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Comparative Study
. 2008 Mar;165(3):359-69.
doi: 10.1176/appi.ajp.2007.07040704. Epub 2008 Feb 1.

Prevalence of mental illness in immigrant and non-immigrant U.S. Latino groups

Margarita Alegría  1 , Glorisa Canino, Patrick E Shrout, Meghan Woo, Naihua Duan, Doryliz Vila, Maria Torres, Chih-Nan Chen, Xiao-Li Meng
Affiliations
Comparative Study

Prevalence of mental illness in immigrant and non-immigrant U.S. Latino groups

Margarita Alegría et al. Am J Psychiatry. 2008 Mar.

Abstract

Objective: Although widely reported among Latino populations, contradictory evidence exists regarding the generalizability of the immigrant paradox, i.e., that foreign nativity protects against psychiatric disorders. The authors examined whether this paradox applies to all Latino groups by comparing estimates of lifetime psychiatric disorders among immigrant Latino subjects, U.S-born Latino subjects, and non-Latino white subjects.

Method: The authors combined and examined data from the National Latino and Asian American Study and the National Comorbidity Survey Replication, two of the largest nationally representative samples of psychiatric information.

Results: In the aggregate, risk of most psychiatric disorders was lower for Latino subjects than for non-Latino white subjects. Consistent with the immigrant paradox, U.S.-born Latino subjects reported higher rates for most psychiatric disorders than Latino immigrants. However, rates varied when data were stratified by nativity and disorder and adjusted for demographic and socioeconomic differences across groups. The immigrant paradox consistently held for Mexican subjects across mood, anxiety, and substance disorders, while it was only evident among Cuban and other Latino subjects for substance disorders. No differences were found in lifetime prevalence rates between migrant and U.S.-born Puerto Rican subjects.

Conclusions: Caution should be exercised in generalizing the immigrant paradox to all Latino groups and for all psychiatric disorders. Aggregating Latino subjects into a single group masks significant variability in lifetime risk of psychiatric disorders, with some subgroups, such as Puerto Rican subjects, suffering from psychiatric disorders at rates comparable to non-Latino white subjects. Our findings thus suggest that immigrants benefit from a protective context in their country of origin, possibly inoculating them against risk for substance disorders, particularly if they emigrated to the United States as adults.

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Figures

Figure 1
Figure 1
Rates of any lifetime disorder by nativity and ethnicity/race subgroups *=p<.05, **=p<.01, ***=p<.001
Figure 2
Figure 2
Rates of any lifetime substance disorder by nativity and ethnicity/race subgroups *=p<.05, **=p<.01, ***=p<.001
See this image and copyright information in PMC

References

    1. Grant B, Stinson F, Hasin D, Dawson D, Chou S, Anderson K. Immigration and lifetime prevalence of DSM-IV psychiatric disorders among Mexican Americans and non-Hispanic whites in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Arch Gen Psychiatry. 2004;61(12):1226–1233. - PubMed
    1. Grant B, Stinson F, Dawson D, Chou S, Ruan W, Pickering R. Co-occurrence of 12-month alcohol and drug use disorders and personality disorders in the U.S.: Results from the National Epidemiologic Survey on Alcohol and Related Conditions. Arch Gen Psychiatry. 2004;61:361–368. - PubMed
    1. Vega W, Alderete E, Kolody B, Aguilar-Gaxiola S. Illicit drug use among Mexicans and Mexican American in California: The effects of gender and acculturation. Addiction. 1998;93(12):1839–1850. - PubMed
    1. Burnam M, Hough R, Karno M, Escobar J, Telles C. Acculturation and lifetime prevalence of psychiatric disorders among Mexican Americans in Los Angeles. J Health Soc Behav. 1987;28:89–102. - PubMed
    1. Kessler R, Merikangas K. The National Comorbidity Survey Replication (NCS-R) Int J Methods Psychiatr Res. 2004;13(2):60–68. - PMC - PubMed

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