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Cited by 102Mental Health Treatment and AccessIndigenous Health, Education, and RightsSuicide and Self-Harm Studies

Psychiatric Disorders and Mental Health Treatment in American Indians and Alaska Natives: Results of the National Epidemiologic Survey on Alcohol and Related Conditions

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Brave Heart, Maria Yellow Horse, Lewis-Fernández, Roberto, Beals, Janette, Hasin, Deborah S., Sugaya, Luisa, Wang, Shuai, Grant, Bridget F., Blanco, Carlos·2016·Social Psychiatry and Psychiatric Epidemiology
DOI 10.1007/s00127-016-1225-4PMC PMC4947559
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Abstract

Purpose To examine the prevalence of common psychiatric disorders and associated treatment-seeking, stratified by gender, among American Indians/Alaska Natives and non-Hispanic whites in the United States. Lifetime and 12-month rates are estimated, both unadjusted and adjusted for sociodemographic correlates. Method Analyses were conducted with the American Indians/Alaska Native (n = 701) and Non-Hispanic white (n = 24,507) samples in the 2001-2002 National Epidemiologic Survey on Alcohol and Related Conditions [(NESARC) n = 43,093]. Results Overall, 70 % of the American Indian/Alaska Native men and 63 % of the women met criteria for at least one Diagnostic and Statistical Manual-IV lifetime disorder, compared to 62 and 53 % of Non-Hispanic white men and women, respectively. Adjusting for sociodemographic correlates attenuated the differences found. Nearly half of American Indians/Alaska Natives had a psychiatric disorder in the previous year; again, sociodemographic adjustments explained some of the differences found. Overall, the comparisons to non-Hispanic whites showed differences were more common among American Indian/Alaska Native women than men. Among those with a disorder, American Indian/Alaska Native women had greater odds of treatment-seeking for 12-month anxiety disorders. Conclusion As the first study to provide national estimates, by gender, of the prevalence and treatment of a broad range of psychiatric disorders among American Indians/Alaska Natives, a pattern of higher prevalence of psychiatric disorder was found relative to Non-Hispanic whites. Such differences were more common among women than men. Prevalence may be overestimated due to cultural limitations in measurement. Unmeasured risk factors, some specific to American Indians/Alaska Natives, may also partially explain these results.

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  • The prevalence for any substance use, mood, and personality disorders was higher for AIAN males and females compared to males and females in the general population.

    “The study also concluded that the prevalence for any substance use, mood, and personality disorders was higher for AIAN males and females compared to males and females in the general population [52].”

    From Substance and Behavioral Addictions among American Indian and Alaska Native Populations (2022) · cites this paper as [52]

    The Results, Lifetime Psychiatric Disorders (Table 2), state that AIAN men and women had higher prevalence of any substance use, mood, and personality disorders. But the comparison was with non-Hispanic White men and women, not men and women in the general population as a whole. (LLM, conf=0.85)

    Experimental — accuracy not yet measured

  • AIAN males and females had higher prevalence of both paranoid and antisocial personality disorders as well as drug dependence relative to both sexes in the general population.

    “AIAN males and females had higher prevalence of both paranoid and antisocial personality disorders as well as drug dependence relative to both sexes in the general population [52].”

    From Substance and Behavioral Addictions among American Indian and Alaska Native Populations (2022) · cites this paper as [52]

    The Results (Lifetime Psychiatric Disorders, Table 2) report higher prevalence of drug dependence and both paranoid and antisocial personality disorders in AIAN men and women. The comparison, however, is with non-Hispanic White men and women, not with the general population as the claim states. (LLM, conf=0.88)

    Experimental — accuracy not yet measured

  • A study based on the National Epidemiologic Survey on Alcohol and Related Conditions found that 70% of AIAN men and 63% of AIAN females met the criteria for at least one mental health lifetime disorder as defined in the Diagnostic and Statistical Manual-IV.

    “A study based on the National Epidemiologic Survey on Alcohol and Related Conditions found that 70% of AIAN men and 63% of AIAN females met the criteria for at least one mental health lifetime disorder as defined in the Diagnostic and Statistical Manual-IV [52].”

    From Substance and Behavioral Addictions among American Indian and Alaska Native Populations (2022) · cites this paper as [52]

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Authors
Brave Heart, M. Y. H., Lewis-Fernández, R., Beals, J., Hasin, D. S., Sugaya, L., Wang, S., Grant, B. F., & Blanco, C.
Affiliations
  • Colorado School of Public Health (US)
  • New York State Psychiatric Institute (US)
  • Universidade de São Paulo (BR)
  • National Institute on Alcohol Abuse and Alcoholism (US)
  • National Institute on Drug Abuse (US)
ORCID
Venue
Social Psychiatry and Psychiatric Epidemiology
Publisher
Springer Science and Business Media LLC
Published
2016-05-02
Volume
51
Issue
7
Pages
1033-1046
ISSN
  • 0933-7954 (ISSN-L)
  • 1433-9285
DOI
10.1007/s00127-016-1225-4
PMC
PMC4947559
OpenAlex
W2346277961
Cited by
102
References
9
Citations by year
2026: 6 · 2025: 9 · 2024: 16 · 2023: 16 · 2022: 15 · 2021: 11 · 2020: 9 · 2019: 7 · 2018: 7 · 2017: 4 · 2016: 1
FWCI
8.69
Type
journal article
Language
en
Open access
Licence
Locations
  • Social Psychiatry and Psychiatric Epidemiology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institute on Minority Health and Health Disparities (MD004811)
  • National Institutes of Health (MD000507, AA08159, AA018111 and AA00161)
  • Foundation for the National Institutes of Health (MH076051;MH082773)
Topics
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Health › Indigenous Health, Education, and Rights
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
Keywords
American Indians and Alaska Natives, mental illness, psychotherapy, treatment seeking, prevalence, gender differences, anxiety disorders, ethnic disparities, non-Hispanic whites, NESARC
MeSH terms
Alaska Natives, Adolescent, Adult, Aged, Alaska, Anxiety Disorders, Mental Disorders, Female, Humans, Indians, North American, Male, Mental Health Services, Middle Aged, Patient Acceptance of Health Care, Surveys and Questionnaires, Risk Factors, Sex Factors, United States, Prevalence, Diagnostic and Statistical Manual of Mental Disorders, White People, Young Adult

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