Schizophrenia in black Caribbeans living in the UK: an exploration of underlying causes of the high incidence rate

Pinto, Rebecca; Ashworth, Mark; Jones, Roger

doi:10.3399/bjgp08x299254

Cited by 46 publications

(30 citation statements)

References 51 publications

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“…Consistent with previous work, adjustment for socioeconomic indicators did not remove all of the excess risk in these groups . Our finding does not support the view that there is a social advantage that protects South Asian migrants from psychosis, at least not in Pakistanis (Pinto, Ashworth, and Jones 2008). Potential explanations, such as decreased socialisation and marginal economic status of this group, as well as increased stigma-related stress, require further study Wheeler 1998).…”

Section: Ethnicity and Health 227contrasting

confidence: 75%

“…In particular, the impact of social disadvantage throughout the life course (Morgan and Hutchinson 2009), social support structures in the family and community, migration experiences and cultural assimilation (Pinto, Ashworth, and Jones 2008) require further exploration. Our findings indicate the need for culturally appropriate and sensitive mental health services that will improve access for minority ethnic groups to community and specialist mental health services.…”

Section: Ethnicity and Health 227mentioning

confidence: 99%

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Disparate patterns of hospitalisation reflect unmet needs and persistent ethnic inequalities in mental health care: the Scottish health and ethnicity linkage study

Bansal¹,

Bhopal²,

Netto³

et al. 2013

Ethnicity & Health

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Our data show disparate patterns of psychiatric hospitalisations by ethnic group in Scotland providing new observations concerning the mental health care experience of Chinese, Mixed background and White subgroups not fully explained by socioeconomic indicators. For South Asian and Chinese groups in particular, our data indicate under and late utilisation of mental health services. These data call for monitoring and review of services.

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Section: Ethnicity and Health 227contrasting

confidence: 75%

Section: Ethnicity and Health 227mentioning

confidence: 99%

Disparate patterns of hospitalisation reflect unmet needs and persistent ethnic inequalities in mental health care: the Scottish health and ethnicity linkage study

Bansal¹,

Bhopal²,

Netto³

et al. 2013

Ethnicity & Health

View full text Add to dashboard Cite

show abstract

“…Even less is known about older adults from these groups despite the increasing diversity of the older adult population. Existing research indicates that Caribbean Blacks experience higher rates of schizophrenia . Rates of depression and depressive symptoms are similar among older African Americans and Caribbean Blacks.…”

Section: Introductionmentioning

confidence: 98%

Major Depressive Disorder Among Older African Americans, Caribbean Blacks, and Non-Hispanic Whites: Secondary Analysis of the National Survey of American Life

et al. 2013

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“…A review of the literature on the causes for the elevated rate of psychosis diagnoses among black Caribbeans living in the UK concludes that multiple risk factors are involved, with isolation and social exclusion (to which racism may contribute) playing a particularly important role (Pinto et al, 2008). Explanations in terms of clinician bias are limited by studies showing that the difference in incidence rates persists when diagnoses are made by ethnically matched or blinded raters (Fearon et al, 2006).…”

Section: Introductionmentioning

confidence: 99%

Ethnic variations in pathways to acute care and compulsory detention for women experiencing a mental health crisis

Lawlor

Cole

Howard

2010

Int J Soc Psychiatry

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Background: Much recent debate on excess rates of compulsory detention and coercive routes to care has focused on young black men; evidence is less clear regarding ethnic variations among women and factors that may mediate these.Aim: To explore ethnic variations in compulsory detentions of women, and to explore the potential role of immediate pathways to admission and clinician-rated reasons for admission as mediators of these differences.Method: All women admitted to an acute psychiatric inpatient ward or a women’s crisis house in four London boroughs during a 12-week period were included. Data were collected regarding their pathways to care, clinician-rated reasons for admission, hospital stays, and social and clinical characteristics.Results: Two hundred and eighty seven (287) women from white British, white other, black Caribbean, black African and black other groups were included. Adjusting for social and clinical characteristics, all groups of black patients and white other patients were significantly more likely to have been compulsorily admitted than white British patients; white British patients were more likely than other groups to be admitted to a crisis house and more likely than all the black groups to be admitted because of perceived suicide risk. Immediate pathways to care differed: white other, black African and black other groups were less likely to have referred themselves in a crisis and more likely to have been in contact with the police. When adjustment was made for differences in pathways to care, the ethnic differences in compulsory admission were considerably reduced.Discussion: There are marked ethnic inequities not only between white British and black women, but also between white British and white other women in experiences of acute admission. Differences between groups in help-seeking behaviours in a crisis may contribute to explaining differences in rates of compulsory admission.

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Schizophrenia in black Caribbeans living in the UK: an exploration of underlying causes of the high incidence rate

Cited by 46 publications

References 51 publications

Disparate patterns of hospitalisation reflect unmet needs and persistent ethnic inequalities in mental health care: the Scottish health and ethnicity linkage study

Disparate patterns of hospitalisation reflect unmet needs and persistent ethnic inequalities in mental health care: the Scottish health and ethnicity linkage study

Major Depressive Disorder Among Older African Americans, Caribbean Blacks, and Non-Hispanic Whites: Secondary Analysis of the National Survey of American Life

Ethnic variations in pathways to acute care and compulsory detention for women experiencing a mental health crisis

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