Depression prevalence in disadvantaged young black women: African and Caribbean immigrants compared to US-born African Americans

Jeanne Miranda, Juned Siddique, Thomas R. Belin, Laura Kohn-Wood

Research output: Contribution to journalArticle

57 Citations (Scopus)

Abstract

Background: Research with Mexican Americans suggests that immigrants have lower rates of mental disorders than U. S.-born Mexican Americans. We examine the prevalence of depression, somatization, alcohol use and drug use among black American women, comparing rates of disorders among U. S.-born, Caribbean-born, and African-born subsamples. Methods: Women in Women, Infants and Children (WIC) programs, county-run Title X family planning clinics, and low-income pediatric clinics were interviewed using the PRIME-MD. In total, 9,151 black women were interviewed; 7,965 were born in the U. S., 913 were born in Africa, and 273 were born in the Caribbean. Results: Controlling for other predictors, U. S.-born black women had odds of probable depression that were 2.94 times greater than the African-born women (p < 0.0001, 95% CI: 2.07, 4.18) and 2.49 times greater than Caribbean-born women (p < 0.0016, 95% CI: 1.41, 4.39). Likelihood of somatization did not differ among women who were U. S. born, African born, or Caribbean born. Rates of alcohol and drug problems were exceedingly low among all three groups, with less than 1% of the women reporting either alcohol or drug problems. Conclusions: These results mirror similar findings for Mexican inimigrant as compared with American-born Mexican Americans. The findings suggest that living in the U. S. might increase depression among poor black women receiving services in county entitlement clinics. Further research with ethnically validated instruments is needed to identify protective and risk factors associated with depression in immigrant and U. S.-born poor black women.

Original languageEnglish
Pages (from-to)253-258
Number of pages6
JournalSocial Psychiatry and Psychiatric Epidemiology
Volume40
Issue number4
DOIs
StatePublished - Apr 1 2005
Externally publishedYes

Fingerprint

Vulnerable Populations
African Americans
immigrant
Depression
drug problem
Alcohols
alcohol
Food Assistance
American
Pharmaceutical Preparations
children's program
Family Planning Services
Research
Mental Disorders
mental disorder
family planning
drug use
infant
low income
Pediatrics

Keywords

  • African American
  • Depression
  • Immigrant
  • Mental health

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Depression prevalence in disadvantaged young black women : African and Caribbean immigrants compared to US-born African Americans. / Miranda, Jeanne; Siddique, Juned; Belin, Thomas R.; Kohn-Wood, Laura.

In: Social Psychiatry and Psychiatric Epidemiology, Vol. 40, No. 4, 01.04.2005, p. 253-258.

Research output: Contribution to journalArticle

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AB - Background: Research with Mexican Americans suggests that immigrants have lower rates of mental disorders than U. S.-born Mexican Americans. We examine the prevalence of depression, somatization, alcohol use and drug use among black American women, comparing rates of disorders among U. S.-born, Caribbean-born, and African-born subsamples. Methods: Women in Women, Infants and Children (WIC) programs, county-run Title X family planning clinics, and low-income pediatric clinics were interviewed using the PRIME-MD. In total, 9,151 black women were interviewed; 7,965 were born in the U. S., 913 were born in Africa, and 273 were born in the Caribbean. Results: Controlling for other predictors, U. S.-born black women had odds of probable depression that were 2.94 times greater than the African-born women (p < 0.0001, 95% CI: 2.07, 4.18) and 2.49 times greater than Caribbean-born women (p < 0.0016, 95% CI: 1.41, 4.39). Likelihood of somatization did not differ among women who were U. S. born, African born, or Caribbean born. Rates of alcohol and drug problems were exceedingly low among all three groups, with less than 1% of the women reporting either alcohol or drug problems. Conclusions: These results mirror similar findings for Mexican inimigrant as compared with American-born Mexican Americans. The findings suggest that living in the U. S. might increase depression among poor black women receiving services in county entitlement clinics. Further research with ethnically validated instruments is needed to identify protective and risk factors associated with depression in immigrant and U. S.-born poor black women.

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