TY - JOUR
T1 - Ethnic density as a buffer for psychotic experiences
T2 - Findings from a national survey (EMPIRIC)
AU - Das-Munshi, Jayati
AU - Bécares, Laia
AU - Boydell, Jane E.
AU - Dewey, Michael E.
AU - Morgan, Craig
AU - Stansfeld, Stephen A.
AU - Prince, Martin J.
PY - 2012/10
Y1 - 2012/10
N2 - Background: Aetiological mechanisms underlying ethnic density associations with psychosis remain unclear. Aims: To assess potential mechanisms underlying the observation that minority ethnic groups experience an increased risk of psychosis when living in neighbourhoods of lower own-group density. Method: Multilevel analysis of nationally representative communitylevel data (from the Ethnic Minorities Psychiatric Illness Rates in the Community survey), which included the main minority ethnic groups living in England, and a White British group. Structured instruments assessed discrimination, chronic strains and social support. The Psychosis Screening Questionnaire ascertained psychotic experiences. Results: For every ten percentage point reduction in own-group density, the relative odds of reporting psychotic experiences increased 1.07 times (95% CI 1.01-1.14, P = 0.03 (trend)) for the total minority ethnic sample. In general, people living in areas of lower own-group density experienced greater social adversity that was in turn associated with reporting psychotic experiences. Conclusions: People resident in neighbourhoods of higher own-group density experience 'buffering' effects from the social risk factors for psychosis. Declaration of interest: None.
AB - Background: Aetiological mechanisms underlying ethnic density associations with psychosis remain unclear. Aims: To assess potential mechanisms underlying the observation that minority ethnic groups experience an increased risk of psychosis when living in neighbourhoods of lower own-group density. Method: Multilevel analysis of nationally representative communitylevel data (from the Ethnic Minorities Psychiatric Illness Rates in the Community survey), which included the main minority ethnic groups living in England, and a White British group. Structured instruments assessed discrimination, chronic strains and social support. The Psychosis Screening Questionnaire ascertained psychotic experiences. Results: For every ten percentage point reduction in own-group density, the relative odds of reporting psychotic experiences increased 1.07 times (95% CI 1.01-1.14, P = 0.03 (trend)) for the total minority ethnic sample. In general, people living in areas of lower own-group density experienced greater social adversity that was in turn associated with reporting psychotic experiences. Conclusions: People resident in neighbourhoods of higher own-group density experience 'buffering' effects from the social risk factors for psychosis. Declaration of interest: None.
UR - http://www.scopus.com/inward/record.url?scp=84867019294&partnerID=8YFLogxK
U2 - 10.1192/bjp.bp.111.102376
DO - 10.1192/bjp.bp.111.102376
M3 - Article
C2 - 22844021
SN - 0007-1250
VL - 201
SP - 282
EP - 290
JO - British Journal of Psychiatry
JF - British Journal of Psychiatry
IS - 4
ER -