Racial/ethnic differences in trauma exposure and mental health disorders in adolescents

Cultur Divers Ethnic Minor Psychol. 2017 Jul;23(3):382-387. doi: 10.1037/cdp0000126. Epub 2016 Oct 27.

Abstract

Objective: Research has cited increased prevalence of mood disorders, anxiety disorders, and exposure to interpersonal violence for Hispanics and non-Hispanic Black adolescents, as well as ethnic differences in externalizing behavior (e.g., substance use, delinquency). The current study combined these areas by examining racial/ethnic differences in mental health correlates of trauma exposure.

Method: Interviews were conducted to assess polyvictimization, posttraumatic stress disorder (PTSD), major depressive disorder (MDD), substance use, and delinquency in a nationally representative sample of adolescents (N = 3,614; 15.4% non-Hispanic Black; 11.3% Hispanic; 64.9% non-Hispanic White).

Results: Hispanic and non-Hispanic Black adolescents endorsed greater polyvictimization than non-Hispanic Whites; however, differences in MDD and PTSD were only significant when assessed with symptom counts. Non-Hispanic Black adolescents reported the least drug use. Non-Hispanic Black and Hispanic adolescents endorsed more delinquency than non-Hispanic White adolescents. Polyvictimization only accounted for ethnic disparities in delinquency.

Conclusion: Trauma-related disparities may differ across internalizing and externalizing concerns. Subsequent research should continue to examine other factors that may contribute to racial/ethnic differences in trauma sequelae. (PsycINFO Database Record

MeSH terms

  • Adolescent
  • Child
  • Crime Victims / psychology*
  • Crime Victims / statistics & numerical data*
  • Ethnicity / psychology*
  • Ethnicity / statistics & numerical data
  • Female
  • Humans
  • Male
  • Mental Disorders / epidemiology*
  • Mental Disorders / psychology*
  • Prevalence
  • Racial Groups / psychology*
  • Racial Groups / statistics & numerical data
  • United States / epidemiology