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Immigration to the USA and risk for mood and anxiety disorders: variation by origin and age at immigration

Published online by Cambridge University Press:  12 November 2008

J. Breslau*
Affiliation:
University of California, Davis, School of Medicine, Department of Internal Medicine, Center for Reducing Health Disparities, Sacramento, CA, USA
G. Borges
Affiliation:
Instituto Nacional de Psiquiatria, Mexico City, Mexico
Y. Hagar
Affiliation:
University of California, Davis, School of Medicine, Department of Public Health Sciences, Davis, CA, USA
D. Tancredi
Affiliation:
University of California, Davis, School of Medicine, Department of Pediatrics, Davis, CA, USA
S. Gilman
Affiliation:
Departments of Society, Human Development, and Health, and Epidemiology, Harvard School of Public Health, Boston, MA, USA
*
*Address for correspondence: J. Breslau, Ph.D., Sc.D., University of California, Davis, School of Medicine, Department of Internal Medicine, Center for Reducing Health Disparities, 2921 Stockton Blvd., Sacramento, CA 95817, USA. (Email: jabreslau@ucdavis.edu)

Abstract

Background

Risk for mood and anxiety disorders associated with US-nativity may vary across immigrant groups.

Method

Using data from the National Epidemiological Study of Alcohol and Related Conditions (NESARC), we examined the association of lifetime risk for mood and anxiety disorders with US-nativity and age at immigration across seven subgroups of the US population defined by country or region of ancestral origin: Mexico, Puerto-Rico, Cuba, Central and South America, Western Europe, Eastern Europe, and Africa and the Caribbean. Discrete time survival models were used to compare lifetime risk between the US-born, immigrants who arrived in the USA prior to the age of 13 years and immigrants who arrived in the USA at the age of 13 years or older.

Results

The association of risk for mood and anxiety disorders with US-nativity varies significantly across ancestral origin groups (p<0.001). Among people from Mexico, Eastern Europe, and Africa or the Caribbean, risk for disorders is lower relative to the US-born among immigrants who arrived at the age of 13 years or higher (odds ratios in the range 0.34–0.49) but not among immigrants who arrived prior to the age of 13 years. There is no association between US-nativity and risk for disorder among people from Western Europe and Puerto Rico.

Conclusions

Low risk among immigrants relative to the US-born is limited to groups among whom risk for mood and anxiety disorder is low in immigrants who spent their pre-adolescent years outside of the USA.

