A Cross-National Study on Prevalence of Mental Disorders, Service Use, and Adequacy of Treatment Among Mexican and Mexican American Populations.

Objectives. We examined differences in the use of mental health services, conditional on the presence of psychiatric disorders, across groups of Mexico's population with different US migration exposure and in successive generations of Mexican Americans in the United States. Methods. We merged survey...

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Publicado en:American Journal of Public Health Vol. 103; no. 9; pp. 1610 - 1619
Autores principales: Orozco, Ricardo, Borges, Guilherme, Medina-Mora, Maria Elena, Aguilar-Gaxiola, Sergio, Breslau, Joshua
Formato: Journal Article
Publicado: American Public Health Association Sep2013
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2013
      vid: 103
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      pub: American Public Health Association
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        10.2105/AJPH.2012.301169
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        atl: A Cross-National Study on Prevalence of Mental Disorders, Service Use, and Adequacy of Treatment Among Mexican and Mexican American Populations.
      aug:
        au:
          Orozco, Ricardo
          Borges, Guilherme
          Medina-Mora, Maria Elena
          Aguilar-Gaxiola, Sergio
          Breslau, Joshua
      su:
        Mexico
        United States
        Epidemiology
        Mental health services
        Classification of mental disorders
        Nomads
        Cross-sectional method
        Psychiatric epidemiology
        Chi-squared test
        Confidence intervals
        Epidemiological research
        Probability theory
        Research funding
        Statistical sampling
        Surveys
        Data analysis
        Disease prevalence
        Descriptive statistics
      sug:
        subj:
          Epidemiology
          Mental health services
          Classification of mental disorders
          Nomads
          Cross-sectional method
          Mexico
          United States
          Offices of Mental Health Practitioners (except Physicians)
          Residential Mental Health and Substance Abuse Facilities
          Psychiatric and Substance Abuse Hospitals
          Marketing Research and Public Opinion Polling
          Psychiatric epidemiology
          Chi-squared test
          Confidence intervals
          Epidemiological research
          Probability theory
          Research funding
          Statistical sampling
          Surveys
          Data analysis
          Disease prevalence
          Descriptive statistics
      ab: Objectives. We examined differences in the use of mental health services, conditional on the presence of psychiatric disorders, across groups of Mexico's population with different US migration exposure and in successive generations of Mexican Americans in the United States. Methods. We merged surveys conducted in Mexico (Mexican National Comorbidity Survey, 2001-2002) and the United States (Collaborative Psychiatric Epidemiology Surveys, 2001-2003). We compared psychiatric disorders and mental health service use, assessed in both countries with the Composite International Diagnostic Interview, across migration groups. Results. The 12-month prevalence of any disorder was more than twice as high among third- and higher generation Mexican Americans (21%) than among Mexicans with no migrant in their family (8%). Among people with a disorder, the odds of receiving any mental health service were higher in the latter group relative to the former (odds ratio = 3.35; 95% confidence interval = 1.82, 6.17) but the age- and gender-adjusted prevalence of untreated disorder was also higher. Conclusions. Advancing understanding of the specific enabling and dispositional factors that result in increases in mental health care may contribute to reducing service use disparities across ethnic groups in the United States.
      pubtype: Academic Journal
      doctype: Journal Article
      src: R
    language: English
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