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Methods: Using nationally representative data from the National Survey of American Life, we estimated lifetime\/12-month prevalence of anxiety disorders in Black men and women, age 50+ ( N = 1561). Disorder-specific persistence and severity, functional impairment, and mental health service utilization were investigated using multivariate regressions. Results: Black men and women who met criteria for anxiety disorders (lifetime prevalence=12.4%\/18.3% in men\/women) also demonstrated persistent disorders (percent meeting criteria = 40.3%\u201361.2%). Those with a 12-month anxiety disorder (6.2%\/10.5% of men\/women) typically reported severe task interference (38.3%\u201385.7%). Those with any 12-month anxiety disorder, compared to those without, experienced greater impairment in days out of role, work, family burden, cognition and, in women, mobility ( p\u2019s &lt; .05). Only 47.0%\/65.2% of Black men\/women with any lifetime anxiety disorder used mental health services. Discussion: Despite low prevalence, older Blacks with anxiety disorders experience substantial mental health burden in middle age and later.<\/jats:p>","DOI":"10.1177\/08982643221086065","type":"journal-article","created":{"date-parts":[[2022,4,18]],"date-time":"2022-04-18T07:02:03Z","timestamp":1650265323000},"page":"378-389","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Persistence, Impairment, Disability and Unmet Treatment of Lifetime and 12-Month Anxiety Disorders in Black Men and Women, 50 Years of Age and Older"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1533-7469","authenticated-orcid":false,"given":"Audrey L.","family":"Jones","sequence":"first","affiliation":[{"name":"Informatics, Decision-Enhancement and Analytic Sciences Center (IDEAS), Veteran Affairs Salt Lake City Health Care System, UT, USA"},{"name":"Department of Internal Medicine, School of Medicine, University of Utah, Salt Lake City, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Rafferty","sequence":"additional","affiliation":[{"name":"Program for Research on Black Americans, Institute of Social Research, Ann Arbor, MI, USA"},{"name":"School of Social Work, University of Michigan, Ann Arbor, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan D.","family":"Cochran","sequence":"additional","affiliation":[{"name":"Departments of Epidemiology and Statistics, Fielding School of Public Health, University of California, Los Angeles, USA"},{"name":"UCLA Center for Bridging Research Innovation, Training and Education for Minority Health Disparities Solutions (BRITE), Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamie","family":"Abelson","sequence":"additional","affiliation":[{"name":"Program for Research on Black Americans, Institute of Social Research, Ann Arbor, MI, USA"},{"name":"School of Social Work, University of Michigan, Ann Arbor, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vickie M.","family":"Mays","sequence":"additional","affiliation":[{"name":"UCLA Center for Bridging Research Innovation, Training and Education for Minority Health Disparities Solutions (BRITE), Los Angeles, CA, USA"},{"name":"Departments of Psychology and Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,4,18]]},"reference":[{"key":"bibr1-08982643221086065","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.13115"},{"key":"bibr2-08982643221086065","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-0606.2009.00117.x"},{"key":"bibr3-08982643221086065","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291704003514"},{"key":"bibr4-08982643221086065","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201100121"},{"key":"bibr5-08982643221086065","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2014.5"},{"key":"bibr6-08982643221086065","author":"Carden K. 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