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American Journal of Public Health, 10.2105/AJPH.2006.088211
Research Forum |
1 Harvard School of Public Health
2 University of Michigan
3 Wayne State University
* To whom correspondence should be addressed. E-mail: dwilliam{at}hsph.harvard.edu.
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Abstract |
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Objectives.We examined the prevalence of psychiatric disorders among Black Caribbean immigrant and African American populations and the correlates of psychiatric disorders among the Caribbean immigrant population. Methods. We conducted descriptive and age-adjusted analyses of the data from the National Survey of American Life--an in-person household mental health survey of noninstitutionalized US Blacks. We assessed psychiatric disorders as defined by Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria with the Composite International Diagnostic Interview. Results. Compared with African American men, Black Caribbean immigrant men had higher risks for 12-month rates of psychiatric disorders. Black Caribbean women had lower odds for 12-month and lifetime psychiatric disorders compared with African American women. Risks varied by ethnicity, immigration history, and status within the Caribbean sample. Immigrants had lower rates of psychiatric disorders compared with immigrants of Caribbean ancestry, and third-generation immigrants had markedly elevated rates of psychiatric disorders. Conclusions. Mental health risks were associated with ethnic diversity within the US Black population. Increased exposure to minority status in the United States was associated with higher risks for psychiatric disorders among Black Caribbean immigrants, which possibly reflects increased societal stress and downward social mobility associated with being Black in America.
Key Words: Epidemiology, Immigration, Mental Health, African Americans/Blacks, Race/Ethnicity, Surveys
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