Evidence map›Paper›PMID 27138948›Full record

ArticleSocial psychiatry and psychiatric epidemiology2016

Psychiatric disorders and mental health treatment in American Indians and Alaska Natives: results of the National Epidemiologic Survey on Alcohol and Related Conditions.

Maria Yellow Horse Brave Heart, Roberto Lewis-Fernández, Janette Beals, Deborah S Hasin, Luisa Sugaya, Shuai Wang, Bridget F Grant, Carlos Blanco

Open access · greenAbstract read
In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 1 synthesis or guideline pooled it, 99 citations in OpenAlex.

  1. Pooled it
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  8. Review
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  11. Cultural Approaches to Promote Indigenous Mental Health: Weaving Healthy Families.Journal of ethnic & cultural diversity in social work · 2025
    Article
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  20. Trauma and mental health in Pacific Islanders.The International journal of social psychiatry · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 7 institutions in 2 countries.

Maria Yellow Horse Brave HeartDivision of Community Behavioral Health, Department of Psychiatry and Behavioral Sciences, University of New Mexico, MSC09 5030, 1 UNM, Albuquerque, NM, USA. MBraveHeart@salud.unm.edu.
Roberto Lewis-FernándezNew York State Psychiatric Institute, New York, NY, 87131-0001, USA.
Janette BealsColorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Deborah S HasinNew York State Psychiatric Institute, New York, NY, 87131-0001, USA.
Luisa SugayaNew York State Psychiatric Institute, New York, NY, 87131-0001, USA.
Shuai WangNew York State Psychiatric Institute, New York, NY, 87131-0001, USA.
Bridget F GrantNational Institute on Alcohol Abuse and Alcoholism, Bethesda, MD, USA.
Carlos BlancoNew York State Psychiatric Institute, New York, NY, 87131-0001, USA.
New York Psychoanalytic Society and Institute · USColorado School of Public Health · USColumbia University · USNational Institute on Alcohol Abuse and Alcoholism · USNational Institute on Drug Abuse · USNew York State Psychiatric InstituteUniversity of New Mexico · US

Funding

National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) - IIIZIAAA000449 · NIAAA · NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM · PI GRANT, BRIDGET F · 2009 to 2016
$16.5M
Trauma Screening, brief intervention and referral among AI/AN adultsP60MD000507 · NIMHD · UNIVERSITY OF COLORADO DENVER · PI MANSON, SPERO MARTIN · 2003 to 2016
$16.1M
Transdisciplinary Research, Equity and Engagement Center for Advancing Behavioral HealthU54MD004811 · NIMHD · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI CACARI STONE, LISA MARIE · 2017 to 2022
$8.7M
Training CoreP20MD004811 · NIMHD · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI WILLIAMS, ROBERT L · 2010 to 2014
$7.5M
Adverse childhood experiences, personality psychopathology, and alcohol disordersU01AA018111 · NIAAA · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI HASIN, DEBORAH S · 2009 to 2013
$3.4M
Improving the Effectiveness of Treatment for Depression in HispanicsR01MH076051 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI BLANCO, CARLOS · 2008 to 2012
$2.8M
ALCOHOL DEPENDENCE: GENERAL POPULATION VALIDITYR01AA008159 · NIAAA · NEW YORK STATE PSYCHIATRIC INSTITUTE · PI HASIN, DEBORAH S. · 1990 to 2003
$2.7M
2/2 Gambling Addiction: Treatment Mediators and ModeratorsR01MH082773 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI BLANCO, CARLOS · 2009 to 2012
$1.6M
Iwankapiya_Healing Historical Trauma Practice and Group IPT for American IndiansR34MH097834 · NIMH · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI BRAVE HEART, MARIA YELLOW HORSE · 2013 to 2015
$559k
NIAAA NIH HHS R01 AA008159NIAAA NIH HHS U01 AA018111NIMHD NIH HHS P20 MD004811NIMHD NIH HHS P60 MD000507NIMHD NIH HHS U54 MD004811NIMH NIH HHS R01 MH076051NIMH NIH HHS R01 MH082773NIMH NIH HHS R34 MH097834
6 · The paper itself

Abstract

purposeTo examine the prevalence of common psychiatric disorders and associated treatment-seeking, stratified by gender, among American Indians/Alaska Natives and non-Hispanic whites in the United States. Lifetime and 12-month rates are estimated, both unadjusted and adjusted for sociodemographic correlates.

methodAnalyses were conducted with the American Indians/Alaska Native (n = 701) and Non-Hispanic white (n = 24,507) samples in the 2001-2002 National Epidemiologic Survey on Alcohol and Related Conditions [(NESARC) n = 43,093].

resultsOverall, 70 % of the American Indian/Alaska Native men and 63 % of the women met criteria for at least one Diagnostic and Statistical Manual-IV lifetime disorder, compared to 62 and 53 % of Non-Hispanic white men and women, respectively. Adjusting for sociodemographic correlates attenuated the differences found. Nearly half of American Indians/Alaska Natives had a psychiatric disorder in the previous year; again, sociodemographic adjustments explained some of the differences found. Overall, the comparisons to non-Hispanic whites showed differences were more common among American Indian/Alaska Native women than men. Among those with a disorder, American Indian/Alaska Native women had greater odds of treatment-seeking for 12-month anxiety disorders.

conclusionAs the first study to provide national estimates, by gender, of the prevalence and treatment of a broad range of psychiatric disorders among American Indians/Alaska Natives, a pattern of higher prevalence of psychiatric disorder was found relative to Non-Hispanic whites. Such differences were more common among women than men. Prevalence may be overestimated due to cultural limitations in measurement. Unmeasured risk factors, some specific to American Indians/Alaska Natives, may also partially explain these results.

Indexed as

AdolescentAdultAgedAlaskaAlaska NativesAnxiety DisordersDiagnostic and Statistical Manual of Mental DisordersFemaleHumansIndians, North AmericanMaleMental DisordersMental Health ServicesMiddle AgedPatient Acceptance of Health CarePrevalenceAmerican Indian or Alaska NativeDSM-IV disordersNon-Hispanic whitesPsychiatric epidemiologyTreatment-seeking

Identifiers

PMID27138948
PMCPMC4947559
OpenAlexW2346277961

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.