Incidence of schizophrenia and other psychoses in ethnic minority groups: results from the MRC AESOP Study.

Abstract:

BACKGROUND:The incidence of schizophrenia in the African-Caribbean population in England is reported to be raised. We sought to clarify whether (a) the rates of other psychotic disorders are increased, (b) whether psychosis is increased in other ethnic minority groups, and (c) whether particular age or gender groups are especially at risk. METHOD:We identified all people (n=568) aged 16-64 years presenting to secondary services with their first psychotic symptoms in three well-defined English areas (over a 2-year period in Southeast London and Nottingham and a 9-month period in Bristol). Standardized incidence rates and incidence rate ratios (IRR) for all major psychosis syndromes for all main ethnic groups were calculated. RESULTS:We found remarkably high IRRs for both schizophrenia and manic psychosis in both African-Caribbeans (schizophrenia 9.1, manic psychosis 8.0) and Black Africans (schizophrenia 5.8, manic psychosis 6.2) in men and women. IRRs in other ethnic minority groups were modestly increased as were rates for depressive psychosis and other psychoses in all minority groups. These raised rates were evident in all age groups in our study. CONCLUSIONS:Ethnic minority groups are at increased risk for all psychotic illnesses but African-Caribbeans and Black Africans appear to be at especially high risk for both schizophrenia and mania. These findings suggest that (a) either additional risk factors are operating in African-Caribbeans and Black Africans or that these factors are particularly prevalent in these groups, and that (b) such factors increase risk for schizophrenia and mania in these groups.

journal_name

Psychol Med

journal_title

Psychological medicine

authors

Fearon P,Kirkbride JB,Morgan C,Dazzan P,Morgan K,Lloyd T,Hutchinson G,Tarrant J,Fung WL,Holloway J,Mallett R,Harrison G,Leff J,Jones PB,Murray RM,AESOP Study Group.

doi

10.1017/S0033291706008774

subject

Has Abstract

pub_date

2006-11-01 00:00:00

pages

1541-50

issue

11

eissn

0033-2917

issn

1469-8978

pii

S0033291706008774

journal_volume

36

pub_type

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