# Presentation: 662828

## Demographics

## Sample Demographics N = 234

| Demographic Characteristic | Mean | Std Dev |
| --- | --- | --- |
|  Age (range 18-45) | 29.8 | 7.5 |
|  | N | Percent |
|      18-25 | 87 | 37.1 |
|      26-35 | 90 | 38.4 |
|      26-45 | 58 | 24.7 |
| Marital Status |  |  |
|      Married | 45 | 19.2 |
|      Living as married | 98 | 41.8 |
|      Formerly Married | 26 | 11.1 |
|     Single | 65 | 27.7 |
| Educational Level |  |  |
|      < HS | 25 | 10.6 |
|      HS Graduate | 68 | 29.0 |
|      1-3 yrs Vocational | 36 | 15.3 |
|      Some college | 93 | 39.7 |
|      College Graduate | 12 | 5.1 |

- Sample Demographics N = 234

## Sample Demographics   N = 234

| Demographic Characteristic | N | Percent |
| --- | --- | --- |
| Residence |  |  |
|      Urban | 205 | 87.6 |
|      Rural/Reservation | 29 | 12.4 |
| Attended Boarding School | 96 | 41.0 |
| Annual Household Income |  |  |
|      Below Poverty | 82 | 35.0 |
|      100-185% of Poverty | 80 | 34.2 |
|      186-300% of poverty | 47 | 20.1 |
|      More than 300% | 25 | 10.7 |
| Family history of substance abuse problems | 
163 | 
69.6 |
| Tribal Blood Quantum |  |  |
|      Full | 158 | 67.5 |
|      3/4 | 17 | 7.2 |
|      Half | 41 | 17.5 |
|      14 or less | 15 | 6.4 |

- Sample Demographics   N = 234

## Mental Disorders

## Prevalence of Lifetime and Current Substance Disorders: Native American Women in Primary Care 1999

|  | Lifetime |  | Current |  |
| --- | --- | --- | --- | --- |
| 
Diagnosis | Interviewed Sample Prevalence | Estimated prevalence1
(SE) | Interviewed Sample Prevalence | Estimated Prevalence1
(SE) |
| Alcohol Abuse | 28.2 | 28.3 (3.1) | 9.0 | 10.1 (2.2) |
| Alcohol Dependence | 32.5 | 29.3 (3.1) | 4.7 | 3.7 (1.1) |
| Any Drug Abuse | 12.8 | 12.3 (3.1) | 0.9 | 0.9 (0.7) |
| Any Drug Dependence | 19.2 | 17.1 (2.5) | 3.4 | 3.1 (1.1) |
| Any Substance Abuse | 27.8 | 27.9 (3.1) | 9.0 | 9.7 (2.1) |
| Any Substance Dependence | 37.6 | 34.0 (3.2) | 6.4 | 5.6 (1.5) |

**Prevalence of Lifetime and Current Substance Disorders: Native American Women in Primary Care 1999**

- 1 Weighted to the entire sample of 495 using the GHQ

## Prevalence of Lifetime and Current Mood Disorders: Native American Women in Primary Care 1999

|  | Lifetime |  | Current |  |
| --- | --- | --- | --- | --- |
| 
Diagnosis | Interviewed Sample Prevalence | Estimated prevalence1
(SE) | Interviewed Sample Prevalence | Estimated Prevalence1
(SE) |
| Any Major Depression | 41.5 | 38.1 (3.3) | 18.8 | 17.5 (2.6) |
| Dysthymic Disorder | 2.6 | 2.3 (1.0) | 0.9 | 0.6 (0.4) |
| Bipolar I | 6.0 | 4.9 (1.4) | 3.8 | 2.8 (0.9) |
| Any Mood Disorder | 48.3 | 43.7 (3.4) | 23.1 | 20.6 (2.7)  |