Type
Original Articles
Copyright
Copyright © 2008 Cambridge University Press

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References

Abraido-Lanza, AF, Chao, MT, Florez, KR (2005). Do healthy behaviors decline with greater acculturation? Implications for the Latino mortality paradox. Social Science and Medicine 61, 12431255.Google Scholar
Acevedo-Garcia, D, Pan, J, Jun, HJ, Osypuk, TL, Emmons, KM (2005). The effect of immigrant generation on smoking. Social Science and Medicine 61, 12231242.Google Scholar
Alderete, E, Vega, WA, Kolody, B, Aguilar-Gaxiola, S (2000). Effects of time in the United States and Indian ethnicity on DSM-III-R psychiatric disorders among Mexican-Americans in California. Journal of Nervous and Mental Disease 188, 90100.Google Scholar
Alegria, M, Canino, G, Stinson, FS, Grant, BF (2006). Nativity and DSM-IV psychiatric disorders among Puerto Ricans, Cuban Americans, and non-Latino Whites in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Journal of Clinical Psychiatry 67, 5665.CrossRefGoogle ScholarPubMed
Alegria, M, Mulvaney-Day, N, Torres, M, Polo, A, Cao, Z, Canino, G (2007 a). Prevalence of psychiatric disorders across Latino subgroups in the United States. American Journal of Public Health 97, 6875.Google Scholar
Alegria, M, Shrout, PE, Woo, M, Guarnaccia, P, Sribney, W, Vila, D, Polo, A, Cao, Z, Mulvaney-Day, N, Torres, M, Canino, G (2007 b). Understanding differences in past year psychiatric disorders for Latinos living in the US. Social Science and Medicine 65, 214230.Google Scholar
Alegria, M, Sribney, W, Woo, M, Torres, M, Guarnaccia, P (2007 c). Looking beyond nativity: the relation of age of immigration, length of residence, and birth cohorts to the risk of onset of psychiatric disorders among Latinos. Research in Human Development 4, 1947.Google Scholar
Alegría, M, Canino, G, Shrout, P, Woo, M, Duan, N, Vila, D, Torres, M, Chen, C, Meng, X (2008). Prevalence of mental illness in immigrant and non-immigrant U.S. Latino groups. American Journal of Psychiatry 165, 359369.Google Scholar
Allison, PD (1982). Discrete-time methods for the analysis of event histories. Sociological Methodology 13, 6198.Google Scholar
Alonso, J, Angermeyer, M, Bernert, S, Bruffaerts, R, Brugha, T, Bryson, H, de Girolamo, G, Graaf, R, Demyttenaere, K, Gasquet, I, Haro, J, Katz, S, Kessler, R, Kovess, V, Lépine, J, Ormel, J, Polidori, G, Russo, L, Vilagut, G, Almansa, J, Arbabzadeh-Bouchez, S, Autonell, J, Bernal, M, Buist-Bouwman, M, Codony, M, Domingo-Salvany, A, Ferrer, M, Joo, S, Martínez-Alonso, M, Matschinger, H, Mazzi, F, Morgan, Z, Morosini, P, Palacín, C, Romera, B, Taub, N, Vollebergh, W; ESEMeD/MHEDEA 2000 Investigators, European Study of the Epidemiology of Mental Disorders (ESEMeD) Project (2004). Prevalence of mental disorders in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project. Acta Psychiatrica Scandinavica Supplementum 109 (Suppl. 420), 2127.Google Scholar
Bhugra, D (2004). Migration and mental health. Acta Psychiatrica Scandinavica 109, 243258.CrossRefGoogle ScholarPubMed
Blake, SM, Ledsky, R, Goodenow, C, O'Donnell, L (2001). Recency of immigration, substance use, and sexual behavior among Massachusetts adolescents. American Journal of Public Health 91, 794798.Google Scholar
Breslau, J, Aguilar-Gaxiola, S, Borges, G, Castilla-Puentes, RC, Kendler, KS, Medina-Mora, ME, Su, M, Kessler, RC (2007 a). Mental disorders among English-speaking Mexican immigrants to the US compared to a national sample of Mexicans. Psychiatry Research 151, 115122.CrossRefGoogle Scholar
Breslau, J, Aguilar-Gaxiola, S, Borges, G, Kendler, KS, Su, M, Kessler, RC (2007 b). Risk for psychiatric disorder among immigrants and their US-born descendants: evidence from the National Comorbidity Survey Replication. Journal of Nervous and Mental Disease 195, 189195.CrossRefGoogle ScholarPubMed
Breslau, J, Chang, DF (2006). Psychiatric disorders among foreign-born and US-born Asian-Americans in a US national survey. Social Psychiatry and Psychiatric Epidemiology 41, 943950.CrossRefGoogle Scholar
Burnam, MA, Hough, RL, Karno, M, Escobar, JI, Telles, CA (1987). Acculturation and lifetime prevalence of psychiatric disorders among Mexican-Americans in Los Angeles. Journal of Health and Social Behavior 28, 89102.CrossRefGoogle ScholarPubMed
Canino, GJ, Bird, HR, Shrout, PE, Rubio-Stipec, M, Bravo, M, Martinez, R, Sesman, M, Guevara, LM (1987). The prevalence of specific psychiatric disorders in Puerto Rico. Archives of General Psychiatry 44, 727735.Google Scholar
Efron, B (1988). Logistic regression, survival analysis and the Kaplan–Meier curve. Journal of the American Statistical Association 83, 414425.Google Scholar
Escobar, JI, Vega, WA (2000). Mental health and immigration's AAAs: where are we and where do we go from here? Journal of Nervous and Mental Disease 188, 736740.Google Scholar
