摘要：Objectives. We examined the lifetime and the past-year prevalence and correlates of common mental disorders among American Indian and Alaska Native women who presented for primary care. Methods. We screened 489 consecutively presenting female primary care patients aged 18 through 45 years with the General Health Questionnaire, 12-item version. A subsample (n = 234) completed the Composite International Diagnostic Interview. We examined associations between psychiatric disorders and sociodemographic variables, boarding school attendance, and psychopathology in the family of origin. Results. The study participants had high rates of alcohol use disorders, anxiety disorders, and anxiety/depression comorbidity compared with other samples of non–American Indian/Alaska Native women in primary care settings. Conclusions. There is a need for culturally appropriate mental health treatments and preventive services. Limited information exists about the prevalence of mental illness among American Indian and Alaska Native (AIAN) women. The 2 major US prevalence studies—the Epidemiologic Catchment Area Study 1 and the National Comorbidity Survey 2 —did not report data on AIANs. Extrapolation of prevalence rates from other populations is problematic, because AIAN women are subject to unique factors that may affect their susceptibility to mental illness. Although the support of their traditional culture may protect AIAN women from common mental disorders, 3– 5 it is plausible that AIAN women may be at higher risk for mental illness because of adverse factors faced by their ethnic group. 6– 12