**Prevalence of Lifetime and Current Mood Disorders: Native American Women in Primary Care 1999**

- 1 Weighted to the entire sample of 495 using the GHQ

## Prevalence of Lifetime and Current Anxiety Disorders: Native American Women in Primary Care 1999

|  | Lifetime |  | Current |  |
| --- | --- | --- | --- | --- |
| 
Diagnosis | Interviewed Sample Prevalence | Estimated prevalence1
(SE) | Interviewed Sample Prevalence | Estimated Prevalence1
(SE) |
| Obsessive Compulsive Disorder | 7.7 | 6.4 (1.5) | 6.8 | 5.7 (1.5) |
| PTSD | 33.3 | 29.0 (3.0) | 14.5 | 12.6 (2.2) |
| Any Specific Phobia | 32.9 | 30.4 (3.1)  | 29.1 | 26.7 (3.0) |
| Social Phobia | 15.0 | 14.0 (2.3) | 10.7 | 9.4 (1.9) |
| Generalized Anxiety Disorder | 15.0 | 13.7 (2.3) | 10.7 | 9.1 (1.8) |
| Any Anxiety Disorder | 62.8 | 58.0 (3.5) | 50.4 | 46.7 (3.4)  |

**Prevalence of Lifetime and Current Anxiety Disorders: Native American Women in Primary Care 1999**

- 1 Weighted to the entire sample of 495 using the GHQ

## Prevalence of Lifetime and Current Any Disorder and Number of Disorders: Native American Women in Primary Care 1999

|  | Lifetime |  | Current |  |
| --- | --- | --- | --- | --- |
| 
Diagnosis | Interviewed Sample Prevalence | Estimated prevalence1
(SE) | Interviewed Sample Prevalence | Estimated Prevalence1
(SE) |
| Any Disorder | 84.2 | 80.4 (2.9) | 61.5 | 56.6 (3.5) |
| Number of Major Diagnostic Sets with Positive Diagnosis |  |  |  |  |
|           0 | 15.8 | 19.6 (2.9) | 39.3 | 43.3 (3.5) |
|           1 | 23.5 | 25.4 (3.1) | 35.9 | 33.2 (3.2) |
|           2 | 26.1 | 24.0 (2.9) | 18.0 | 16.9 (2.5) |
|           3 or 4 | 34.6 | 31.1 (3.1) | 6.8 | 6.5 (1.6) |

**Prevalence of Lifetime and Current Any Disorder and Number of Disorders: Native American Women in Primary Care 1999**

- 1 Weighted to the entire sample of 495 using the GHQ

## Intimate Partner Violence

## Intimate Partner Violence N = 234

| Violence Activity | Perpetrated on subject | Perpetrated by subject |
| --- | --- | --- |
| Past year Physical Assault |  |  |
|      Minor | 20.51 | 22.22 |
|      Minor and Severe | 22.65 | 23.08 |
| Past Year Injury |  |  |
|      Minor | 14.53 | 15.38 |
|      Minor and Severe | 12.82 | 4.70 |
| Lifetime Physical Assault |  |  |
|      Minor | 19.66 | 27.35 |
|      Minor and Severe | 38.89 | 36.32 |
| Lifetime Injury |  |  |
|      Minor | 22.65 | 23.08 |
|      Minor and Severe | 22.22 | 7.69 |

**Intimate Partner Violence **N = 234

**43.16**

**45.3**

**27.35**

**20.08**

**58.55**

**63.67**

**44.87**

**30.77**

## Child Maltreatment Prevalence

## Prevalence of Child Abuse and Neglect

| Maltreatment Type | N | Percent (%) |
| --- | --- | --- |
| No Maltreatment | 55 | 23.5 |
| Sexual and physical abuse | 65 | 27.8 |
| Other sexual abuse | 39 | 16.7 |
| Other physical abuse | 32 | 13.7 |
| Other emotional abuse | 24 | 10.3 |
| Neglect only | 19 | 8.1 |

## Prevalence of Child Abuse and Neglect

| Number of Maltreatments | N | Percent (%) |
| --- | --- | --- |
| 0 | 55 | 23.5 |
| 1 | 37 | 15.8 |
| 2 | 41 | 17.5 |
| 3 | 47 | 20.1 |
| 4 | 54 | 23.1 |

## Maltreatment Severity

| Maltreatment Severity | N | Percent (%) |
| --- | --- | --- |
| None | 55 | 23.5 |
| Low | 37 | 15.8 |
| Moderate | 45 | 19.2 |
| Severe | 97 | 41.5 |

