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Ethnicity, social disadvantage and psychotic-like experiences in a healthy population based sample

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Morgan C, Fisher H, Hutchinson G, Kirkbride J, Craig TK, Morgan K, Dazzan P, Boydell J, Doody GA, Jones PB, Murray RM, Leff J, Fearon P. Ethnicity, social disadvantage and psychotic-like experiences in a healthy population based sample. Objective: 

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.
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Keywords: Psychosis; ethnic groups; social isolation

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

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