Objective

To examine differences in lifetime prevalence of mental disorder and service use among U.S. adolescents by both immigrant generation and race/ethnicity.

Method

A total of 6,250 adolescents aged 13 to 18 years in the National Comorbidity Survey Replication Adolescent Supplement were assessed for lifetime prevalence of mood and/or anxiety disorders, behavior disorders, and mental health service use. Twelve groups defined by self-identified race/ethnicity (non-Hispanic white, Hispanic, non-Hispanic black, Asian) and immigrant generation (first, second, third, or more) were compared.

Results

Differences in prevalence of lifetime mental disorder were most apparent when immigrant generation and race/ethnicity were considered jointly. Compared to third+generation non-Hispanic white adolescents, the odds of mood/anxiety disorder were increased among second-generation Asian (adjusted odds ratio [AOR] = 2.51; 95% CI = 1.22−5.17) and third+generation Hispanic (AOR = 1.28; 95% CI = 1.00−1.63) but reduced among first-generation Asian (AOR = 0.27; 95% CI = 0.10−0.71) and second-generation non-Hispanic white adolescents (AOR = 0.50; 95% CI = 0.30−0.81). The odds of behavior disorder were lower among first-generation Asian (AOR = 0.26; 95% CI = 0.09−0.71) and all generations of non-Hispanic black adolescents (AOR range 0.43−0.55). Adjusting for lifetime disorder, first-generation Hispanic and non-Hispanic white adolescents and all generations of non-Hispanic black adolescents were less likely to receive mental health services (AOR range 0.24−0.55).

Conclusions

Variation in risk of disorder by immigrant generation and race/ethnicity underscores the importance of considering social, economic, and cultural influences in etiologic and treatment studies of adolescent psychopathology. Lower rates of service use, particularly among first-generation immigrant adolescents, highlight the need to identify and address barriers to recognition and treatment of mental disorders among adolescents from immigrant and racial/ethnic minority backgrounds.

中文翻译：

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美国青少年的精神错乱和移民产生的种族及种族/民族的服务使用率

客观的

通过移民的产生和种族/民族来研究美国青少年在精神障碍和服务使用方面的终生流行率差异。

方法

评估了全国合并症调查复制青少年补编中总共6250名13至18岁的青少年的终生患病率，包括情绪和/或焦虑症，行为障碍和精神卫生服务的使用。比较了由自我识别的种族/民族（非西班牙裔白人，西班牙裔，非西班牙裔黑人，亚洲人）和移民世代（第一，第二，第三或更多）定义的十二个群体。

结果

当综合考虑移民的产生和种族/民族时，终生精神障碍患病率的差异最为明显。与第三代非西班牙裔白人青少年相比，第二代亚洲人（调整后的优势比[AOR] = 2.51； 95％CI = 1.22-5.17）和第三代+西班牙裔（AOR）的人的情绪/焦虑症的几率增加= 1.28； 95％CI = 1.00-1.63），但在第一代亚洲人（AOR = 0.27； 95％CI = 0.10-0.71）和第二代非西班牙裔白人青少年（AOR = 0.50； 95％CI = 0.30）中有所降低-0.81）。在第一代亚洲人中（AOR = 0.26； 95％CI = 0.09-0.71）和所有非西班牙裔黑人青少年（AOR范围在0.43-0.55），行为障碍的几率较低。调整一生的障碍，

结论

移民产生的种族和种族/族裔造成的疾病风险的差异强调了在青少年心理病理学的病因学和治疗研究中考虑社会，经济和文化影响的重要性。较低的服务使用率，尤其是在第一代移民青少年中，凸显了在移民和种族/少数民族背景下的青少年中发现和解决认识和治疗精神障碍的障碍的必要性。