BACKGROUND: People from Black ethnic groups (African-Caribbean and Black African) are more prone to develop psychosis in Western countries. This excess might be explained by perceptions of disadvantage. AIMS: To investigate whether the higher incidence of psychosis in Black people is mediated by perceptions of disadvantage. METHOD: A population-based incidence and case-control study of first-episode psychosis (Aetiology and Ethnicity in Schizophrenia and Other Psychoses (AESOP)). A total of 482 participants answered questions about perceived disadvantage. RESULTS: Black ethnic groups had a higher incidence of psychosis (OR= 4.7, 95% CI 3.1-7.2). After controlling for religious affiliation, social class and unemployment, the association of ethnicity with psychosis was attenuated (OR=3.0, 95% CI 1.6-5.4) by perceptions of disadvantage. Participants in the Black non-psychosis group often attributed their disadvantage to racism, whereas Black people in the psychosis group attributed it to their own situation. CONCLUSIONS: Perceived disadvantage is partly associated with the excess of psychosis among Black people living in the UK. This may have implications for primary prevention.
BACKGROUND:People from Black ethnic groups (African-Caribbean and Black African) are more prone to develop psychosis in Western countries. This excess might be explained by perceptions of disadvantage. AIMS: To investigate whether the higher incidence of psychosis in Black people is mediated by perceptions of disadvantage. METHOD: A population-based incidence and case-control study of first-episode psychosis (Aetiology and Ethnicity in Schizophrenia and Other Psychoses (AESOP)). A total of 482 participants answered questions about perceived disadvantage. RESULTS: Black ethnic groups had a higher incidence of psychosis (OR= 4.7, 95% CI 3.1-7.2). After controlling for religious affiliation, social class and unemployment, the association of ethnicity with psychosis was attenuated (OR=3.0, 95% CI 1.6-5.4) by perceptions of disadvantage. Participants in the Black non-psychosis group often attributed their disadvantage to racism, whereas Black people in the psychosis group attributed it to their own situation. CONCLUSIONS: Perceived disadvantage is partly associated with the excess of psychosis among Black people living in the UK. This may have implications for primary prevention.
Authors: Stephanie Mehl; Martin W Landsberg; Anna-Christine Schmidt; Maurice Cabanis; Andreas Bechdolf; Jutta Herrlich; Stephanie Loos-Jankowiak; Tilo Kircher; Stephanie Kiszkenow; Stefan Klingberg; Mareike Kommescher; Steffen Moritz; Bernhard W Müller; Gudrun Sartory; Georg Wiedemann; Andreas Wittorf; Wolfgang Wölwer; Michael Wagner Journal: Schizophr Bull Date: 2014-04-17 Impact factor: 9.306
Authors: Ulrich A Reininghaus; Craig Morgan; Jayne Simpson; Paola Dazzan; Kevin Morgan; Gillian A Doody; Dinesh Bhugra; Julian Leff; Peter Jones; Robin Murray; Paul Fearon; Tom K J Craig Journal: Soc Psychiatry Psychiatr Epidemiol Date: 2008-05-16 Impact factor: 4.328