Ethnicity, social disadvantage and psychotic-like experiences in a healthy population based sample.
OBJECTIVE
We sought to investigate the prevalence and social correlates of psychotic-like experiences in a general population sample of Black and White British subjects.


METHODS
Data were collected from randomly selected community control subjects, recruited as part of the AESOP study, a three-centre population based study of first-episode psychosis.


RESULTS
The proportion of subjects reporting one or more psychotic-like experience was 19% (n = 72/372). These were more common in Black Caribbean (OR 2.08) and Black African subjects (OR 4.59), compared with White British. In addition, a number of indicators of childhood and adult disadvantage were associated with psychotic-like experiences. When these variables were simultaneously entered into a regression model, Black African ethnicity, concentrated adult disadvantage, and separation from parents retained a significant effect.


CONCLUSIONS
The higher prevalence of psychotic-like experiences in the Black Caribbean, but not Black African, group was explained by high levels of social disadvantage over the life course.
Morgan
C
C
NIHR Biomedical Research Centre, Health Service, England, UK. spjucrm@iop.kcl.ac.uk
Fisher
H
H
Hutchinson
G
G
Kirkbride
J
J
Craig
T K
TK
Morgan
K
K
Dazzan
P
P
Boydell
J
J
Doody
G A
GA
Jones
P B
PB
Murray
R M
RM
Leff
J
J
Fearon
P
P
D000293:Adolescent; D000328:Adult; D044383:Black People / Q000523:psychology*; D016022:Case-Control Studies; D003431:Cross-Cultural Comparison; D003430:Cross-Sectional Studies; D003702:Delusions / Q000175:diagnosis / Q000453:epidemiology / Q000208:ethnology / Q000523:psychology; D004739:England; D005260:Female; D006212:Hallucinations / Q000175:diagnosis / Q000453:epidemiology / Q000208:ethnology / Q000523:psychology; D006306:Health Surveys; D006801:Humans; D015994:Incidence; D008016:Life Change Events; D008297:Male; D008426:Maternal Deprivation; D008875:Middle Aged; D010333:Paternal Deprivation; D011569:Psychiatric Status Rating Scales; D011610:Psychosocial Deprivation; D011618:Psychotic Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000208:ethnology* / Q000523:psychology; D012307:Risk Factors; D012934:Social Isolation; D012944:Social Support; D044465:White People / Q000523:psychology*; D055815:Young Adult