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Does Social Disadvantage Explain the Higher Risk of Psychosis in Immigrants? Results from the Eugei Study in London

Published online by Cambridge University Press:  23 March 2020

S.A. Stilo
Affiliation:
Institute of psychiatry- psychology and neuroscience- King's college London, psychosis studies, London, United Kingdom
C. Gayer-Anderson
Affiliation:
Institute of psychiatry- psychology and neuroscience- King's college London, health service and population research, London, United Kingdom
S. Beards
Affiliation:
Institute of psychiatry- psychology and neuroscience- King's college London, health service and population research, London, United Kingdom
F. Bourque
Affiliation:
Institute of psychiatry- psychology and neuroscience- King's college London, health service and population research, London, United Kingdom
V. Mondelli
Affiliation:
Institute of psychiatry- psychology and neuroscience- King's college London, psychological medicine, London, United Kingdom
P. Dazzan
Affiliation:
Institute of psychiatry- psychology and neuroscience- King's college London, psychosis studies, London, United Kingdom
C. Pariante
Affiliation:
Institute of psychiatry- psychology and neuroscience- King's college London, psychological medicine, London, United Kingdom
M. Di Forti
Affiliation:
Institute of psychiatry- psychology and neuroscience- King's college London, MRC social- genetic & developmental psychiatry centre, London, United Kingdom
R. Murray
Affiliation:
Institute of psychiatry- psychology and neuroscience- King's college London, psychosis studies, London, United Kingdom
C. Morgan
Affiliation:
Institute of psychiatry- psychology and neuroscience- King's college London, health service and population research, London, United Kingdom

Abstract

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Evidence indicates that migrant and ethnic minority groups have an elevated risk of psychosis in a number of countries. Social disadvantage is one of the hypotheses put forward to explain these findings. The aim of this study is to investigate main effects, association and synergism between social disadvantage and migration on odds of psychotic experiences. We collected information on social disadvantage and migration from 332 patients and from 301 controls recruited from the local population in South London. Two indicators of social disadvantage in childhood and six indicators of social disadvantage in adulthood were analyzed. We found evidence that the odds of reporting psychotic experience were higher in those who experienced social disadvantage in childhood (OR= 2.88, 95% CI 2.03-4.06), social disadvantage in adulthood (OR= 9.06, 95% CI 5.21–15.74) and migration (OR = 1.46, 95% CI 1.05–2.02). When both social disadvantage and migration were considered together, the association with psychosis was slightly higher for social disadvantage in childhood and migration (OR 3.46, 95% CI 2.12–5.62) and social disadvantage in adulthood and migration (OR 9.10, 95% CI 4.63-17.86). Migrant cases were not more likely than non-migrant cases to report social disadvantage (p = 0.71) and no evidence of an additive interaction between migration and social disadvantage was found (ICR 0.32 95% CI -4.04–4.69). Preliminary results support the hypothesis that the association between social disadvantage and psychosis is independent of migration status.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
Workshop: Risk factors for psychosis in migrants in Europe: Results from the EUGEI study
Copyright
Copyright © European Psychiatric Association 2017
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