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

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

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Veröffentlicht in:Psychological medicine 2009-07, Vol.39 (7), p.1117-1127
Hauptverfasser: Breslau, J., Borges, G., Hagar, Y., Tancredi, D., Gilman, S.
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container_end_page 1127
container_issue 7
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container_title Psychological medicine
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creator Breslau, J.
Borges, G.
Hagar, Y.
Tancredi, D.
Gilman, S.
description Risk for mood and anxiety disorders associated with US-nativity may vary across immigrant groups. 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. The association of risk for mood and anxiety disorders with US-nativity varies significantly across ancestral origin groups (p
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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. The association of risk for mood and anxiety disorders with US-nativity varies significantly across ancestral origin groups (p&lt;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. 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Med</addtitle><description>Risk for mood and anxiety disorders associated with US-nativity may vary across immigrant groups. 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. The association of risk for mood and anxiety disorders with US-nativity varies significantly across ancestral origin groups (p&lt;0.001). 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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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Affective disorders</subject><subject>Age Factors</subject><subject>Anxiety</subject><subject>Anxiety disorders</subject><subject>Anxiety Disorders - diagnosis</subject><subject>Anxiety Disorders - epidemiology</subject><subject>Anxiety Disorders - ethnology</subject><subject>Anxiety Disorders - psychology</subject><subject>Anxiety disorders. Neuroses</subject><subject>Biological and medical sciences</subject><subject>Bipolar Disorder - diagnosis</subject><subject>Bipolar Disorder - epidemiology</subject><subject>Bipolar Disorder - ethnology</subject><subject>Bipolar Disorder - psychology</subject><subject>Black or African American</subject><subject>Black People - psychology</subject><subject>Black People - statistics &amp; numerical data</subject><subject>Cross-Cultural Comparison</subject><subject>Cross-Sectional Studies</subject><subject>Depressive Disorder, Major - diagnosis</subject><subject>Depressive Disorder, Major - epidemiology</subject><subject>Depressive Disorder, Major - ethnology</subject><subject>Depressive Disorder, Major - psychology</subject><subject>Dysthymic Disorder - diagnosis</subject><subject>Dysthymic Disorder - epidemiology</subject><subject>Dysthymic Disorder - ethnology</subject><subject>Dysthymic Disorder - psychology</subject><subject>Emigrants and Immigrants - psychology</subject><subject>Emigrants and Immigrants - statistics &amp; numerical data</subject><subject>epidemiology</subject><subject>Female</subject><subject>Health Surveys</subject><subject>Hispanic or Latino - psychology</subject><subject>Hispanic or Latino - statistics &amp; numerical data</subject><subject>Humans</subject><subject>Immigrants</subject><subject>Immigration</subject><subject>Interview, Psychological</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental disorders</subject><subject>Mexican Americans - psychology</subject><subject>Mexican Americans - statistics &amp; numerical data</subject><subject>Mexico</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>mood disorderes</subject><subject>Mood disorders</subject><subject>Mood Disorders - diagnosis</subject><subject>Mood Disorders - epidemiology</subject><subject>Mood Disorders - ethnology</subject><subject>Mood Disorders - psychology</subject><subject>Odds Ratio</subject><subject>Psychology</subject><subject>Psychology. 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subjects Adolescent
Adult
Adult and adolescent clinical studies
Affective disorders
Age Factors
Anxiety
Anxiety disorders
Anxiety Disorders - diagnosis
Anxiety Disorders - epidemiology
Anxiety Disorders - ethnology
Anxiety Disorders - psychology
Anxiety disorders. Neuroses
Biological and medical sciences
Bipolar Disorder - diagnosis
Bipolar Disorder - epidemiology
Bipolar Disorder - ethnology
Bipolar Disorder - psychology
Black or African American
Black People - psychology
Black People - statistics & numerical data
Cross-Cultural Comparison
Cross-Sectional Studies
Depressive Disorder, Major - diagnosis
Depressive Disorder, Major - epidemiology
Depressive Disorder, Major - ethnology
Depressive Disorder, Major - psychology
Dysthymic Disorder - diagnosis
Dysthymic Disorder - epidemiology
Dysthymic Disorder - ethnology
Dysthymic Disorder - psychology
Emigrants and Immigrants - psychology
Emigrants and Immigrants - statistics & numerical data
epidemiology
Female
Health Surveys
Hispanic or Latino - psychology
Hispanic or Latino - statistics & numerical data
Humans
Immigrants
Immigration
Interview, Psychological
Male
Medical sciences
Mental disorders
Mexican Americans - psychology
Mexican Americans - statistics & numerical data
Mexico
Middle Aged
Miscellaneous
mood disorderes
Mood disorders
Mood Disorders - diagnosis
Mood Disorders - epidemiology
Mood Disorders - ethnology
Mood Disorders - psychology
Odds Ratio
Psychology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Risk Factors
United States
USA
White People - psychology
White People - statistics & numerical data
Young Adult
title Immigration to the USA and risk for mood and anxiety disorders: variation by origin and age at immigration
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