Point prevalence of schizophrenia in immigrant groups in Rotterdam: data from outpatient facilities

Point prevalence of schizophrenia in immigrant groups in Rotterdam: data from outpatient facilities
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鹿特丹移民群体精神分裂症的点患病率:来自门诊机构的数据

DOI:
10.1016/s0924-9338(01)00558-2
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发表时间:
2001
影响因子:
7.8
通讯作者:
J. Selten
J. Selten
中科院分区:
医学2区
文献类型:
--
作者:
A. Schrier;B. V. D. van de Wetering;P. Mulder;J. Selten

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关于荷兰一些移民群体中精神分裂症发病率增加的报告完全基于医院数据。本研究的目的是:(1)确定鹿特丹精神卫生服务门诊精神分裂症的治疗点患病率,并比较移民和本地人的结果;和2)比较出生在荷兰的组和移民组在以前住院的患者比例。方法我们包括所有年龄在20岁至64岁之间的患者,1994年10月1日在鹿特丹的任何一家门诊精神卫生服务机构接受非情感性精神病治疗。负责的精神卫生专业人员报告的社会人口统计学和临床特征,每个patient.Results7013例精神分裂症(DSM-III-R)的诊断确定(率:2.1每1000)。精神分裂症的(治疗)患病率在男性移民从马拉姆和摩洛哥和女性移民从马拉姆,荷属安的列斯群岛和佛得角是显着高于其本土出生的同行(优势比2和3之间)。在来自土耳其的移民、来自摩洛哥的女性移民或来自安的列斯群岛的男性移民中,(接受治疗的)患病率并不显著较高。以前入院的患者比例在每个种族组相似(81-93%)。ConclusionThese研究结果通常与早期的研究一致,根据荷兰精神病学登记处,据报道,在精神分裂症的发病率(治疗)在移民从荷兰和荷属安的列斯群岛和男性移民从摩洛哥,来自土耳其的移民或来自摩洛哥的女性移民的(治疗)发病率没有增加。
ObjectiveReports of an increased incidence of schizophrenia in some immigrant groups to The Netherlands are based exclusively on hospital data. The aims of our study were: 1) to determine the treated point prevalence of schizophrenia at outpatient mental health services in Rotterdam and to compare the results for immigrants to those for natives; and 2) to compare groups born in The Netherlands and immigrant groups in terms of the proportions of patients with a previous hospital admission.MethodWe included all patients aged between 20 and 64 who were treated for a non-affective psychosis at any of the outpatient mental health services in Rotterdam on October 1, 1994. The mental health professionals responsible reported on the socio-demographic and clinical characteristics of each patient.ResultsSeven hundred and thirteen patients with a diagnosis of schizophrenia (DSM-III-R) were identified (rate: 2.1 per 1000). The (treated) prevalence of schizophrenia in male immigrants from Surinam and Morocco and in female immigrants from Surinam, the Netherlands Antilles and Cape Verde was significantly higher than that in their native-born counterparts (odds ratios between 2 and 3). The (treated) prevalence was not significantly higher in immigrants from Turkey, female immigrants from Morocco or male immigrants from the Antilles. Proportions of patients with a previous hospital admission were similar in each ethnic group (81–93%).ConclusionThese findings are generally in line with earlier studies, based on the Dutch psychiatric registry, which has reported an increase in the (treated) incidence of schizophrenia in immigrants from Surinam and the Netherlands Antilles and in male immigrants from Morocco, and no increase in the (treated) incidence in immigrants from Turkey or female immigrants from Morocco.