Cited by 642Mental Health Treatment and AccessHealth disparities and outcomesRacial and Ethnic Identity Research

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Lifetime risk and persistence of psychiatric disorders across ethnic groups in the United States

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BRESLAU, JOSHUA, KENDLER, KENNETH S., SU, MAXWELL, GAXIOLA-AGUILAR, SERGIO, KESSLER, RONALD C.·2005·Psychological Medicine

DOI 10.1017/s0033291704003514PMC PMC2748985

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Abstract

Background. Recent research in the United States has demonstrated striking health disparities across ethnic groups. Despite a longstanding interest in ethnic disadvantage in psychiatric epidemiology, patterns of psychiatric morbidity across ethnic groups have never been examined in a nationally representative sample. Method. Ethnic differences in psychiatric morbidity are analyzed using data from the National Comorbidity Survey (NCS). The three largest ethnic groups in the United States – Hispanics, Non-Hispanic Blacks and Non-Hispanic Whites – were compared with respect to lifetime risk and persistence of three categories of psychiatric disorder: mood disorder, anxiety disorder, and substance use disorder. Results. Where differences across ethnic groups were found in lifetime risk, socially disadvantaged groups had lower risk. Relative to Non-Hispanic Whites, Hispanics had lower lifetime risk of substance use disorder and Non-Hispanic Blacks had lower lifetime risk of mood, anxiety and substance use disorders. Where differences were found in persistence of disorders, disadvantaged groups had higher risk. Hispanics with mood disorders were more likely to be persistently ill as were Non-Hispanic Blacks with respect to both mood disorders and anxiety disorders. Closer examination found these differences to be generally consistent across population subgroups. Conclusions. Members of disadvantaged ethnic groups in the United States do not have an increased risk for psychiatric disorders. Members of these groups, however, do tend to have more persistent disorders. Future research should focus on explanations for these findings, including the possibility that these comparisons are biased, and on potential means of reducing the disparity in persistence of disorders across ethnic groups.

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(2003) · Choice Reviews Online · doi:10.5860/choice.40-5843 · Cited by 7,043
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Lorant, V. (2003) · American Journal of Epidemiology · doi:10.1093/aje/kwf182 · Cited by 2,603
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(1991) · Choice Reviews Online · doi:10.5860/choice.28-5931 · Cited by 2,561
Reliability and validity studies of the WHO-Composite International Diagnostic Interview (CIDI): A critical review
Wittchen, H.-U. (1994) · Journal of Psychiatric Research · doi:10.1016/0022-3956(94)90036-1 · Cited by 2,348
THE EFFECTS OF STRESSFUL LIFE EVENTS ON DEPRESSION
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Dohrenwend, B. P., Levav, I., Shrout, P. E., Schwartz, S., Naveh, G., Link, B. G., Skodol, A. E., & Stueve, A. (1992) · Science · doi:10.1126/science.1546291 · Cited by 1,276
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Young, A. S., Klap, R., Sherbourne, C. D., & Wells, K. B. (2001) · Archives of General Psychiatry · doi:10.1001/archpsyc.58.1.55 · Cited by 1,061

