Different rates of first admissions for psychosis in migrant groups in Paris

TY - JOUR

T1 - Different rates of first admissions for psychosis in migrant groups in Paris

AU - Tortelli, Andrea

AU - Morgan, Craig

AU - Szoke, Andrei

AU - Nascimento, Andreia

AU - Skurnik, Norbert

AU - de Caussade, Erik Monduit

AU - Fain-Donabedian, Edith

AU - Fridja, Flora

AU - Henry, Mehedi

AU - Ezembe, Ferdinand

AU - Murray, Robin M.

PY - 2014/7

Y1 - 2014/7

N2 - Purpose The association between migration and psychosis has been reported in the past decades in many European countries. Despite large-scale migration into France, epidemiological data on the incidence of psychosis in this population are lacking. In this study, we compare the incidence rates of first admission for psychosis among natives and first generation migrants. Methods Two-hundred and fifty-eight patients aged 15+ with first admission for psychosis were identified in the catchment area of the 20th district of Paris between 2005 and 2009. Standardised incidence rates and incidence rate ratios were calculated for migrant and native groups. Results We found higher rates of admissions for psychosis in the migrant group (IRR 2.9, 95 % CI 0.9-9.8) compared to individuals born in France. Among migrants, incidence was higher in individuals from Sub-Saharan Africa compared to natives (IRR 7.1, CI 95 % 2.3-21.8), whereas the incidence was similar for those from Europe (IRR 1.2, CI 95 % 0.3-5.1) and from North Africa (IRR 1.4, CI 95 % 0.4-5.6). Conclusions Our findings suggest that Sub-Saharan migrants were identified as the most vulnerable migrant group for developing psychosis in France, but additional work is warranted to confirm these trends.

AB - Purpose The association between migration and psychosis has been reported in the past decades in many European countries. Despite large-scale migration into France, epidemiological data on the incidence of psychosis in this population are lacking. In this study, we compare the incidence rates of first admission for psychosis among natives and first generation migrants. Methods Two-hundred and fifty-eight patients aged 15+ with first admission for psychosis were identified in the catchment area of the 20th district of Paris between 2005 and 2009. Standardised incidence rates and incidence rate ratios were calculated for migrant and native groups. Results We found higher rates of admissions for psychosis in the migrant group (IRR 2.9, 95 % CI 0.9-9.8) compared to individuals born in France. Among migrants, incidence was higher in individuals from Sub-Saharan Africa compared to natives (IRR 7.1, CI 95 % 2.3-21.8), whereas the incidence was similar for those from Europe (IRR 1.2, CI 95 % 0.3-5.1) and from North Africa (IRR 1.4, CI 95 % 0.4-5.6). Conclusions Our findings suggest that Sub-Saharan migrants were identified as the most vulnerable migrant group for developing psychosis in France, but additional work is warranted to confirm these trends.

KW - First episode psychosis

KW - Incidence

KW - Migrants

KW - Psychosis risk factors

KW - Social risk factors

KW - PSYCHOLOGICAL DISTRESS

KW - ETHNIC-MINORITIES

KW - BLACK-AMERICANS

KW - NATIONAL-SURVEY

KW - ASYLUM SEEKERS

KW - SCHIZOPHRENIA

KW - IMMIGRANTS

KW - RISK

KW - DISCRIMINATION

KW - NETHERLANDS

U2 - 10.1007/s00127-013-0795-7

DO - 10.1007/s00127-013-0795-7

M3 - Article

SN - 0933-7954

VL - 49

SP - 1103

EP - 1109

JO - Social Psychiatry and Psychiatric Epidemiology

JF - Social Psychiatry and Psychiatric Epidemiology

IS - 7

ER -