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Cited by 182Indigenous Health, Education, and RightsMental Health Treatment and AccessCultural Competency in Health Care

The DOI matches its Crossref record; 67 of the 67 references it cites were found in a registry or an index.

Cultural Specificity and Comparison in Psychiatric Epidemiology: Walking the Tightrope in American Indian Research

Beals, Janette, Manson, Spero M., Mitchell, Christina M., Spicer, Paul, AI-SUPERPFP Team·2003·Culture Medicine and Psychiatry
DOI 10.1023/a:1025347130953
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Abstract

Increasingly, the mental health needs of populations are measured using large-sample surveys with standardized measures and methods. Such efforts, however, rarely include sufficient number of smaller, culturally defined populations to draw defensible conclusions about their needs. Furthermore, without some adaptation, the standardized methods and measures may yield invalid results in such populations. Using a recently completed psychiatric epidemiology and services study with American Indian populations as a case example, this paper outlines issues facing epidemiologists working in such culturally diverse contexts. The issues discussed include the following: (1) persuading the scientific community and potential sponsors that work with distinct or culturally defined populations is important; (2) framing research questions and activities to meet the needs of communities; (3) defining a population of inference; (4) balancing the needs for comparability and cultural specificity; (5) maximizing scientific validity in light of the challenges in sample acquisition; and (6) developing and implementing data collection methods that uphold scientific standards but are also realistic given the context. The authors draw on their experiences--most recently in the American Indian Service Utilization, Psychiatric Epidemiology, Risk and Protective Factors Project (AI-SUPERPFP)--to illustrate these issues and suggest ways to address each. A goal of this paper is to challenge those invested in conducting culturally valid epidemiologic work in such populations to better articulate the nature of these efforts.

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Citations

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Research works printed but not linked: 12

  1. Beals, Janette, Douglas Novins, Christina Mitchell, James Shore, and Spero Manson 2002b Comorbidity between Alcohol Abuse/Dependence and Psychiatric Disorders: Prevalence, Treatment Implications, and New Directions for Research among American Indian Populations. In Alcohol Use among American Indians and Alaska Natives: Multiple Perspectives on a Complex Problem. Patricia Mail, Suzanne Heurtin-Roberts, Susan Martin, and Jan Howard, eds., pp. 371–410. Bethesda, MD: U.S. Department of Health and Human Services.
  2. Bureau of Indian Affairs 2000 Indian Entities Recognized and Eligible to Receive Services from the United States Bureau of Indian Affairs. Washington, D.C.: Federal Register.
  3. Cochran, William 1977 Sampling Techniques. New York: Wiley.
  4. Kunitz, Stephen, and Jerrold Levy 1991 Navajo Aging. Tucson, AZ: University of Arizona Press.
  5. National Center for Posttraumatic Stress Disorder and the National Center for American Indian and Alaska Native Mental Health Research 1996 Matsunaga Vietnam Veterans Project. White River Junction, VT: National Center for PTSD.
  6. Spitzer, Robert, Janet Williams, and Miriam Gibbon 1987 Structured Clinical Interview for DSM-III-R, Version NP. New York: New York Psychiatric Institute, Biometrics Research Department.
  7. U.S. Department of Commerce and Bureau of the Census 1991 A 1990 Census Profile of American Indian, Eskimo, or Aleut Population. Washington, DC: U.S. Department of Commerce.
  8. U.S. Department of Commerce and Bureau of the Census 2002 The American Indian and Alaska Native Population: 2000. Washington, DC: U.S. Census Bureau.
  9. U.S. Department of Health and Human Services 2001a Mental Health: Culture, Race, and Ethnicity. Rockville, MD: Public Health Service, Office of the Surgeon General.
  10. U.S. Department of Health and Human Services 2001b Trends in Indian Health 1998–1999. Rockville, MD: Department of Health and Human Services.
  11. Wakefield, Jerome, and Robert Spitzer 2002 Why Requiring Clinical Significance Does Not Solve Epidemiology's and DSM's Validity Problem: Response to Regier and Narrow. In Defining Psychopathology in the 21st Century: DSM-V and Beyond. John Helzer and James Hudziak, eds., pp. 31–40. Washington, DC: American Psychiatric Publishing, Inc.
  12. Wittchen, Hans-Ulrich, and Ronald Kessler 1994 Modifications of the CIDI in the National Comorbidity Survey: The Development of the UM-CIDI. In NCS Working Papers. Ann Arbor, MI: Institute for Social Research.

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Metadata

Authors
Beals, J., Manson, S. M., Mitchell, C. M., Spicer, P., & AI-SUPERPFP Team
Affiliations
University of Colorado Health (US)
ORCID
Manson, Spero M.
Venue
Culture Medicine and Psychiatry
Publisher
Springer Science and Business Media LLC
Published
2003-09
Volume
27
Issue
3
Pages
259-289
ISSN
  • 0165-005X (ISSN-L)
  • 1573-076X
DOI
10.1023/a:1025347130953
OpenAlex
W2066055158
Cited by
182
References
64
Citations by year
2026: 2 · 2025: 2 · 2024: 2 · 2023: 3 · 2022: 3 · 2021: 8 · 2020: 3 · 2019: 5 · 2018: 10 · 2017: 12 · 2016: 5 · 2015: 7 · 2014: 5 · 2013: 13 · 2012: 11
FWCI
13.20
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Culture Medicine and Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institute on Alcohol Abuse and Alcoholism (R01AA013420, R01 AA-13420)
  • National Institute of Mental Health (P01MH042473, P01-MH-42473, R01-MH48174, R01MH048174)
  • National Institute on Drug Abuse (R01DA014817, R01-DA-14817)
Topics
  • Social Sciences › Health › Indigenous Health, Education, and Rights
  • Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Cultural Competency in Health Care
Keywords
American Indian populations, cultural specificity, cultural validity, psychiatric epidemiology, mental health services research, comparability, sample acquisition, community needs
MeSH terms
Mental Disorders, Cross-Cultural Comparison, Humans, Indians, North American, Research Support as Topic, Risk Factors, United States, Prevalence, Diagnosis, Dual (Psychiatry), Cultural Diversity, Substance-Related Disorders, Needs Assessment

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