Incidence and outcome of schizophrenia in Whites, African-Caribbeans and Asians in London
Incidence and outcome of schizophrenia in Whites, African-Caribbeans and Asians in London
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DOI：
10.1017/s0033291797005369
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发表时间：
1997-07-01
影响因子：
6.9
通讯作者：
Rudge, S
中科院分区：
文献类型：
--
作者：
Bhugra, D;Leff, J;Rudge, S
背景以前的几项研究表明，在英国的非洲加勒比人精神分裂症的发病率高相比，白色人口。所有居住在伦敦两个卫生区的18至64岁的人，在1年（白人）或2年（少数民族）期间与医院或社区服务机构接触，进行精神病筛查。123名患者通过了筛选，其中100名被CATEGO计划分配到精神分裂症类。其中38人为白色人，38人为非洲裔加勒比人，24人为亚洲人。非裔加勒比人的广义精神分裂症发病率明显高于白人。亚洲人在30岁及以上的人群中的比例很高，尤其是女性。1年随访时，非洲-加勒比人的不良结局明显比其他两组更常见。结果不佳的非洲-加勒比人的比例是白人的2.5倍。在一系列的七个社会人口变量，非洲加勒比人不同，从其他两个组只有在unemployees.Conclusions，一个multitide的因素发挥了作用，精神分裂症的病因，在这些群体中的环境因素的比较，可能会确定因素，有助于精神分裂症的病因。
Background. Several previous studies have indicated high rates of schizophrenia in African-Caribbeans in the UK compared to White population.Method. All people aged 18 to 64 years residing in two health districts in London who made contact with hospital or community services over a 1-year (Whites) or 2-year (ethnic minorities) period were screened for psychotic symptoms.Results. One hundred and twenty-three patients passed the screen, of whom 100 were assigned a schizophrenic class by the CATEGO program. Of these, 38 were White, 38 African-Caribbean and 24 Asian. The incidence rate for broad schizophrenia was significantly higher for African-Caribbeans than for Whites. Asians showed a high rate among people age 30 and over, particularly women. Poor outcome at 1-year follow-up was significantly more common for African-Caribbeans than for the other two groups. The proportion of African-Caribbeans with a poor outcome was two and a half times greater than that of Whites. On a range of seven socio-demographic variables, African-Caribbeans differed from the other two groups only on unemployment.Conclusions, A multitide of factors play a role in the aetiology of schizophrenia, Comparison of environmental factors in these groups may identify factors that contribute to the aetiology of schizophrenia.