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Poverty, race/ethnicity, and psychiatric disorder: A study of rural children

Author

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  • Costello, E.J.
  • Keeler, G.P.
  • Angold, A.

Abstract

Objectives. This study examined the effect of poverty on the prevalence of psychiatric disorder in rural Black and White children. Methods. A representative sample of 541 Black children and 379 White children aged 9 to 17 was drawn from 4 predominantly rural counties. Structured interviews with parents and children collected information on psychiatric disorders, absolute and relative poverty, and risk factors for psychiatric disorder. Results. Three-month prevalence of psychiatric disorder was similar to that found in other community samples (20%). Federal criteria for poverty were met by 18% of the White and 52% of the Black families. Black and White children were exposed to equal numbers of risk factors overall, but the association between poverty and psychopathology was stronger for White children (odds ratio [OR] = 2.1; 95% confidence interval [Cl] = 1.1, 4.2) than for Black children (OR = 1.5; 95% Cl = 0.9, 2.6). Family history of mental illness, poor parenting, and residential instability mediated this association in both groups. Conclusions. In this rural sample, poverty was only weakly associated with child psychiatric disorders. Risk factors for both racial/ethnic groups were family mental illness, multiple moves, lack of parental warmth, lax supervision, and harsh punishment.

Suggested Citation

  • Costello, E.J. & Keeler, G.P. & Angold, A., 2001. "Poverty, race/ethnicity, and psychiatric disorder: A study of rural children," American Journal of Public Health, American Public Health Association, vol. 91(9), pages 1494-1498.
    • Handle: RePEc:aph:ajpbhl:2001:91:9:1494-1498_0
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    Cited by:

    1. Reiss, Franziska, 2013. "Socioeconomic inequalities and mental health problems in children and adolescents: A systematic review," Social Science & Medicine, Elsevier, vol. 90(C), pages 24-31.
    2. Amadou Gaye & Gary H Gibbons & Charles Barry & Rakale Quarells & Sharon K Davis, 2017. "Influence of socioeconomic status on the whole blood transcriptome in African Americans," PLOS ONE, Public Library of Science, vol. 12(12), pages 1-15, December.
    3. Ríos-Salas, Vanessa & Larson, Andrea, 2015. "Perceived discrimination, socioeconomic status, and mental health among Latino adolescents in US immigrant families," Children and Youth Services Review, Elsevier, vol. 56(C), pages 116-125.
    4. Hine, Kathleen M. & Moore, Kevin J., 2015. "Family Care Treatment for dispersed populations of children with behavioral challenges: The design, implementation, and initial outcomes of an evidence-informed treatment," Children and Youth Services Review, Elsevier, vol. 58(C), pages 179-186.
    5. Solomon, David & Åsberg, Kia, 2012. "Effectiveness of child protective services interventions as indicated by rates of recidivism," Children and Youth Services Review, Elsevier, vol. 34(12), pages 2311-2318.
    6. Moran, Rachel E. & Bui, Matthew N., 2019. "Race, ethnicity, and telecommunications policy issues of access and representation: Centering communities of color and their concerns," Telecommunications Policy, Elsevier, vol. 43(5), pages 461-473.

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