社区儿童和青少年样本中精神病特征和诊断的种族/族裔差异。

IF 3.3 3区 医学 Q2 PSYCHIATRY
Andrew Dissanayake, Annie Dupuis, Christie L Burton, Noam Soreni, Paul Peters, Amy Gajaria, Paul D Arnold, Russell Schachar, Jennifer Crosbie
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引用次数: 0

摘要

目的:有报道称,在精神疾病的发病率方面存在种族/族裔差异,但并未考虑到导致这些疾病的特质的发病率。将诊断率与特质联系起来进行研究,可以更清楚地了解加拿大少数种族/族裔青少年在获得治疗方面的差异程度。我们试图研究三个种族/族裔群体的青少年在调整特质水平差异后,自我/父母报告的强迫症(OCD)、注意力缺陷/多动障碍(ADHD)和焦虑症诊断率的差异:方法:方法:我们从加拿大普通人群样本(Spit for Science)中收集了家长或自我报告的 6 至 17 岁青少年强迫症、多动症和焦虑症特征和诊断的评分。我们使用混合效应线性模型和逻辑回归模型研究了特质水平的种族/民族差异以及报告诊断的几率:结果:东亚青年(N = 1301)和南亚青年(N = 730)报告的强迫症和焦虑特质水平明显高于白人青年(N = 6896)。东亚和南亚青少年报告强迫症(OCD)、多动症(ADHD)诊断的几率明显较低(几率比[OR]东亚=0.08 [0.02, 0.41];南亚=0.05 [0.00, 0.81])。27 [0.16, 0.45]; ORSouth Asian = 0.09 [0.03, 0.30]) 和焦虑 (OREast Asian = 0.21 [0.11, 0.39]; ORSouth Asian = 0.12 [0.05, 0.32]):这些结果表明,东亚和南亚青少年的强迫症、多动症和焦虑症特质水平与诊断率之间存在差异。造成这种差异的原因可能是不同种族的青少年在获得心理健康护理方面面临更多的障碍。加拿大需要努力了解并减少这些障碍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Racial/Ethnic Disparities in Psychiatric Traits and Diagnoses within a Community-based Sample of Children and Youth: Disparités raciales/ethniques dans les traits et diagnostics psychiatriques au sein d'un échantillon communautaire d'enfants et de jeunes.

Objective: Racial/ethnic disparities in the prevalence of psychiatric disorders have been reported, but have not accounted for the prevalence of the traits that underlie these disorders. Examining rates of diagnoses in relation to traits may yield a clearer understanding of the degree to which racial/ethnic minority youth in Canada differ in their access to care. We sought to examine differences in self/parent-reported rates of diagnoses for obsessive-compulsive disorder (OCD), attention-deficit/hyperactivity disorder (ADHD) and anxiety disorders after adjusting for differences in trait levels between youth from three racial/ethnic groups: White, South Asian and East Asian.

Method: We collected parent or self-reported ratings of OCD, ADHD and anxiety traits and diagnoses for 6- to 17-year-olds from a Canadian general population sample (Spit for Science). We examined racial/ethnic differences in trait levels and the odds of reporting a diagnosis using mixed-effects linear models and logistic regression models.

Results: East Asian (N = 1301) and South Asian (N = 730) youth reported significantly higher levels of OCD and anxiety traits than White youth (N = 6896). East Asian and South Asian youth had significantly lower odds of reporting a diagnosis for OCD (odds ratio [OR]East Asian = 0.08 [0.02, 0.41]; ORSouth Asian = 0.05 [0.00, 0.81]), ADHD (OREast Asian = 0.27 [0.16, 0.45]; ORSouth Asian = 0.09 [0.03, 0.30]) and anxiety (OREast Asian = 0.21 [0.11, 0.39]; ORSouth Asian = 0.12 [0.05, 0.32]) than White youth after accounting for psychiatric trait levels.

Conclusions: These results suggest a discrepancy between trait levels of OCD, ADHD and anxiety and rates of diagnoses for East Asian and South Asian youth. This discrepancy may be due to increased barriers for ethnically diverse youth to access mental health care. Efforts to understand and mitigate these barriers in Canada are needed.

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来源期刊
CiteScore
7.00
自引率
2.50%
发文量
69
审稿时长
6-12 weeks
期刊介绍: Established in 1956, The Canadian Journal of Psychiatry (The CJP) has been keeping psychiatrists up-to-date on the latest research for nearly 60 years. The CJP provides a forum for psychiatry and mental health professionals to share their findings with researchers and clinicians. The CJP includes peer-reviewed scientific articles analyzing ongoing developments in Canadian and international psychiatry.
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