Perceptions of disadvantage, ethnicity and psychosis.
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Authors
Cooper, Claudia
Morgan, Craig
Byrne, Majella
Dazzan, Paola
Morgan, Kevin
Hutchinson, Gerard
Doody, Gillian A
Harrison, Glynn
Leff, Julian
Jones, Peter
Issue Date
2008-Mar
Type
Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't
Multicenter Study
Research Support, Non-U.S. Gov't
Language
en
Keywords
Alternative Title
Abstract
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.
To investigate whether the higher incidence of psychosis in Black people is mediated by perceptions of disadvantage.
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.
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.
Perceived disadvantage is partly associated with the excess of psychosis among Black people living in the UK. This may have implications for primary prevention.
To investigate whether the higher incidence of psychosis in Black people is mediated by perceptions of disadvantage.
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.
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.
Perceived disadvantage is partly associated with the excess of psychosis among Black people living in the UK. This may have implications for primary prevention.
Description
Citation
Cooper, C., Morgan, C., Byrne, M., Dazzan, P., Morgan, K., Hutchinson, G., Doody, G. A., Harrison, G., Leff, J., Jones, P., Ismail, K., Murray, R., Bebbington, P., & Fearon, P. (2008). Perceptions of disadvantage, ethnicity and psychosis. The British journal of psychiatry : the journal of mental science, 192(3), 185–190. https://doi.org/10.1192/bjp.bp.107.042291
Publisher
License
Journal
The British journal of psychiatry : the journal of mental science
Volume
192
Issue
3
PubMed ID
ISSN
0007-1250