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Psychotic illness in ethnic minorities: clarification from the 1991 census

Published online by Cambridge University Press:  09 July 2009

J. Van Os ,
D. J. Castle ,
N. Takei ,
G. Der  and
R. M. Murray
J. Van Os*
Affiliation:
Department of Psychological Medicine, King's College Hospital, Social Psychiatry Unit, Institute of Psychiatry, London
D. J. Castle
Affiliation:
Department of Psychological Medicine, King's College Hospital, Social Psychiatry Unit, Institute of Psychiatry, London
N. Takei
Affiliation:
Department of Psychological Medicine, King's College Hospital, Social Psychiatry Unit, Institute of Psychiatry, London
G. Der
Affiliation:
Department of Psychological Medicine, King's College Hospital, Social Psychiatry Unit, Institute of Psychiatry, London
R. M. Murray
Affiliation:
Department of Psychological Medicine, King's College Hospital, Social Psychiatry Unit, Institute of Psychiatry, London
*
1Address for correspondence: Dr Jim Van Os, Department of Psychological Medicine, Institute of Psychiatry, De Crespigny Park, London SE5 8AF.
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Synopsis

Age and sex-adjusted first admission rates for operationally-defined schizophrenia and other non-affective psychosis in different ethnic groups were calculated over the period 1988–1992 in a defined catchment area in South London. Standardized rates for schizophrenia, corrected for age- and gender-related under-reporting in the 1991 census and a 20% underestimate of the size of the ethnic minority populations in the area, were not only higher in the Afro-Caribbean group (SMR: 3·1; 95% Cl: 2·0–4·7), but also in the African group (SMR: 4·2; 95% Cl: 2·8–6·2). It was further found that higher rates were not specific to schizophrenia. These findings suggest that some common factor associated with ethnic minority membership is important in producing an excess of psychotic illness.

Information

Type
Brief Communication
Information
Psychological Medicine , Volume 26 , Issue 1 , January 1996 , pp. 203 - 208
Copyright
Copyright © Cambridge University Press 1996

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References

REFERENCES

Bebbington, P., Hurry, J. & Tennant, C. (1981). Psychiatric disorders in selected immigrant groups in Camberwell. Social Psychiatry 16, 43–51.CrossRefGoogle Scholar
Breslow, N. E. & Day, N. E. (1987). Statistical Methods in Cancer Research, vol. 1, pp. 68–72. WHO: Lyon.Google Scholar
Burke, A. (1989). Psychiatric practice and ethnic minorities. In Ethnic Factors in Health and Disease (ed. Cruickshank, J. K. and Beevers, D. G.), pp. 179–187. Wright: London.Google Scholar
Castle, D., Wessely, S., Der, G. & Murray, R. (1991). The incidence of operationally defined schizophrenia in Camberwell, 1965–1984. British Journal of Psychiatry 159, 790–794.CrossRefGoogle Scholar
Castle, D., Scott, K., Wessely, S. & Murray, R. (1993). Does social deprivation during gestation and early life predispose to later schizophrenia? Social Psychiatry and Psychiatric Epidemiology 28, 1–4.CrossRefGoogle ScholarPubMed
Cooper, J., Goodhead, D., Craig, T., Harris, M., Howards, J. & Korer, J. (1986). The incidence of schizophrenia in Nottingham. British Journal of Psychiatry 151, 619–626.CrossRefGoogle Scholar
Eagles, J. M. (1991). The relationship between schizophrenia and immigration. Are there alternative hypotheses? British Journal of Psychiatry 159, 783–789.CrossRefGoogle Scholar
Harrison, G. (1990). Searching for the causes of schizophrenia: the role of migrant studies. Schizophrenia Bulletin 16, 663–671.CrossRefGoogle ScholarPubMed
Harrison, G., Owens, D., Holton, A., Neilson, D. & Boot, D. (1988). A prospective study of severe mental disorder in Afro-Caribbean patients. Psychological Medicine 18, 643–657.CrossRefGoogle ScholarPubMed
Jablensky, A. (1993). The epidemiology of schizophrenia. Current Opinion in Psychiatry 6, 43–52.CrossRefGoogle Scholar
Leff, J., Fisher, M. & Bertelsen, A. (1976). A cross national study of mania. British Journal of Psychiatry 129, 428–442.CrossRefGoogle ScholarPubMed
Lewis, L., Croft-Jeffreys, C. & David, A. (1990). Are British psychiatrists racist? British Journal of Psychiatry 157, 410–415.CrossRefGoogle ScholarPubMed
McGovern, D. & Cope, R. (1987). First psychiatric admission rates of first and second-generation Afro-Caribbeans. Social Psychiatry 22, 139–149.CrossRefGoogle ScholarPubMed
McGuffin, P., Farmer, A. E. & Harvey, I. (1991). A polydiagnostic application of operation criteria in psychotic illness: development and reliability of the OPCRIT system. Archives of General Psychiatry 48, 764–770.CrossRefGoogle ScholarPubMed
Office of Population Censuses and Surveys (1992). 1991 Census under-enumeration: guidance for users in England and Wales. Census Newsletter 24, 9–10.Google Scholar
Rothman, K. (1986). Modern Epidemiology. Little, Brown and Company: Boston.Google Scholar
Rwegellera, G. G. C. (1977). Psychiatric morbidity among West-Africans and West-Indians living in London. Psychological Medicine 7, 317–329.CrossRefGoogle Scholar
Sashidharan, S. P. (1993). Afro-Caribbeans and schizophrenia: the ethnic vulnerability hypothesis re-examined. International Review of Psychiatry 5: 129–144.CrossRefGoogle Scholar
Siegel, J. S. (1974). Estimates of coverage of the population by sex, race and age in the 1970 census. Demography 11, 1–23.CrossRefGoogle ScholarPubMed
Teague, A. (1993). Ethnic group: first results from the 1991 census. Population Trends 72, 12–17.Google Scholar
Wessely, S., Castle, D., Der, G. & Murray, R. (1991). Schizophrenia and Afro-Caribbeans: a case control study. British Journal of Psychiatry 159, 795–801.CrossRefGoogle ScholarPubMed