Migration, ethnicity and psychoses: evidence, models and future directions.
Migration
ethnicity
mental health services
psychoses
social policies
socio-developmental model
structural violence
Journal
World psychiatry : official journal of the World Psychiatric Association (WPA)
ISSN: 1723-8617
Titre abrégé: World Psychiatry
Pays: Italy
ID NLM: 101189643
Informations de publication
Date de publication:
Oct 2019
Oct 2019
Historique:
entrez:
10
9
2019
pubmed:
10
9
2019
medline:
10
9
2019
Statut:
ppublish
Résumé
There is a large body of research reporting high rates of psychotic disorders among many migrant and minority ethnic groups, particularly in Northern Europe. In the context of increasing migration and consequent cultural diversity in many places worldwide, these findings are a major social and public health concern. In this paper, we take stock of the current state of the art, reviewing evidence on variations in rates of psychoses and putative explanations, including relevant theories and models. We discuss in particular: a) the wide variation in reported rates of psychotic disorders by ethnic group, and b) the evidence implicating social risks to explain this variation, at ecological and individual levels. We go on to set out our proposed socio-developmental model, that posits greater exposure to systemic social risks over the life course, particularly those involving threat, hostility and violence, to explain high rates of psychoses in some migrant and minority ethnic groups. Based on this analysis, the challenge of addressing this social and public health issue needs to be met at multiple levels, including social policy, community initiatives, and mental health service reform.
Identifiants
pubmed: 31496097
doi: 10.1002/wps.20655
pmc: PMC6732691
doi:
Types de publication
Journal Article
Langues
eng
Pagination
247-258Subventions
Organisme : Medical Research Council
ID : MR/P025927/1
Pays : United Kingdom
Informations de copyright
© 2019 World Psychiatric Association.
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