TY - JOUR
KW - Adolescent
KW - Adult
KW - African Americans
KW - Aged
KW - Aged, 80 and over
KW - Depression/ethnology
KW - Female
KW - Humans
KW - Incidence
KW - Male
KW - Middle Aged
KW - Primary Health Care/statistics & numerical data
KW - Stress Disorders, Post-Traumatic/ethnology
KW - United States/epidemiology
KW - Wounds and Injuries/ethnology
AU - T. N. Alim
AU - E. Graves
AU - T. A. Mellman
AU - N. Aigbogun
AU - E. Gray
AU - W. Lawson
AU - D. S. Charney
A1 - 
AB - OBJECTIVE: Trauma exposure is high in African Americans who live in stressful urban environments. Posttraumatic stress disorder (PTSD) and depression are common outcomes of trauma exposure and are understudied in African Americans. African Americans are more likely to seek treatment for psychiatric disorders in a primary care setting. Our study evaluated trauma exposure, PTSD and major depression in African Americans attending primary care offices. METHOD: Six-hundred-seventeen patients (96% African Americans) were surveyed for trauma exposure in the waiting rooms of four primary care offices. Those patients reporting significant traumatic events were invited to a research interview. Of the 403 patients with trauma exposure, 279 participated. RESULTS: Of the 617 participants, 65% reported > or = 1 clearly traumatic event. The most common exposures were transportation accidents (42%), sudden unexpected death of a loved one (39%), physical assault (30%), assault with a weapon (29%) and sexual assault (25%). Lifetime prevalence of PTSD and a major depressive episode (MDE) among those with trauma exposure (n=279) was 51% and 35%, respectively. The percent of lifetime PTSD cases (n=142) with comorbid MDE was 46%. Lifetime PTSD and MDE in the trauma-exposed population were approximately twice as common in females than males, whereas current PTSD rates were similar. CONCLUSIONS: Our rate of PTSD (approximately 33% of those screened) exceeds estimates for the general population. Rates of MDE comorbid with PTSD were comparable to other studies. These findings suggest the importance of screening African Americans for PTSD, in addition to depression, in the primary care setting.
BT - Journal of the National Medical Association
C5 - Healthcare Disparities
CP - 10
CY - United States
IS - 10
JF - Journal of the National Medical Association
N2 - OBJECTIVE: Trauma exposure is high in African Americans who live in stressful urban environments. Posttraumatic stress disorder (PTSD) and depression are common outcomes of trauma exposure and are understudied in African Americans. African Americans are more likely to seek treatment for psychiatric disorders in a primary care setting. Our study evaluated trauma exposure, PTSD and major depression in African Americans attending primary care offices. METHOD: Six-hundred-seventeen patients (96% African Americans) were surveyed for trauma exposure in the waiting rooms of four primary care offices. Those patients reporting significant traumatic events were invited to a research interview. Of the 403 patients with trauma exposure, 279 participated. RESULTS: Of the 617 participants, 65% reported > or = 1 clearly traumatic event. The most common exposures were transportation accidents (42%), sudden unexpected death of a loved one (39%), physical assault (30%), assault with a weapon (29%) and sexual assault (25%). Lifetime prevalence of PTSD and a major depressive episode (MDE) among those with trauma exposure (n=279) was 51% and 35%, respectively. The percent of lifetime PTSD cases (n=142) with comorbid MDE was 46%. Lifetime PTSD and MDE in the trauma-exposed population were approximately twice as common in females than males, whereas current PTSD rates were similar. CONCLUSIONS: Our rate of PTSD (approximately 33% of those screened) exceeds estimates for the general population. Rates of MDE comorbid with PTSD were comparable to other studies. These findings suggest the importance of screening African Americans for PTSD, in addition to depression, in the primary care setting.
PP - United States
PY - 2006
SN - 0027-9684; 0027-9684
SP - 1630
EP - 1636
EP - 
T1 - Trauma exposure, posttraumatic stress disorder and depression in an African-American primary care population
T2 - Journal of the National Medical Association
TI - Trauma exposure, posttraumatic stress disorder and depression in an African-American primary care population
U1 - Healthcare Disparities
U2 - 17052054
VL - 98
VO - 0027-9684; 0027-9684
Y1 - 2006
ER -