WestminsterResearch

Perceptions of disadvantage, ethnicity and psychosis

Cooper, Claudia and Morgan, Craig and Byrne, Majella and Dazzan, Paola and Morgan, Kevin D. and Hutchinson, Gerard and Doody, Gillian A. and Harrison, Glynn and Leff, Julian and Jones, Peter B. and Ismail, Khalida and Murray, Robin M. and Bebbington, Paul and Fearon, Paul (2008) Perceptions of disadvantage, ethnicity and psychosis. British Journal of Psychiatry, 192 (3). pp. 185-190. ISSN 1472-1465

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Official URL: http://dx.doi.org/10.1192/bjp.bp.107.042291

Abstract

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 (ASOP)). 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% Cl 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.

Item Type:Article
Research Community:University of Westminster > Social Sciences, Humanities and Languages, School of
ID Code:6700
Deposited On:30 Apr 2009 12:08
Last Modified:30 Apr 2009 12:08

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