Conduct disorder among Asians and Native Hawaiian/Pacific Islanders in the USA

Conduct disorder (CD) is a relatively common disorder of childhood and adolescence in the USA with substantial associated morbidity, yet little has been published on CD among Asians and Native Hawaiian/Pacific Islanders (NH/PI) in the USA. We used the National Epidemiological Survey on Alcohol and R...

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Bibliographic Details
Published in:	Psychological medicine 2008-07, Vol.38 (7), p.1013-1025
Main Authors:	Sakai, J. T., Risk, N. K., Tanaka, C. A., Price, R. K.
Format:	Article
Language:	eng
Subjects:	Acculturation Adaptation, Psychological Adolescent Adult Adult and adolescent clinical studies Alcohol-Related Disorders - epidemiology Alcohol-Related Disorders - ethnology Alcohol-Related Disorders - psychology Asian Americans - psychology Asian Americans - statistics & numerical data Asian Continental Ancestry Group - psychology Asian Continental Ancestry Group - statistics & numerical data Behavior Biological and medical sciences Boarding houses Conduct Disorder - epidemiology Conduct Disorder - ethnology Conduct Disorder - psychology Conduct disorders Conduct problems delinquency disparities Family Female Field study Gender differences Hawaiian people Humans Interviews Male Medical sciences Mental Disorders - ethnology Mental Disorders - psychology minority Minority & ethnic groups Mortality Oceanic Ancestry Group - psychology Oceanic Ancestry Group - statistics & numerical data Odds Ratio Pacific Islander people Personality disorders Prevalence Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Regression Analysis Research methodology Retrospective Studies Risk Factors Social behavior disorders. Criminal behavior. Delinquency Substance-Related Disorders - ethnology Substance-Related Disorders - psychology United States - epidemiology USA Young people
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Summary:	Conduct disorder (CD) is a relatively common disorder of childhood and adolescence in the USA with substantial associated morbidity, yet little has been published on CD among Asians and Native Hawaiian/Pacific Islanders (NH/PI) in the USA. We used the National Epidemiological Survey on Alcohol and Related Conditions (NESARC) to examine the prevalence and correlates of retrospectively reported CD within Asians and NH/PI (18 years and older). We also completed logistic regressions to explore factors associated with CD within Asians (n=1093) and, separately, NH/PI (n=139) and to explain racial differences in CD prevalence. Asians were about a third as likely [odds ratio (OR) 0.4, 95% confidence interval (CI) 0.22-0.58] whereas NH/PI were about two and half times more likely (OR 2.6, 95% CI 1.31-5.06) to have had CD compared with Caucasian respondents. Within Asians and NH/PI, CD was strongly associated with adult antisocial behavior, substance use and affective disorders. Demographic factors, the age that subjects came to the USA, measures of family environment and family history could not explain the observed differences in prevalence of CD for NH/PI relative to Caucasians. Asian and NH/PI youth with CD represent a subgroup of Asian youth at very high risk for a number of serious psychiatric disorders. Further investigation is needed to explain the high CD prevalence among NH/PI.
ISSN:	0033-2917 1469-8978