Ethnicity, social disadvantage and psychotic-like experiences in a healthy population based sample
We sought to investigate the prevalence and social correlates of psychotic-like experiences in a general population sample of Black and White British subjects. Method:
Data were collected from randomly selected community control subjects, recruited as part of the ÆSOP study, a three-centre population based study of first-episode psychosis. Results:
The proportion of subjects reporting one or more psychotic-like experience was 19% (n = 72/372). These were more common in Black Caribbean (OR 2.08) and Black African subjects (OR 4.59), compared with White British. In addition, a number of indicators of childhood and adult disadvantage were associated with psychotic-like experiences. When these variables were simultaneously entered into a regression model, Black African ethnicity, concentrated adult disadvantage, and separation from parents retained a significant effect. Conclusion:
The higher prevalence of psychotic-like experiences in the Black Caribbean, but not Black African, group was explained by high levels of social disadvantage over the life course.
Document Type: Research Article
Affiliations: 1: NIHR Biomedical Research Centre, and Centre for Public Mental Health, Health Service and Population Research Department 2: NIHR Biomedical Research Centre, and Division of Psychological Medicine, Institute of Psychiatry, King’s College, London, UK 3: Psychiatry Unit, University of the West Indies, Trinidad 4: Department of Psychiatry, University of Cambridge, Cambridge 5: Department of Psychology, Westminster University, London 6: Division of Psychiatry, University of Nottingham, Nottingham, UK
Publication date: 01 March 2009