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Sociodemographic and clinical correlates of migrant status in adults with psychotic disorders: data from the Australian Survey of High Impact Psychosis

Published online by Cambridge University Press:  27 August 2014

S. Saha*
Affiliation:
Queensland Centre for Mental Health Research, The Park Centre for Mental Health, Wacol, QLD 4076, Australia Discipline of Psychiatry, University of Queensland, St Lucia, QLD 4072, Australia Queensland Brain Institute, University of Queensland, St Lucia, QLD 4072, Australia
V. A. Morgan
Affiliation:
School of Psychiatry and Clinical Neurosciences, The University of Western Australia, Perth, WA 6907, Australia
D. Castle
Affiliation:
St Vincents Hospital and the University of Melbourne, Fitzroy, VIC 3065, Australia
D. Silove
Affiliation:
School of Psychiatry, University of New South Wales, Sydney, NSW 2052, Australia
J. J. McGrath
Affiliation:
Queensland Centre for Mental Health Research, The Park Centre for Mental Health, Wacol, QLD 4076, Australia Discipline of Psychiatry, University of Queensland, St Lucia, QLD 4072, Australia Queensland Brain Institute, University of Queensland, St Lucia, QLD 4072, Australia
*
*Address for correspondence: Dr S. Saha, Queensland Centre for Mental Health Research, The Park Centre for Mental Health, Wacol, QLD, 4076, Australia (Email: sukanta_saha@qcmhr.uq.edu.au)

Abstract

Objective.

The links between migrant status and psychosis have attracted considerable attention in recent decades. The aim of the study was to explore the demographic and clinical correlates of migrant v. Australia-born status in individuals with psychotic disorders using a large community-based sample.

Method.

Data were drawn from a population-based prevalence survey of adults with psychotic disorders. Known as the Survey of High Impact Psychosis (SHIP), it was conducted in seven Australian catchment areas in 2010. Logistic regression was used for the main analyses, examining associations of migrant status with sociodemographic and clinical variables.

Results.

Of the 1825 participants with psychotic disorders, 17.8% (n = 325) were migrants, of whom 55.7% (n = 181) were male. Compared to Australia-born individuals with psychosis, migrants were more likely to be currently married, to have completed a higher level at school, to have left school later, and to be employed with full-time jobs. Migrants with psychosis were either no different from or less impaired or disadvantaged compared to their Australian-born counterparts on a range of clinical and demographic variables.

Conclusions.

In a sample of individuals with psychotic disorders, there was no evidence to suggest that migrant status was associated with worse clinical or socio-economic outcomes compared to their native-born counterparts.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 2014 

