Psychosis, migration and social environment: an age-and-gender controlled study

Fossion, Pierre; Servais, Laurent; Rejas, Mari-Carmen; Ledoux, Y.; Pelc, Isidore; Minner, Pierre

doi:10.1016/j.eurpsy.2004.04.010

Cited by 34 publications

(38 citation statements)

References 57 publications

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“…The international literature has also addressed the problem of the under-utilisation of psychiatric services by some migrant populations (Gupta, 1991;Gupta 1992;Bruxner et al, 1997;Haasen et al, 1997;Fossion et al, 2004). Our data appears to support this.…”

Section: Introductionsupporting

confidence: 72%

“…The presence of the entity of 'migration psychosis' can thus arguably be said to be valid in this local study sample, and its aetiological role in homicide can be cautiously accepted, although a larger sample would be needed for confirmation. Gupta (1991), Gupta (1992), Bruxner et al (1997), Haasen et al (1997) and Fossion et al (2004) have described the lower rates of contact with mental health services by some migrant populations. This has been shown also to be true for the foreigners in this study population, with the added unfortunate feature of this study's foreigner population that individuals are only encountering a psychiatrist after they have committed a murder.…”

Section: Limitationsmentioning

confidence: 99%

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Underlying Factors for the Rapid Increase of Suicide in Mie Prefecture, Japan

Inoue

Abe²,

Okazaki³

et al. 2005

Med Sci Law

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The number of suicides in Japan increased from about 22,000 per year during the period 1988 to 1997 to over 30,000 since 1998. The number of suicides has also been increasing in Mie Prefecture. In the present study we examined the incidence and the circumstances for all suicidal cases during the seven-year period, 1996-2002, that were reported to Mie Prefectural Police Headquarters. In Mie Prefecture, the number of suicides per year averaged 421 cases: from a minimum of 319 in 1997 to a maximum of 501 in 1998. The most frequent month for suicides was July, while the lowest number occurred in February. Suicide was most common in the 50-59 year age group in men, and in the 70-79 year group in women. Regarding the means of suicide, hanging was the most frequent (61.6%) in both sexes. Psychiatric disorders were the most serious causative factors in all generations, accounting for 23.8% in general but being especially prevalent in the younger generation of people under 39 years. Further reasons for suicide were economic problems for the 40-64 age-group in men and suffering from illness for the elderly age-groups in both sexes. In order to prevent suicide, urgent strategies for effective medical treatments and improved working circumstances are required.

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Section: Introductionsupporting

confidence: 72%

Section: Limitationsmentioning

confidence: 99%

Underlying Factors for the Rapid Increase of Suicide in Mie Prefecture, Japan

Inoue

Abe²,

Okazaki³

et al. 2005

Med Sci Law

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“…According to the sixth national population census in 2010, about 31.28 million migrants were living in Guangdong province, accounting for 30% of the whole population [5–8]. Migrants have also had an enormous impact on the leprosy endemic in Guangdong province, accounting for 25% of all new leprosy cases from 2004 to 2013 and 38.3% in 2015 [9–12], with 88.0% of these patients living in the Pearl River Delta region alone [13]. Most of resident leprosy patients live in rural regions in eastern, western and northern Guangdong [14, 15].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the economic burden of leprosy among migrant and resident patients in Guangdong Province, China

Xiong

Zheng

et al. 2017

BMC Infect Dis

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BackgroundA lot of time and money was needed during the diagnosis and treatment process of leprosy, the delayed leprosy would also impair the labor capability of patients as well, and these put a heavy burden for the leprosy patients. The migrant leprosy patient is a special group and need more concern. Our goal was to assess the economic burden of leprosy on migrant and resident patient populations in Guangdong province, China.MethodsWe conducted a population-based cross-sectional survey from February to July of 2016. A self-designed questionnaire was administered to leprosy patients who: (1) had registered in Leprosy Management Information System in China (LEPMIS) by the end of February 2016, (2) had received multiple drug treatment (MDT) drugs at a local leprosy control institution for three consecutive months or had had at least one physical check in the past half year, and (3) were willing to take part in the investigation and give informed written consent. Demographic characteristics, Financial and disease information, and costs before and after leprosy diagnosis were collected and compared using t-test and χ2 test.ResultsA total of 254 participants completed the questionnaires, including 168 males and 86 females. Migrants and residents accounted for 33.9% and 66.1% of patients, respectively. Among migrant patients, the median cost before diagnosis was $131.6 (39.2–450.9), the median yearly cost of leprosy treatment after diagnosis was $300.6 (158.4–868.5), and the median yearly cost of leprosy complications was $69.5 (11–178.4). In comparison, among residents the median yearly costs were $152.4 (30.7–770.9) pre-diagnosis, $309.7 (103.2–1016.7) after diagnosis, and $91.9 (32.6–303.1) for leprosy complications. Base on this, we determined that the median yearly total expense after diagnosis amounted to 15% of migrant and 38% of resident patients’ annual income.ConclusionLeprosy places a heavy economic burden on both migrant and resident leprosy patients and governmental policies and programs could substantially alleviate this. Measures to implement more active surveillance and early diagnosis would benefit both populations, while labor protection and medical insurance are urgently needed for migrant patients and easier access to medical services and social aids could substantially decrease the burden of leprosy for resident patients.

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“…Migrants are exposed to a variety of difficult situations in the destination country [1, 2]. Additionally, migrants may have had traumatic experiences in their places of origin, as some are refugees from warzones, international laborers or individuals in exile [3].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of mental disorders in migrants compared with original residents and local residents in Ningxia, China

Wang

Jing

et al. 2016

BMC Psychiatry

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BackgroundEcological migrants has a special background compared with other types of migrant. However, the mental health status of ecological migrants who were expected to benefit from a massive “ecological migration project” initiated by the Chinese government is unknown. This study aims to explore the influence of environmental change on individuals’ mental health and to improve current understanding of the mechanisms that mental disorders occurred.MethodsThe data were extracted from a cross-sectional study. Anxiety disorders, mood disorders and substance use disorders were assessed using the Chinese version WHO-CIDI. The prevalence of mental disorders was stratified by migration status into ecological migrant, local resident and original resident groups. Unconditional logistic regression models were used to calculate the risk of prevalence among these three groups.ResultsAfter controlling for gender, ethnicity, age, marriage, and education, the migrants had lower risk of mental disorders than original residents [OR = 0.70 (95 % CI: 0.57–0.86)], p < 0.001), but had a higher risk of mental disorders than local residents [OR = 1.29 (95 % CI: 1.06–1.55)], p = 0.007).ConclusionThe ecological migration project may be beneficial to people’s mental health by improving their living environment and social economy.

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Psychosis, migration and social environment: an age-and-gender controlled study

Cited by 34 publications

References 57 publications

Underlying Factors for the Rapid Increase of Suicide in Mie Prefecture, Japan

Underlying Factors for the Rapid Increase of Suicide in Mie Prefecture, Japan

Evaluation of the economic burden of leprosy among migrant and resident patients in Guangdong Province, China

Prevalence of mental disorders in migrants compared with original residents and local residents in Ningxia, China

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