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Chunk #3 — Introduction

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Does the prevalence of CD and ODD vary across cultures?
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yes

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Children from ethnic minorities and /or living in developing poor countries have a greater risk of exposure to deprived or negative environments than non-minority or children living in developed countries. Ethnic minorities in the US, as well as children in poor countries have higher exposure to poor prenatal care and poor infant nutrition, more exposure to toxic and infection agents, live in disadvantaged and crime ridden neighborhoods and are often exposed to other stressful circumstances associated with physical abuse and poverty. All of these are risk factors that have been associated with CD and ODD (See [15, 55] for reviews). On the other hand, there is evidence that protective factors related to positive family environment may lower the prevalence of disruptive disorders even in developing or poor countries. For example, results of a longitudinal study of CD and ODD which compared the risk and protective factors of these disorders among Puerto Rican children living in San Juan, Puerto Rico and the Bronx showed that close family attachments and strict family monitoring and supervision [12] typical of the Puerto Rican culture