Epidemiological Considerations Working with Culturally Diverse Populations

Abstract

This chapter examines the epidemiological factors that clinicians should consider when working with culturally diverse populations. The chapter describes two theoretical models of risk associated to one’s socioeconomic status and race, and depicts why membership to group identities that experience adversity is linked to negative clinical outcomes. Findings from empirical research are used to describe disparities in the prevalence and course of psychiatric disorders based on racial and sexual orientation group memberships (for example, identifying as African American, immigrant of color, or as Lesbian, Gay, Bisexual, Transgender). The concept of intersectionality is discussed, describing how different group identities work together simultaneously to influence outcomes. The chapter concludes with a discussion of barriers to effective treatment specifically related to access and stigma. (PsycInfo Database Record (c) 2022 APA, all rights reserved)