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Wilkinson, L. L., Kerr, J., Smith, T. D., Salaam, M., Flournoy, M. W., Magwood, J., Williams, E. M., & Glover, S. H. (2014) · Ethnicity and Inequalities in Health and Social Care · doi:10.1108/eihsc-11-2013-0049 · Cited by 3
The Role of Racial Identity in the Relationship Between Life Stressors and Depressive Symptoms Among Black Adults in the United States
Archibald, P., Daniels, K., & Dobson-Sydnor, K. (2018) · Urban Social Work · doi:10.1891/2474-8684.2.2.123 · Cited by 3
Gender Identity, Race, and Ethnicity-based Discrimination in Access to Mental Health Care: Evidence from an Audit Correspondence Field Experiment.
Fumarco, L., Harrell, B. J., Button, P., Schwegman, D., & Dils, E. (2023) · MUNI ECON Working Papers · doi:10.5817/wp_muni_econ_2023-08 · Cited by 6
A storyboarding approach to train school mental health providers and paraprofessionals in the delivery of a strengths‐based program for Latinx families affected by maternal depression
Valdez, C. R., Wagner, K. M., Stumpf, A., & Saucedo, M. (2022) · American Journal of Community Psychology · doi:10.1002/ajcp.12588 · Cited by 3
A study of peer-nominated exemplars of social justice commitment in counseling and psychology
Sumner, A. D. (2013) · University of Minnesota Digital Conservancy (University of Minnesota) · Cited by 3
Explaining Racial Disparity in Bipolar Disorder Treatment: How Do Providers Contribute?
McMaster, K. J. (2016) · eScholarship (California Digital Library) · Cited by 3
A Cross-sectional Analysis of the Impact of COVID-19 Related Stressors on Canadian University Students’ Mental Health and WellbeingPreprint
Linden, B., Monaghan, C., Zheng, S., Rose, J., & Mahar, A. L. (2021) · Research Square · doi:10.21203/rs.3.rs-971271/v1 · Cited by 3
Is Clinical Psychological Science Infected by Racism and White Supremacy?
McNally, R. J. (2024) · Journal of Controversial Ideas · doi:10.35995/jci04020013 · Cited by 3
Lifetime stressor exposure and depression among patients with pancreatic cancer: insights from the Florida Pancreas Collaborative
DeSomma, A., Maletz, S. N., Basinski, T. L., Morales, R., Castria, T. B. D., Bloomston, M., Chen, D., Douglas, W. G., Huguet, K. L., Jeong, D. K., et al. (2025) · BMC Cancer · doi:10.1186/s12885-025-15007-w · Cited by 2
“However, in the general population, non-Hispanic Black and Hispanic/Latinx individuals appear to have a lower prevalence of depression and psychiatric disorders than non-Hispanic White individuals [17, 18].”
Stigma as a Core Construct for Biological Anthropology: What It Offers and Why It Matters
Brewis, A. (2025) · American Journal of Biological Anthropology · doi:10.1002/ajpa.70118 · Cited by 2
Impact of Depression on the Intensity of Patient Navigation for Women with Abnormal Cancer Screenings
Cruz, I. I. D. L., Freund, K. M., Battaglia, T. A., Chen, C. A., Bak, S. M., Kalish, R. L., Lottero, B., Egan, P., Heeren, T., & Kronman, A. C. (2014) · Journal of Health Care for the Poor and Underserved · doi:10.1353/hpu.2014.0045 · Cited by 2
Pathways to treatment: Mental health providers’ experiences with Latina/o clients’ care seeking
Barrera, I., Ortiz, D. V., & Camacho, L. M. (2016) · Social Work in Mental Health · doi:10.1080/15332985.2015.1084972 · Cited by 2
Factors Influencing Gateway Providers’ Confidence in Helping People with Mental Illness
Jung, H., Lee, S., & Kim, Y. (2020) · Social Work in Public Health · doi:10.1080/19371918.2020.1802385 · Cited by 2
Ethno-racial variations in mental health symptoms among sexually-active gay, bisexual, and other men who have sex with men in Vancouver, Canada: a longitudinal analysis
Bao, S. L., Olarewaju, G., Wang, L., Sang, J. M., Zhu, J., Lachowsky, N. J., Lal, A., Ablona, A., Ho, D., Baharuddin, F., et al. (2024) · BMC Public Health · doi:10.1186/s12889-024-17743-3 · Cited by 2
“Indeed, research in the U.S. and Canada has shown that members of ethnic minorities with mental health symptoms or disorders are more likely to have persistent disorders [13], more likely to have unmet mental health care needs [23, 38], and less likely to visit mental health resources [23].”
Background
A Systematic Review of Evidence-Based Treatments for Depression in Latinx Youth
Borrero, E., & Przeworski, A. (2024) · Child & Family Behavior Therapy · doi:10.1080/07317107.2024.2438341 · Cited by 2
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Lee, K. H., & Hines, L. D. (2014) · Social Work in Public Health · doi:10.1080/19371918.2013.776322 · Cited by 2
“The findings are consistent with some previous studies, which showed that Hispanics and Blacks had lower lifetime risk of SUD (Breslau et al., 2005; Brown et al., 2004), but cocaine use was more prevalent among African American women than among non-Hispanic Whites (Vega et al.”
ResultInfluential
