Abstract

Despite the rapid growth of the Black Caribbean population in the United States, we know little about the presentation and prevalence of obsessive-compulsive disorder (OCD) among these groups. This study examines the demographic correlates and the effect of racial discrimination on OCD symptoms among a nationally-representative sample of Black Caribbean and African American adults (n = 5191). Drawing on the Composite International Diagnostic Interview Short Form (CIDI-SF) for OCD, we examine two types of obsessions (harm and contamination) and four types of compulsions (repeating, washing, ordering, and counting). There we no significant differences between Black Caribbeans and African Americans in obsessions and compulsions. Analysis among Black Caribbeans found that compared with Jamaican and Trinidadian Americans, Haitian American individuals reported the fewest number of obsessions and compulsions. We show that Black Caribbean Americans with lower income, lower self-rated physical and mental health, and more experiences with racial discrimination report higher levels of OCD. More specifically, racial discrimination was associated with contamination and harm obsessions, as well as washing and repeating compulsions. Our findings highlight the need to consider specific domains of OCD relative to Black Caribbeans, and the relationship between social and demographic variables on symptomology.

 抽象的

尽管美国加勒比黑人人口快速增长，但我们对这些群体中强迫症 (OCD) 的表现和患病率知之甚少。本研究调查了具有全国代表性的加勒比黑人和非裔美国成年人样本 ( n = 5191) 中的人口统计学相关性以及种族歧视对强迫症症状的影响。借鉴强迫症的综合国际诊断访谈简表（CIDI-SF），我们检查了两种类型的强迫行为（伤害和污染）和四种类型的强迫行为（重复、清洗、排序和计数）。加勒比黑人和非裔美国人在痴迷和强迫行为方面没有显着差异。对加勒比黑人的分析发现，与牙买加和特立尼达裔美国人相比，海地裔美国人的强迫观念和强迫行为最少。我们发现，收入较低、身心健康自评较低、经历过更多种族歧视的加勒比黑人美国人的强迫症水平较高。更具体地说，种族歧视与污染和伤害痴迷以及清洗和重复强迫行为有关。我们的研究结果强调需要考虑与加勒比黑人相关的强迫症的特定领域，以及社会和人口变量与症状学之间的关系。