The Prevalence of Mental Illness and Substance Abuse Among Rural Latino Adults with Multiple Adverse Childhood Experiences in California
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Adverse childhood experiences (ACEs) have been found to increase health and mental health risks in adulthood. Previous ACE studies tend to have small samples of Latinos; however, as Latinos are projected to be the largest minority group in the United States, it is important to examine how ACEs are associated with self-reported mental distress and alcohol and/or substance abuse among Latino populations. An ACEs survey was conducted in a predominantly Latino town; the sample included 195 individuals (18 or older), and the majority (92%) identified as Latino. Logistic regression showed that respondents with three or more ACEs, compared to those with no ACEs, were three times more likely to report more days of mental distress and eight times more likely to have alcohol and/or substance abuse problems. Further studies are needed to understand the association between ACEs and behavioral health using culturally and linguistically competent mental health screening tools.
KeywordsLatinos Behavioral health ACEs Rural Mental health
Compliance with Ethical Standards
Conflict of interest
There is no conflict of interest.
- 1.U.S. Census Bureau. Population estimates and projections. 2012. http://www.census.gov/population/www/projections/2012projections.html.
- 2.Pew Research Center. Demographic profile of Hispanics in California. 2014. http://www.pewhispanic.org/states/state/ca/.
- 3.Felitti VJ, Anda RF, Nordenberg D, Williamson DF, Spitz AM, Edwards V, Koss MP, Marks JS. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: the adverse childhood experiences (ACE) study. Am J Prev Med. 1998;14:245–58. https://doi.org/10.1016/S0749-3797(98)00017.CrossRefPubMedGoogle Scholar
- 9.Llabre MM, Schneiderman N, Gallo LC, Arguelles W, Daviglus ML, Gonzalez F II, Isasi CR, Perreira KM, Penedo FJ. Childhood trauma and adult risk factors and disease in Hispanics/Latinos in the US: results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Socultural Ancillary Study. Psychosom Med. 2017;79(2):172–180. https://doi.org/10.1097/PSY.0000000000000394.CrossRefPubMedPubMedCentralGoogle Scholar
- 10.U.S. Department of Agriculture Economic Research Service. Rural Hispanics at a glance. 2005. https://www.ers.usda.gov/webdocs/publications/44570/29568_eib8full.pdf?v=41305.
- 12.U.S. Census Bureau. Profile of general population and housing characteristics. 2010. https://factfinder.census.gov/faces/nav/jsf/pages/community_facts.xhtml?src=bkmk.
- 15.Ferrari AJ, Charlson FJ, Norman RE, Patten SB, Freedman G, Murray CJ, et al. Burden of depressive disorders by country, sex, age, and year: findings from the Global Burden of Disease Study 2010. PLoS Med. 2013;10(11):e1001547. https://doi.org/10.1371/journal.pmed.1001547.CrossRefPubMedPubMedCentralGoogle Scholar
- 17.Substance Abuse and Mental Health Services Administration. Behavioral Health Barometer: United States, 2014. HHS Publication No. SMA–15–4895. Rockville: Substance Abuse and Mental Health Services Administration; 2015.Google Scholar
- 18.Lee S, Tsang A, Breslau J, Aguilar-Gaxiola S, Amgermeryer M, Borges G, Bromet E, Bruffaerts R, de Giralomo G, Fayyad J, Gureje O, Haro JM, Kawakami N, Levinson D, Oakley Browne MA, Ormel J, Posada-Villa J, Williams DR, Kessler RC. Mental disorders and termination of education in high-income and low- and middle-income countries: epidemiological study. Br J Psychiatry. 2009;194:411–7. https://doi.org/10.1192/bjp.bp.108.054841.CrossRefPubMedPubMedCentralGoogle Scholar
- 25.Saenz R. A profile of Latinos in rural America. Durham: Carsey Institute; 2008. https://scholars.unh.edu/cgi/viewcontent.cgi?article=1034&context=carsey.