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Naddy, M. B. G., & Ayón, C. (2015) · Journal of the Society for Social Work and Research · doi:10.1086/680150 · Cited by 2
Disparities in depression care in managed care settings
Kee, C., & Overstreet, K. M. (2007) · Journal of Continuing Education in the Health Professions · doi:10.1002/chp.132 · Cited by 2
Africentric Resilience Training: A Prevention Program for African American Soldiers
Boudreau, M. (2015) · OhioLink ETD Center (Ohio Library and Information Network) · Cited by 2
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“But when looking at persistence of illness, Hispanic Americans were found to be more persistently ill with mood disorders, and non-Hispanic Blacks were found to be more persistently ill with both mood and anxiety disorders than White Americans.(16) Additionally, older Hispanic Americans were more likely to be diagnose…”
BackgroundInfluential
Integrating Mental Health in Safety-net Primary Care
Leung, L. B., Benitez, C. T., Dorsey, C., Mahajan, A. P., Hellemann, G., Whelan, F., Park, N. J., & Braslow, J. T. (2021) · Medical Care · doi:10.1097/mlr.0000000000001637 · Cited by 2
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Brooks, J. R., Madubata, I. J., Leavitt, J., Jewell, R. D., Odafe, M. O., Diallo, K. M., & Walker, R. L. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-818697-8.00207-7 · Cited by 2
Association Between Discrimination and Depressive Symptoms Among Hispanic or Latino Adults During the COVID-19 Pandemic: Cross-Sectional Study
Ormiston, C. K., Villalobos, K., Ishino, F. A. M., & Williams, F. (2024) · JMIR Formative Research · doi:10.2196/48076 · Cited by 2
“Despite having a lower lifetime risk for mood and anxiety disorders, Hispanic and non-Hispanic Black adults are more likely to have persistent disorders than non-Hispanic White adults [12].”
Background
Cognitive risk profiles for anxiety disorders in a high-risk population
Bardeen, J. R., Stevens, E. N., Clark, C. B., Lahti, A. C., & Cropsey, K. L. (2015) · Psychiatry Research · doi:10.1016/j.psychres.2015.05.020 · Cited by 3
A culturally sensitive conceptualization of parental intrusiveness and its effects on child adjustment within Latino families.
Benito‐Gomez, M. (2020) · NC Digital Online Collection of Knowledge and Scholarship (The University of North Carolina at Greensboro) · Cited by 2
Noncoding RNAs, Neurodevelopment, and Neurodegeneration
Chen, M., Deng, J., Yang, M., Zhu, K. Y., Liu, J., Zhu, L., & Wu, J. Y. (2013) · Wiley eBooks · doi:10.1002/9783527665433.ch9 · Cited by 2
An Application Of Hierarchical Bayes Models To Estimated Prevalence Of Mental Disorder And Mental Health Service Use Among Cook Islanders In New Zealand
Kokaua, J. (2015) · Otago University Research Archive (University of Otago) · Cited by 2
Standing in the need of prayer: beliefs about depression and treatment held among african american christian women.
Braithwaite-Hall, M. A. (2011) · ProQuest Demo Repository · Cited by 2
Cost Burden of the ‘Presenteeism’ Health Outcome in a Diverse Nurse and Pharmacist Workforce: Practice Models and Health Policy Implications
Warren, C. (2009) · doi:10.21007/etd.cghs.2009.0345 · Cited by 2
Parent Emotion Socialization and Treatment Outcomes for Children with Oppositional Defiant Disorder: The Mediating Role of Emotion Regulation
Miller, R. (2014) · VTechWorks (Virginia Tech) · Cited by 2
The contribution of genetic risk to the comorbidity of depression and anxiety: a multi-site electronic health records studyPreprint
Coombes, B., Landi, I., Choi, K., Singh, K., Fennessy, B., Gao, Y.-N., Jenkins, G., Batzler, A., Pendegraft, R., Núñez, N., et al. (2022) · medRxiv · doi:10.1101/2022.04.11.22273720 · Cited by 2
Psychological distress and protective factors among Black Americans pre- and post-COVID-19
Kohn‐Wood, L. P., Hooper, L. M., Davis, B. R., & Thelomar, G. (2023) · Elsevier eBooks · doi:10.1016/b978-0-323-91497-0.00262-9 · Cited by 2
Disruptive Behavior Disorders
Walsh, J. A. (2009) · Oxford University Press eBooks · doi:10.1093/oso/9780190616250.003.0010 · Cited by 2
Ethnic inequalities in community rehabilitation use and psychiatric hospitalizations among people with chronic psychotic disorder
Florentin, S., Rosca, P., Keller, S., Reuveni, I., Haled, R., Yakirevich-Amir, N., & Neumark, Y. D. (2023) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-023-02551-8 · Cited by 1
“While there is some evidence that minority ethnic groups in the USA do not exhibit an increased risk for depression, anxiety, and substance use disorder, they tend to experience more persistent and severe disorders [18, 19].”
Patient-Reported Racial and Ethnic Disparities in Patients With Ulcerative Colitis: Results From the National Health and Wellness Survey
Burbage, S. C., Krupsky, K. L., Cambron‐Mellott, M. J., Way, N., Patel, A. A., & Liu, J. J. (2024) · Crohn s & Colitis 360 · doi:10.1093/crocol/otae048 · Cited by 1

