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Bonnie Duran, DrPH, Margaret Sanders, PhD, Betty Skipper, PhD, Howard Waitzkin, MD, PhD, Lorraine Halinka Malcoe, PhD, Susan Paine, MPH and Joel Yager, MD

Bonnie Duran, DrPH, Margaret Sanders, PhD, Betty Skipper, PhD, Howard Waitzkin, MD, PhD, and Lorraine Halinka Malcoe, PhD, are with the Department of Family and Community Medicine, University of New Mexico School of Medicine, Albuquerque, NM. Susan Paine, MPH, and Joel Yager, MD, are with the Department of Psychiatry, University of New Mexico School of Medicine.

Correspondence: Requests for reprints should be sent to Bonnie Duran, DrPH, Associate Professor, MPH Program, MSCO9 5060, 1 University of New Mexico, Albuquerque, NM 87131-0001 (e-mail: bonduran{at}unm.edu).

Objectives. We examined the lifetime and the past-year prevalence and correlates of common mental disorders among American Indian and Alaska Native women who presented for primary care.

Methods. We screened 489 consecutively presenting female primary care patients aged 18 through 45 years with the General Health Questionnaire, 12-item version. A subsample (n = 234) completed the Composite International Diagnostic Interview. We examined associations between psychiatric disorders and sociodemographic variables, boarding school attendance, and psychopathology in the family of origin.

Results. The study participants had high rates of alcohol use disorders, anxiety disorders, and anxiety/depression comorbidity compared with other samples of non–American Indian/Alaska Native women in primary care settings.

Conclusions. There is a need for culturally appropriate mental health treatments and preventive services.

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