Am J Psychiatry 1990; 147:1449-1456
Copyright © 1990 by American Psychiatric Association
A critical review of epidemiological studies of Puerto Rican mental health
PJ Guarnaccia, BJ Good and A Kleinman
Institute for Health, Health Care Policy, and Aging Research, Rutgers University, New Brunswick, NJ 08903.
Through a review of the epidemiological literature on the mental health of
Puerto Ricans and other Hispanics, the authors argue that lack of attention
to cultural issues in epidemiological studies leaves many questions
unanswered and raises concerns about the validity of studies in this area.
The authors point out that the mental health status of Puerto Ricans in New
York City is still poorly understood after 30 years of research. The roles
of cultural response styles and of culturally meaningful expressions of
distress in shaping responses to research interviews should be central
concerns in developing research in cross-cultural psychiatry.
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