Grant, B, Dawson, D, Stinson, F, Chou, P, Kay, W, Pickering, R (2003 a). The Alcohol Use Disorder and Associated Disabilities Interview Schedule-IV (AUDADIS-IV): reliability of alcohol consumption, tobacco use, family history of depression and psychiatric diagnostic modules in a general population sample. Drug and Alcohol Dependence 71, 716.Google Scholar
Grant, BF, Kaplan, K, Shepard, J, Moore, T (2003 b). Source and Accuracy Statement for Wave 1 of the 2001–2002 National Epidemiologic Survey of Alcohol and Related Conditions. National Institute on Alcohol Abuse and Alcoholism: Bethesda, MD.Google Scholar
Grant, BF, Stinson, FS, Hasin, DS, Dawson, DA, Chou, SP, Anderson, K (2004). 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. Archives of General Psychiatry 61, 12261233.CrossRefGoogle ScholarPubMed
Haenszel, W (1970). Studies of migrant populations. Journal of Chronic Disease 23, 289291.Google Scholar
Hwang, W-C, Chun, C-A, Takeuchi, DT, Myers, HF, Siddarth, P (2005). Age of first onset major depression in Chinese Americans. Cultural Diversity and Ethnic Minority Psychology 11, 1627.Google Scholar
Johnson, TP, VanGeest, JB, Cho, YI (2002). Migration and substance use: evidence from the US. National Health Interview Survey. Substance Use and Misuse 37, 941972.CrossRefGoogle ScholarPubMed
Karno, M, Golding, JM, Burnam, MA, Hough, RL, Escobar, JI, Wells, KM, Boyer, R (1989). Anxiety disorders among Mexican Americans and non-Hispanic Whites in Los Angeles. Journal of Nervous and Mental Disease 177, 202209.CrossRefGoogle ScholarPubMed
Markides, K, Eschbach, K (2005). Aging, migration, and mortality: current status of research on the Hispanic paradox. Journal of Gerontology Series B: Psychological Sciences Social Sciences 60, S68S75.Google Scholar
Medina-Mora, ME, Borges, G, Lara, C, Benjet, C, Blanco, J, Fleiz, C, Villatoro, J, Rojas, E, Zambrano, J, Casanova, L, Aguilar-Gaxiola, S (2003). Prevalence of mental disorders and use of services: results from the Mexican National Survey of Psychiatric Epidemiology. Salud Mental 26, 6172.Google Scholar
Ortega, AN, Rosenheck, R, Alegria, M, Desai, RA (2000). Acculturation and the lifetime risk of psychiatric and substance use disorders among Hispanics. Journal of Nervous and Mental Disease 188, 728735.Google Scholar
Rogler, LH (1994). International migrations. A framework for directing research. American Psychologist 49, 701708.Google Scholar
Rogler, LH, Cortes, DE, Malgady, RG (1991). Acculturation and mental status among Hispanics: convergence and new directions for research. American Psychologist 46, 585597.CrossRefGoogle ScholarPubMed
Rutter, M (2005). Natural experiments, causal inferences, and policy development. In Ethnicity and Causal Mechanisms (ed. Rutter, M. and Tienda, M.), pp. 120. Cambridge University Press: New York.Google Scholar
Sam, DL (2006). Adaptation of children and adolescents with immigrant backgrounds: acculturation or development. In Acculturation and Parent-child Relationships: Measurement and Development (ed. Bornstein, M. H. and Cote, L. R.), pp. 97111. Lawrence Erlbaum Associates Inc. Publishers: Mahwah, NJ.CrossRefGoogle Scholar
Singh, G, Miller, B (2004). Health, life expectancy, and mortality patterns among immigrant populations in the United States. Canadian Journal of Public Health 95, I14I21.CrossRefGoogle ScholarPubMed
Swendsen, J, Merikangas, K (2000). The comorbidity of depression and substance use disorders. Clinical Psychology Review 20, 173189.Google Scholar
Takeuchi, D, Hong, S, Gile, K, Alegria, M (2007 a). Developmental contexts and mental disorders among Asian-Americans. Research in Human Development 4, 4969.CrossRefGoogle ScholarPubMed
Takeuchi, DT, Chung, RC-Y, Lin, K-M, Shen, H, Kurasaki, K, Chun, C-A, Sue, S (1998). Lifetime and twelve-month prevalence rates of major depressive episodes and dysthymia among Chinese Americans in Los Angeles. American Journal of Psychiatry 155, 14071414.Google Scholar
Takeuchi, DT, Zane, N, Hong, S, Chae, DH, Gong, F, Gee, GC, Walton, E, Sue, S, Alegria, M (2007 b). Immigration-related factors and mental disorders among Asian Americans. American Journal of Public Health 97, 8490.CrossRefGoogle ScholarPubMed
Vega, WA, Kolody, B, Aguilar-Gaxiola, S, Alderete, E, Catalano, R, Caraveo-Anduaga, J (1998). Lifetime prevalence of DSM-III-R psychiatric disorders among urban and rural Mexican Americans in California. Archives of General Psychiatry 55, 771778.Google Scholar
Wells, JE, Horwood, LJ (2004). How accurate is recall of key symptoms of depression? A comparison of recall and longitudinal reports. Psychological Medicine 34, 10011011.Google Scholar
Williams, DR, Haile, R, Gonzalez, HM, Neighbors, H, Baser, R, Jackson, JS (2007). The mental health of Black Caribbean immigrants: results from the National Survey of American Life. American Journal of Public Health 97, 5259.Google Scholar