Author:
Roberts A. L.,Gilman S. E.,Breslau J.,Breslau N.,Koenen K. C.
Abstract
BackgroundTo identify sources of race/ethnic differences related to post-traumatic stress disorder (PTSD), we compared trauma exposure, risk for PTSD among those exposed to trauma, and treatment-seeking among Whites, Blacks, Hispanics and Asians in the US general population.MethodData from structured diagnostic interviews with 34 653 adult respondents to the 2004–2005 wave of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) were analysed.ResultsThe lifetime prevalence of PTSD was highest among Blacks (8.7%), intermediate among Hispanics and Whites (7.0% and 7.4%) and lowest among Asians (4.0%). Differences in risk for trauma varied by type of event. Whites were more likely than the other groups to have any trauma, to learn of a trauma to someone close, and to learn of an unexpected death, but Blacks and Hispanics had higher risk of child maltreatment, chiefly witnessing domestic violence, and Asians, Black men, and Hispanic women had higher risk of war-related events than Whites. Among those exposed to trauma, PTSD risk was slightly higher among Blacks [adjusted odds ratio (aOR) 1.22] and lower among Asians (aOR 0.67) compared with Whites, after adjustment for characteristics of trauma exposure. All minority groups were less likely to seek treatment for PTSD than Whites (aOR range: 0.39–0.61), and fewer than half of minorities with PTSD sought treatment (range: 32.7–42.0%).ConclusionsWhen PTSD affects US race/ethnic minorities, it is usually untreated. Large disparities in treatment indicate a need for investment in accessible and culturally sensitive treatment options.
Publisher
Cambridge University Press (CUP)
Subject
Psychiatry and Mental health,Applied Psychology
Cited by
783 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献
1. Social support in relation to posttraumatic stress disorder symptoms among patients with violent versus nonviolent injury.;Psychological Trauma: Theory, Research, Practice, and Policy;2024-03
2. Psychometric properties of the PTSD checklist for DSM-5 in treatment-seeking Black veterans.;Psychological Trauma: Theory, Research, Practice, and Policy;2024-03
3. Measuring moral distress and moral injury: A systematic review and content analysis of existing scales;Clinical Psychology Review;2024-03
4. Assessing the mediating role of emotion regulation and experiential avoidance within a posttraumatic stress disorder and racial trauma framework.;Psychological Trauma: Theory, Research, Practice, and Policy;2024-02
5. The relationship between posttraumatic stress disorder and race-based traumatic stress.;Psychological Trauma: Theory, Research, Practice, and Policy;2024-02