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

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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

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0022-3956

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1879-1379

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https://hdl.handle.net/10161/19973

dc.language

eng

dc.publisher

Elsevier BV

dc.relation.ispartof

Journal of psychiatric research

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10.1016/j.jpsychires.2013.08.022

dc.subject

NIDA AAPI Workgroup

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Humans

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Substance-Related Disorders

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Prevalence

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Mental Disorders

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Psychiatric Status Rating Scales

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Personality Inventory

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Age Factors

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Comorbidity

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Sex Factors

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Databases, Factual

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Adolescent

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Adult

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Aged

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Aged, 80 and over

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Middle Aged

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Child

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Child, Preschool

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Infant

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Asian Americans

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Oceanic Ancestry Group

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Ethnic Groups

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Hawaii

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Female

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Male

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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

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Duke

pubs.organisational-group

Center for the Study of Aging and Human Development

pubs.organisational-group

Institutes and Centers

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Family Medicine and Community Health

pubs.organisational-group

Clinical Science Departments

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Psychiatry & Behavioral Sciences, Geriatric Behavioral Health

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Psychiatry & Behavioral Sciences

pubs.organisational-group

Psychiatry & Behavioral Sciences, Social and Community Psychiatry

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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

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Duke Institute for Brain Sciences

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University Institutes and Centers

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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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