Author:
Das-Munshi Jayati,Bécares Laia,Boydell Jane E.,Dewey Michael E.,Morgan Craig,Stansfeld Stephen A.,Prince Martin J.
Abstract
BackgroundAetiological mechanisms underlying ethnic density associations with
psychosis remain unclear.AimsTo assess potential mechanisms underlying the observation that minority
ethnic groups experience an increased risk of psychosis when living in
neighbourhoods of lower own-group density.MethodMultilevel analysis of nationally representative community-level data
(from the Ethnic Minorities Psychiatric Illness Rates in the Community
survey), which included the main minority ethnic groups living in
England, and a White British group. Structured instruments assessed
discrimination, chronic strains and social support. The Psychosis
Screening Questionnaire ascertained psychotic experiences.ResultsFor every ten percentage point reduction in own-group density, the
relative odds of reporting psychotic experiences increased 1.07 times
(95% CI 1.01–1.14, P = 0.03 (trend)) for the total
minority ethnic sample. In general, people living in areas of lower
own-group density experienced greater social adversity that was in turn
associated with reporting psychotic experiences.ConclusionsPeople resident in neighbourhoods of higher own-group density experience
‘buffering’ effects from the social risk factors for psychosis.
Publisher
Royal College of Psychiatrists
Subject
Psychiatry and Mental health
Cited by
84 articles.
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