Increased rate of psychosis among African–Caribbeans in Britain is not due to an excess of pregnancy and birth complications

It has been suggested that the increased rate of psychotic illness among African-Caribbeans living in Britain is due to an excess of pregnancy and birth complications (PBCs). We therefore compared the frequency of PBCs in a group of White psychotic patients (n = 103) and a comparable group of patien...

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Veröffentlicht in:British journal of psychiatry 1997-08, Vol.171 (2), p.145-147
Hauptverfasser: Hutchinson, G., Takei, N., Bhugra, D., Fahy, T. A., Gilvarry, C., Mallett, R., Moran, P., Leff, J., Murray, R. M.
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container_end_page 147
container_issue 2
container_start_page 145
container_title British journal of psychiatry
container_volume 171
creator Hutchinson, G.
Takei, N.
Bhugra, D.
Fahy, T. A.
Gilvarry, C.
Mallett, R.
Moran, P.
Leff, J.
Murray, R. M.
description It has been suggested that the increased rate of psychotic illness among African-Caribbeans living in Britain is due to an excess of pregnancy and birth complications (PBCs). We therefore compared the frequency of PBCs in a group of White psychotic patients (n = 103) and a comparable group of patients of African-Caribbean origin (n = 61); the latter consisted of 30 first-generation (born in the Caribbean) and 31 second-generation (born in Britain) individuals. White psychotic patients were more than twice as likely to have a history of PBCs as their African-Caribbean counterparts (odds ratio = 2.34, 95% confidence interval (CI) 0.88-6.47, P = 0.062). The same trend was observed among patients with a DSM-III diagnosis of schizophrenia (odds ratio = 1.65, 95% CI 0.56-4.97, P = 0.32). The rate of PBCs was similar among the first- and second-generation Caribbean psychotic patients. The increased rate of psychotic illness that has been reported among the African-Caribbean population in Britain is not due to an increased prevalence of PBCs.
doi_str_mv 10.1192/bjp.171.2.145
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The same trend was observed among patients with a DSM-III diagnosis of schizophrenia (odds ratio = 1.65, 95% CI 0.56-4.97, P = 0.32). The rate of PBCs was similar among the first- and second-generation Caribbean psychotic patients. 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We therefore compared the frequency of PBCs in a group of White psychotic patients (n = 103) and a comparable group of patients of African-Caribbean origin (n = 61); the latter consisted of 30 first-generation (born in the Caribbean) and 31 second-generation (born in Britain) individuals. White psychotic patients were more than twice as likely to have a history of PBCs as their African-Caribbean counterparts (odds ratio = 2.34, 95% confidence interval (CI) 0.88-6.47, P = 0.062). The same trend was observed among patients with a DSM-III diagnosis of schizophrenia (odds ratio = 1.65, 95% CI 0.56-4.97, P = 0.32). The rate of PBCs was similar among the first- and second-generation Caribbean psychotic patients. 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subjects Adult
Africa - ethnology
Birth Injuries - ethnology
Birth weight
Confidence intervals
Ethnicity
European Continental Ancestry Group - statistics & numerical data
Families & family life
Female
Humans
London - epidemiology
Male
Minority & ethnic groups
Obstetrics
Pregnancy
Pregnancy Complications - epidemiology
Pregnancy Complications - ethnology
Pregnancy Complications - psychology
Prevalence
Psychiatry
Psychosis
Psychotic Disorders - epidemiology
Psychotic Disorders - ethnology
Schizophrenia
Schizophrenia - epidemiology
Schizophrenia - ethnology
Statistical significance
West Indies - ethnology
title Increased rate of psychosis among African–Caribbeans in Britain is not due to an excess of pregnancy and birth complications
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