Title | Perceptions of disadvantage, ethnicity and psychosis |
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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. |
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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. |
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Journal | British Journal of Psychiatry |
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Journal citation | 192 (3), pp. 185-190 |
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ISSN | 1472-1465 |
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Year | Mar 2008 |
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Publisher | Royal College of Psychiatrists |
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Digital Object Identifier (DOI) | https://doi.org/10.1192/bjp.bp.107.042291 |
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Publication dates |
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Published | Mar 2008 |
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