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2. Prevalence of Mood Disorders and Service Use Among US Mothers by Race and Ethnicity: Results From the National Survey of American Life
- Collection:
- Black Caribbean Literature (BCL)
- Contributers:
- Boyd,Rhonda C. (Author), Joe,Sean (Author), Michalopoulos,Lynn (Author), Davis,Erica (Author), and Jackson,James S. (Author)
- Format:
- Journal Article
- Publication Date:
- 2011
- Location:
- African American Research Center, Library, University of Illinois at Urbana-Champaign
- Journal Title:
- Journal of Clinical Psychiatry
- Journal Title Details:
- 72(11) : 1538-1545
- Notes:
- Objective: To describe the rates of mood disorders, the social and demographic correlates of mood disorders, and mental health services utilization among African American, Caribbean black, and non-Hispanic white mothers. Method: Study data were collected between February 2001 and June 2003 as part of the National Survey of American Life: Coping With Stress in the 21st Century. National household probability samples of African Americans and Caribbean blacks were surveyed using a slightly modified World Mental Health version of the World Health Organization Composite International Diagnostic Interview. Participants included 2,019 African American, 799 Caribbean black, and 400 non-Hispanic white mothers 18 years and older (N = 3,218). The main outcomes measured were lifetime and 12-month diagnoses of DSM-IV mood disorders (major depressive episode, dysthymic disorder, bipolar I and II disorders) and mental health services utilization. Results:The lifetime prevalence estimate of mood disorders is higher for white mothers (21.67%) than for African American mothers (16.77%) and Caribbean black mothers (16.42%); however, 12-month mood disorder estimates are similar across groups. African American mothers have higher 12-month prevalence estimates of bipolar disorder (2.48%) than white mothers (0.59%) and Caribbean black mothers (1.16%). African American mothers with higher education levels and white mothers who became parents as teenagers are more likely to have a lifetime mood disorder. Less than half (45.8%) of black mothers with a past 12-month mood disorder diagnosis utilized mental health services. Among black mothers with a 12-month diagnosis of bipolar disorder, Caribbean blacks utilized mental health services at higher rates than African Americans. Conclusions: Demographic correlates for mood disorders varied by race and ethnicity. The findings illustrated underutilization of treatment by black mothers, especially African American mothers with bipolar disorder.