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Neighbourhood ethnic density and psychosis — is there a difference according to generation?

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posted on 2023-06-09, 14:28 authored by Peter Schofield, Malene Thygesen, Jayati Das-Munshi, Laia Becares, Elizabeth Cantor-Graae, Esben Agerbo, Carsten Pedersen
Background For different migrant groups living in an area with few people from the same ethnic background is associated with increased psychosis incidence (the ethnic density effect). We set out to answer the question: are there generational differences in this effect? Methods Analysis of a population based cohort (2.2 million) comprising all those born 1st January 1965, or later, living in Denmark on their 15th birthday. This included 90,476 migrants from Africa, Europe (excluding Scandinavia) and the Middle East, with 55% first generation and the rest second-generation migrants. Neighbourhood co-ethnic density was determined at age 15 and we adjusted for age, gender, calendar period, parental psychiatric history and parental income. Results For first-generation migrants from Africa, there was no statistically significant difference (p = 0.30) in psychosis rates when comparing lowest with highest ethnic density quintiles, whereas the second generation showed a 3.87-fold (95% CI 1.77–8.48) increase. Similarly, for migrants from the Middle East, the first generation showed no evidence of an ethnic density effect (p = 0.94) while the second showed a clear increase in psychosis when comparing lowest with highest quintiles, incidence rate ratio (IRR) 2.43 (95% CI, 1.18–5.00). For European migrants, there was some limited evidence of an effect in the first generation, (IRR) 1.69 (95% CI, 1.19–2.40), with this slightly raised in the second: IRR 1.80 (95% CI, 1.27–2.56). Conclusions We found strong evidence for an ethnic density effect on psychosis incidence for second-generation migrants but this was either weak or absent for the first generation.

History

Publication status

  • Published

File Version

  • Published version

Journal

Schizophrenia Research

ISSN

09209964

Publisher

Elsevier

Volume

195

Page range

501-505

Department affiliated with

  • Social Work and Social Care Publications

Full text available

  • Yes

Peer reviewed?

  • Yes

Legacy Posted Date

2018-08-10

First Open Access (FOA) Date

2018-08-10

First Compliant Deposit (FCD) Date

2018-08-10

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