Mixed Race Studies

Comorbid substance use disorders with other Axis I and II mental disorders among treatment-seeking Asian Americans, Native Hawaiians/Pacific Islanders, and mixed-race people

Journal of Psychiatric Research
Available online 2013-09-09
DOI: 10.1016/j.jpsychires.2013.08.022

Li-Tzy Wu, ScD, RN, MA, Professor of Psychiatry and Behavioral Sciences
Department of Psychiatry and Behavioral Sciences, School of Medicine
Duke University Medical Center, Durham, North Carolina

Dan G. Blazer, MD, PhD, Professor of Psychiatry and Behavioral Sciences; Professor of Community and Family Medicine
Department of Psychiatry and Behavioral Sciences, School of Medicine
Duke University Medical Center, Durham, North Carolina

Kenneth R. Gersing, MD, Clinical Associate
Department of Psychiatry and Behavioral Sciences, School of Medicine
Duke University Medical Center, Durham, North Carolina

Bruce Burchett, PhD, Assistant Professor in Psychiatry and Behavioral Sciences
Department of Psychiatry and Behavioral Sciences, School of Medicine
Duke University Medical Center, Durham, North Carolina

Marvin S. Swartz, MD, Professor in Psychiatry and Behavioral Sciences
Department of Psychiatry and Behavioral Sciences, School of Medicine
Duke University Medical Center, Durham, North Carolina

Paolo Mannelli, MD, Associate Professor of Psychiatry and Behavioral Sciences
Department of Psychiatry and Behavioral Sciences, School of Medicine
Duke University Medical Center, Durham, North Carolina

Little is known about behavioral healthcare needs of Asian Americans (AAs), Native Hawaiians/Pacific Islanders (NHs/PIs), and mixed-race people (MRs)—the fastest growing segments of the U.S. population. We examined substance use disorder (SUD) prevalences and comorbidities among AAs, NHs/PIs, and MRs (N=4572) in a behavioral health electronic health record database. DSM-IV diagnoses among patients aged 1–90 years who accessed behavioral healthcare from 11 sites were systematically captured: SUD, anxiety, mood, personality, adjustment, childhood-onset, cognitive/dementia, dissociative, eating, factitious, impulse-control, psychotic/schizophrenic, sleep, and somatoform diagnoses. Of all patients, 15.0% had a SUD. Mood (60%), anxiety (31.2%), adjustment (30.9%), and disruptive (attention deficit-hyperactivity, conduct, oppositional defiant, disruptive behavior diagnosis, 22.7%) diagnoses were more common than others (psychotic 14.2%, personality 13.3%, other childhood-onset 11.4%, impulse-control 6.6%, cognitive 2.8%, eating 2.2%, somatoform 2.1%). Less than 1% of children aged <12 years had SUD. Cannabis diagnosis was the primary SUD affecting adolescents aged 12–17. MRs aged 35–49 years had the highest prevalence of cocaine diagnosis. Controlling for age at first visit, sex, treatment setting, length of treatment, and number of comorbid diagnoses, NHs/PIs and MRs were about two times more likely than AAs to have ≥2 SUDs. Regardless of race/ethnicity, personality diagnosis was comorbid with SUD. NHs/PIs with a mood diagnosis had elevated odds of having SUD. Findings present the most comprehensive patterns of mental diagnoses available for treatment-seeking AAs, NHs/PIs, and MRs in the real-world medical setting. In-depth research is needed to elucidate intraracial and interracial differences in treatment needs.

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De Blasio First in Mayoral Primary; Unclear if He Avoids a Runoff

The New York Times
2013-09-10

David M. Halbfinger, Reporter

David W. Chen, City Hall Bureau Chief

Bill de Blasio, whose campaign for mayor of New York tapped into a city’s deepening unease with income inequality and aggressive police practices, captured far more votes than any of his rivals in the Democratic primary on Tuesday.

But as Mr. de Blasio, an activist-turned-operative and now the city’s public advocate, celebrated a remarkable come-from-behind surge, it was not clear if he had won the 40 percent needed to avoid a runoff election on Oct. 1 with William C. Thompson Jr., who finished second. At night’s end, he had won just over 40 percent of the ballots counted; thousands of paper ballots had yet to be tallied, which could take days.

…Mr. de Blasio, a white Brooklynite who frequently showcased his biracial family, built a broad coalition of support among nearly every category of Democratic primary voters on Tuesday, according to the exit poll by Edison Research. His critique of a city divided between rich and poor — tried in the past by other candidates in New York and nationally with little success — resonated…

“I love his message about the tale of two cities, the big inequality gap,” said Jelani Wheeler, 19, a politics student at St. John’s University in Queens…

Read the entire article here.

Norma Storch Is Dead at 81; Subject of TV Documentary

The New York Times
2003-09-21

Douglas Martin

Norma Storch, a white woman whose decision to have her 4-year-old mixed-race daughter raised by a black couple became the subject of an Emmy Award-winning documentary made by the daughter in adulthood, died on Aug. 28 at her home in Manhattan. She was 81.

The cause was cancer, said the daughter, June Cross, the producer of the documentary, “Secret Daughter,” which PBS broadcast in 1996.

The film was heralded as a searing look at race relations in the 1950’s and 60’s, and drew praise for its emotional rawness and the bravery of both mother and daughter. Other reviews suggested that the documentary’s power came from a mother’s willingness to reject her daughter and then rationalize it.

Ms. Cross said in an interview last week that this impression properly reflected the documentary but not their real relationship. She said that tensions were exaggerated for dramatic effect.

But for almost 35 years, Mrs. Storch and her husband—the actor and comedian Larry Storch, who starred as Cpl. Randolph Agarn in the 1960’s comedy series “F Troop,”—indisputably lived a lie. They told friends and acquaintances that the black girl who visited them at their Hollywood home was their adopted daughter, who lived with a black family for most of the year…

Read the entire obituary here.

Interracial Family Memoirs: Reconstructing Genealogies across the Color Line

Yale University
230 Prospect Street
Room 101
New Haven, Connecticut 06511
2013-09-16, 12:00-13:15 EDT (Local Time)

Cedric Essi, Ph.D. Candidate in American Studies
University of Erlangen-Nürnberg

During the last two decades numerous autobiographical works have emerged which explore family histories in black and white, such as Barack Obama’s “Dreams from My Father,” June Cross’s “Secret Daughter” or Edward Ball’s “Slaves in the Family.” Essi subsumes these works under the umbrella term ‘interracial family memoir’ and draws up a typology of ‘genealogies’ in order to categorize and interrogate the ways in which these texts thematize kinship across the color line. This talk will provide a critical overview of the genre and discusses how the US-specific ideology of the one-drop rule affects interracial family experiences, to what extent transnational affiliations conflict with racial self-identification, on what terms white motherhood is rendered visible and how the interracial family is often imagined as an allegory of the American nation. This talk is part of the GLC Brown Bag Lunch Series. Bring your lunch; drinks & dessert will be provided.

For more information, click here.