|Title||Perceptions of disadvantage, ethnicity and psychosis|
|Authors||Cooper, C., Morgan, C., Byrne, M., Dazzan, P., Morgan, K.D., Hutchinson, G., Doody, G.A., Harrison, G., Leff, J., Jones, P.B., Ismail, K., Murray, R.M., Bebbington, P. and Fearon, P.|
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.
|Journal||British Journal of Psychiatry|
|Journal citation||192 (3), pp. 185-190|
|Publisher||Royal College of Psychiatrists|
|Digital Object Identifier (DOI)||https://doi.org/10.1192/bjp.bp.107.042291|