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References

An, AB (2004). Performing logistic regression on survey data with the new SURVEYLOGISTIC procedure. Proceedings of the Twenty-Seventh Annual SAS Users Group International Conference Paper 258 ed. Retrieved 20 July 2014 from http://www2.sas.com/proceedings/sugi27/p258-27.pdf Google Scholar
Australian Bureau of Statistics (2006). Information paper: An Introduction to Socio-Economic Indexes for ARea (SEIFA), 2006 Cat No. 2039.0. Australian Bureau of Statistics: Canberra.Google Scholar
Australian Bureau of Statistics (2008). National Survey of Mental Health and Wellbeing 2007, Australia. Technical Paper. Confidentialised Unit Record File 2008. Commonwealth Government: Canberra.Google Scholar
Becares, L, Nazroo, J (2013). Social capital, ethnic density and mental health among ethnic minority people in England: a mixed-methods study. Ethnic Health 216, 544562.Google Scholar
Bhugra, D, Becker, MA (2005). Migration, cultural bereavement and cultural identity. World Psychiatry 4, 1824.Google ScholarPubMed
Castle, DJ, Jablensky, A, McGrath, JJ, Carr, V, Morgan, V, Waterreus, A, Valuri, G, Stain, H, McGuffin, P, Farmer, A (2006). The diagnostic interview for psychoses (DIP): development, reliability and applications. Psychological Medicine 36, 6980.Google Scholar
Fossion, P, Servais, L, Rejas, MC, Ledoux, Y, Pelc, I, Minner, P (2004). Psychosis, migration and social environment: an age-and-gender controlled study. European Psychiatry 19, 338343.CrossRefGoogle ScholarPubMed
Jablensky, A, McGrath, J, Herrman, H, Castle, D, Gureje, O,, Castle, D, Gureje, O (1999). People Living with Psychotic illness: An Australian Study 1997–98. Commonwealth of Australia: Camberra.Google Scholar
Jablensky, A, McGrath, J, Herrman, H, Castle, D, Gureje, O, Evans, M, Carr, V,, Castle, D, Gureje, O, Harvey, C (2000). Psychotic disorders in urban areas: an overview of the Study on Low Prevalence Disorders. Australian and New Zealand Journal of Psychiatry 34, 221236.Google Scholar
Kirkbride, JB, Jones, PB, Ullrich, S, Coid, JW (2012). Social deprivation, inequality, and the neighborhood-level incidence of psychotic syndromes in East London. Schizophrenia Bulletin 40, 169180.Google Scholar
McGrath, J, El-Saadi, O, Cardy, S, Chapple, B, Chant, D, Mowry, B (2001). Urban birth and migrant status as risk factors for psychosis: an Australian case-control study. Social Psychiatry Psychiatric Epidemiology 36, 533536.Google Scholar
McGuffin, P, Farmer, A, Harvey, I (1991). A polydiagnostic application of operational criteria in studies of psychotic illness. Development and reliability of the OPCRIT system. Archives of General Psychiatry 48, 764770.CrossRefGoogle ScholarPubMed
Morgan, C, Charalambides, M, Hutchinson, G, Murray, RM (2010). Migration, ethnicity, and psychosis: toward a sociodevelopmental model. Schizophrenia Bulletin 36, 655664.Google Scholar
Morgan, VA, Waterreus, A, Jablensky, A, Mackinnon, A, McGrath, JJ, Carr, V, Bush, R, Castle, D, Cohen, M, Harvey, C, Galletly, C, Stain, HJ, Neil, A, McGorry, P, Hocking, B, Shah, S, Saw, S (2011). People Living with Psychotic Illness 2010. Report on the Second Australian National Survey of Psychotic Illness. Commonwealth Government of Australia: Canberra, ACT.Google Scholar
Morgan, VA, Waterreus, A, Jablensky, A, Mackinnon, A, McGrath, JJ, Carr, V, Bush, R, Castle, D, Cohen, M, Harvey, C, Galletly, C, Stain, HJ, Neil, AL, McGorry, P, Hocking, B, Shah, S, Saw, S (2012). People living with psychotic illness in 2010: The Second Australian National Survey of Psychosis. Australian and New Zealand Journal of Psychiatry 46, 735752.Google Scholar
Morosini, PL, Magliano, L, Brambilla, L, Ugolini, S, Pioli, R (2000). Development, reliability and acceptability of a new version of the DSM-IV Social and Occupational Functioning Assessment Scale (SOFAS) to assess routine social functioning. Acta Psychiatrica Scandinavica 101, 323329.Google ScholarPubMed
Nielssen, O, Sara, G, Lim, Y, Large, M (2013). Country of birth and hospital treatment for psychosis in New South Wales. Social Psychiatry and Psychiatric Epidemiology 48, 613620.Google Scholar
Patrick, DL, Burns, T, Morosini, P, Rothman, M, Gagnon, DD, Wild, D, Adriaenssen, I (2009). Reliability, validity and ability to detect change of the clinician-rated Personal and Social Performance scale in patients with acute symptoms of schizophrenia. Current Medical Research and Opinion 25, 325338.Google Scholar
Slade, T, Johnston, A, Teesson, M, Whiteford, H, Burgess, P, Pirkis, J, Saw, S (2009). The Mental Health of Australians 2. Report on the 2007 National Survey of Mental Health and Wellbeing. Department of Health and Ageing: Canberra.Google Scholar
Waghorn, G, Chant, D, Whiteford, H (2003). The strength of self-reported course of illness in predicting vocational recovery for persons with schizophrenia. Journal of Vocational Rehabilitation 18, 3341.Google Scholar
Waghorn, G, Saha, S, Harvey, C, Morgan, VA, Waterreus, A, Bush, R, Castle, D, Galletly, C, Stain, HJ, Neil, AL, McGorry, P, McGrath, JJ (2012). ‘Earning and learning’ in those with psychotic disorders: the second Australian national survey of psychosis. Australian and New Zealand Journal of Psychiatry 46, 774785.Google Scholar
World Bank (2013a). GNI per Capita, Atlas Method. Retrieved 16 September 2013 from http://data.worldbank.org/indicator/NY.GNP.PCAP.CD Google Scholar
World Bank (2013b). New Country Classifications. Retrieved 16 September 2013 from http://data.worldbank.org/news/new-country-classifications/ Google Scholar
World Health Organization (1992). The ICD-10. Classification of Mental and Behavioural Disorders. Clinical Descriptions and Diagnostic Guidelines. World Health Organization: Geneva.Google Scholar
World Health Organization (1999). Schedules for Clinical Assessment in Neuropsychiatry. World Health Organization: Geneva.Google Scholar