Comorbid substance use disorders with other Axis I and II mental disorders among treatment-seeking Asian Americans, Native Hawaiians/Pacific Islanders, and mixed-race people.
dc.contributor.author | Wu, Li-Tzy | |
dc.contributor.author | Blazer, Dan G | |
dc.contributor.author | Gersing, Kenneth R | |
dc.contributor.author | Burchett, Bruce | |
dc.contributor.author | Swartz, Marvin S | |
dc.contributor.author | Mannelli, Paolo | |
dc.contributor.author | NIDA AAPI Workgroup | |
dc.date.accessioned | 2020-02-03T04:52:55Z | |
dc.date.available | 2020-02-03T04:52:55Z | |
dc.date.issued | 2013-12 | |
dc.date.updated | 2020-02-03T04:52:54Z | |
dc.description.abstract | Little is known about behavioral healthcare needs of Asian Americans (AAs), Native Hawaiians/Pacific Islanders (NHs/PIs), and mixed-race people (MRs)-the fastest growing segments of the U.S. population. We examined substance use disorder (SUD) prevalences and comorbidities among AAs, NHs/PIs, and MRs (N = 4572) in a behavioral health electronic health record database. DSM-IV diagnoses among patients aged 1-90 years who accessed behavioral healthcare from 11 sites were systematically captured: SUD, anxiety, mood, personality, adjustment, childhood-onset, cognitive/dementia, dissociative, eating, factitious, impulse-control, psychotic/schizophrenic, sleep, and somatoform diagnoses. Of all patients, 15.0% had a SUD. Mood (60%), anxiety (31.2%), adjustment (30.9%), and disruptive (attention deficit-hyperactivity, conduct, oppositional defiant, disruptive behavior diagnosis, 22.7%) diagnoses were more common than others (psychotic 14.2%, personality 13.3%, other childhood-onset 11.4%, impulse-control 6.6%, cognitive 2.8%, eating 2.2%, somatoform 2.1%). Less than 1% of children aged <12 years had SUD. Cannabis diagnosis was the primary SUD affecting adolescents aged 12-17. MRs aged 35-49 years had the highest prevalence of cocaine diagnosis. Controlling for age at first visit, sex, treatment setting, length of treatment, and number of comorbid diagnoses, NHs/PIs and MRs were about two times more likely than AAs to have ≥ 2 SUDs. Regardless of race/ethnicity, personality diagnosis was comorbid with SUD. NHs/PIs with a mood diagnosis had elevated odds of having SUD. Findings present the most comprehensive patterns of mental diagnoses available for treatment-seeking AAs, NHs/PIs, and MRs in the real-world medical setting. In-depth research is needed to elucidate intraracial and interracial differences in treatment needs. | |
dc.identifier | S0022-3956(13)00273-2 | |
dc.identifier.issn | 0022-3956 | |
dc.identifier.issn | 1879-1379 | |
dc.identifier.uri | ||
dc.language | eng | |
dc.publisher | Elsevier BV | |
dc.relation.ispartof | Journal of psychiatric research | |
dc.relation.isversionof | 10.1016/j.jpsychires.2013.08.022 | |
dc.subject | NIDA AAPI Workgroup | |
dc.subject | Humans | |
dc.subject | Substance-Related Disorders | |
dc.subject | Prevalence | |
dc.subject | Mental Disorders | |
dc.subject | Psychiatric Status Rating Scales | |
dc.subject | Personality Inventory | |
dc.subject | Age Factors | |
dc.subject | Comorbidity | |
dc.subject | Sex Factors | |
dc.subject | Databases, Factual | |
dc.subject | Adolescent | |
dc.subject | Adult | |
dc.subject | Aged | |
dc.subject | Aged, 80 and over | |
dc.subject | Middle Aged | |
dc.subject | Child | |
dc.subject | Child, Preschool | |
dc.subject | Infant | |
dc.subject | Asian Americans | |
dc.subject | Oceanic Ancestry Group | |
dc.subject | Ethnic Groups | |
dc.subject | Hawaii | |
dc.subject | Female | |
dc.subject | Male | |
dc.subject | Young Adult | |
dc.title | Comorbid substance use disorders with other Axis I and II mental disorders among treatment-seeking Asian Americans, Native Hawaiians/Pacific Islanders, and mixed-race people. | |
dc.type | Journal article | |
duke.contributor.orcid | Wu, Li-Tzy|0000-0002-5909-2259 | |
duke.contributor.orcid | Mannelli, Paolo|0000-0002-7834-6138 | |
pubs.begin-page | 1940 | |
pubs.end-page | 1948 | |
pubs.issue | 12 | |
pubs.organisational-group | School of Medicine | |
pubs.organisational-group | Duke | |
pubs.organisational-group | Center for the Study of Aging and Human Development | |
pubs.organisational-group | Institutes and Centers | |
pubs.organisational-group | Family Medicine and Community Health | |
pubs.organisational-group | Clinical Science Departments | |
pubs.organisational-group | Psychiatry & Behavioral Sciences, Geriatric Behavioral Health | |
pubs.organisational-group | Psychiatry & Behavioral Sciences | |
pubs.organisational-group | Psychiatry & Behavioral Sciences, Social and Community Psychiatry | |
pubs.organisational-group | Staff | |
pubs.organisational-group | Center for Child and Family Policy | |
pubs.organisational-group | Sanford School of Public Policy | |
pubs.organisational-group | Duke Clinical Research Institute | |
pubs.organisational-group | Duke Institute for Brain Sciences | |
pubs.organisational-group | University Institutes and Centers | |
pubs.organisational-group | Institutes and Provost's Academic Units | |
pubs.organisational-group | Medicine, General Internal Medicine | |
pubs.organisational-group | Medicine | |
pubs.publication-status | Published | |
pubs.volume | 47 |
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