnostic Interview, across migration groups. Results. The 12-month prevalence of any disorder was more than twice as high among third-and higher generation Mexican Americans (21%) than among Mexicans with no migrant in their family (8%). Among people with a disorder, the odds of receiving any mental health service were higher in the latter group relative to the former (odds ratio = 3.35; 95% confidence interval = 1.82, 6.17) but the age-and gender-adjusted prevalence of untreated disorder was also higher. Conclusions. Advancing understanding of the specific enabling and dispositional factors that result in increases in mental health care may contribute to reducing service use disparities across ethnic groups in the United States.
UR - http://www.scopus.com/inward/record.url?scp=84881503976&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84881503976&partnerID=8YFLogxK
U2 - 10.2105/AJPH.2012.301169
DO - 10.2105/AJPH.2012.301169
M3 - Article
VL - 103
SP - 1610
EP - 1618
JO - American Journal of Public Health
JF - American Journal of Public Health
SN - 0090-0036
IS - 9
ER -