Characteristics associated with the risk of psychosis among immigrants and their descendants in France.
epidemiology
migration
psychoses
public mental health
risk factors
Journal
Brain and behavior
ISSN: 2162-3279
Titre abrégé: Brain Behav
Pays: United States
ID NLM: 101570837
Informations de publication
Date de publication:
05 2021
05 2021
Historique:
revised:
11
01
2021
received:
11
06
2020
accepted:
15
02
2021
pubmed:
10
4
2021
medline:
1
7
2021
entrez:
9
4
2021
Statut:
ppublish
Résumé
To explore the sociodemographic characteristics that might explain the increased incidence of psychosis among immigrants and their descendants in France. Data were collected for all subjects with first contact for psychosis aged between 18 and 64 years, in two catchment areas in the Paris region. Incidence rates (IR) and incidence rate ratios (IRR) were adjusted for gender and age. During 805,396 persons-year at risk, we identified 321 cases of first-episode psychosis, of which 129 were immigrants and 78 descendants of immigrants. We found that the geographic origin was associated with the risk of psychosis although generation has little impact. Sub-Saharan African immigrants and their descendants showed the highest risk (IRR = 3.1 and IRR = 2.9, respectively). We observed that living in deprived areas increased the incidence of psychosis (IRR = 1.3, 95CI%: 1.0-1.6), particularly among immigrants (IRR = 1.6; 95% CI: 1.1-2.5). Finally, our study showed that subjects having unstable housing (a proxy for "hard to count population") could inflate the incidence rates among immigrants. The current study shows that the increased risk of psychosis in groups with an immigration background in France is associated with their origin and highlights the importance of socioeconomic factors in modulating this risk.
Identifiants
pubmed: 33835727
doi: 10.1002/brb3.2096
pmc: PMC8119809
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e02096Informations de copyright
© 2021 The Authors. Brain and Behavior published by Wiley Periodicals LLC.
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