Authors: BRESLAU, J., KENDLER, K. S., SU, M., GAXIOLA-AGUILAR, S., & KESSLER, R. C.
Affiliations: Harvard University (US)
Virginia Commonwealth University (US)
ORCID: BRESLAU, JOSHUA
KENDLER, KENNETH S.
SU, MAXWELL
KESSLER, RONALD C.
Venue: Psychological Medicine
Publisher: Cambridge University Press (CUP)
Published: 2004-09-29
Volume: 35
Issue: 3
Pages: 317-327
ISSN: 0033-2917 (ISSN-L)
1469-8978
DOI: 10.1017/s0033291704003514
PMC: PMC2748985
OpenAlex: W2119176293
Cited by: 642
References: 55
Citations by year: 2026: 11 · 2025: 23 · 2024: 31 · 2023: 27 · 2022: 38 · 2021: 33 · 2020: 31 · 2019: 25 · 2018: 44 · 2017: 27 · 2016: 34 · 2015: 31 · 2014: 42 · 2013: 33 · 2012: 34
FWCI: 22.66
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.cambridge.org/core/terms (unspecified)
Locations: Psychological Medicine (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health
National Institute of Mental Health (5 KO1 MH66057-02, K01MH066057)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Health › Health disparities and outcomes
Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
Keywords: ethnic disparities, psychiatric morbidity, lifetime risk, mood disorders, anxiety disorders, substance use disorders, Hispanic Americans, African Americans, social deprivation, National Comorbidity Survey
MeSH terms: Adolescent, Adult, Aged, Mental Disorders, Ethnicity, Female, Health Surveys, Humans, Male, Middle Aged, Morbidity, Risk Factors, Social Class, United States

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Lifetime risk and persistence of psychiatric disorders across ethnic groups in the United States

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