## Unadjusted and Adjusted Association of Child Maltreatment Severity with Any Diagnosis

|  | Any Diagnosis |  |
| --- | --- | --- |
| Maltreatment Severity | Unadjusted PR 
(95% CI) | Adjusted 
PR (95% CI) |
| None  | 1.00 | 1.00 |
| Low-Moderate | 1.08 (0.88, 1.33) | 1.08 (0.88, 1.33) |
| Severe | 1.38 (1.16, 1.64) | 1.38 (1.16, 1.64) |

## Unadjusted and Adjusted Association of Child Maltreatment Severity with Any Diagnosis

## Child Maltreatment Severity with Two or More Diagnosis

|  | Two or more Diagnosis |  |
| --- | --- | --- |
| Maltreatment Severity | Unadjusted PR (95% CI) | Adjusted 
PR (95% CI) |
|   None  | 1.00 | 1.00 |
|   Low-Moderate | 1.52 (1.00, 2.31) | 1.53 (1.01, 2.32) |
|   Severe | 2.39 (1.64, 3.47) | 2.32 (1.59, 3.38) |
| Debt |  |  |
|   None | -- | 1.00 |
|   Some | -- | 1.00 (0.79, 1.27) |
|   Very Much | -- | 1.22 (0.99, 1.52) |

## Child Maltreatment Severity with Two or More Diagnosis

## Child Maltreatment Severity with Any Substance

|  | Any Substance |  |
| --- | --- | --- |
| Maltreatment Severity |  Unadjusted PR (95% CI) | Adjusted 
PR (95% CI) |
|   None  | 1.00 | 1.00 |
|   Low-Moderate | 1.94 (1.31, 2.88) | 1.92 (1.29, 2.85) |
|   Severe | 2.36 (1.62, 3.43) | 2.28 (1.56, 3.33) |
| Education |  |  |
|   > HS graduate | -- | 1.00 |
|   HS graduate/GED | -- | 1.03 (0.85, 1.24) |
|   < HS graduate | -- | 1.22 (1.03, 1.44) |

## Child Maltreatment Severity with Any Substance

## Child Maltreatment Severity with Mood

|  | Mood |  |
| --- | --- | --- |
| Maltreatment Severity | Unadjusted PR   (95% CI) | Adjusted PR  
(95% CI) |
|   None  | 1.00 | 1.00 |
|   Low-Moderate | 1.22 (0.75, 1.98) | 1.24 (0.76, 2.00) |
|   Severe | 2.17 (1.43, 3.30) | 2.09 (1.37, 3.19) |
| Debt |  |  |
|   None | -- | 1.00 |
|   Some | -- | 1.05 (0.75, 1.47) |
|   Very Much | -- | 1.30 (0.94, 1.80) |

## Child Maltreatment Severity with Mood

## Child Maltreatment Severity with Any Anxiety

|  | Any Anxiety |  |
| --- | --- | --- |
| Maltreatment Severity | Unadjusted PR    (95% CI)   | Adjusted PR         (95% CI) |
|   None  | 1.00 | 1.00 |
|   Low-Moderate | 1.04 (0.74, 1.47) | 1.02 (0.73, 1.43) |
|   Severe | 1.64 (1.23, 2.18) | 1.65 (1.25, 2.19) |
| Age |  |  |
|   18-24 | -- | 1.00 |
|   25-34 | -- | 1.38 (1.09, 1.76) |
|   35-45 | -- | 1.32 (1.03, 1.69) |

## Child Maltreatment Severity with Any Anxiety

## Child Maltreatment Severity with PTSD

|  | PTSD |  |
| --- | --- | --- |
| Maltreatment Severity | Unadjusted 
PR (95% CI) | Adjusted 
PR (95% CI) |
|   None  | 1.00 | 1.00 |
|   Low-Moderate | 1.82 (0.82, 4.04) | 1.68 (0.75, 3.76) |
|   Severe | 4.21 (2.06, 8.62) | 3.91 (1.90, 8.03) |
| Debt |  |  |
|   None | -- | 1.00 |
|   Some | -- | 1.23 (0.77, 1.97) |
|   Very Much | -- | 1.55 (1.00, 2.41) |
| Parental Boarding School |  |  |
|   No | -- | 1.00 |
|   Yes | -- | 1.58 (0.98, 2.53) |

## Child Maltreatment Severity with PTSD