Migrant status and identification as ultra-high risk for psychosis and transitioning to a psychotic disorder.
Acta Psychiatr Scand
; 141(1): 52-59, 2020 01.
Article
em En
| MEDLINE
| ID: mdl-31520527
ABSTRACT
BACKGROUND:
Certain migrant groups are more likely to develop a psychotic disorder compared to the native-born populations, and a younger age at migration is associated with greater risk. However, it is not known at which stage migration has an effect on the development of psychotic disorders. We examined whether migrants were more likely to be identified as ultra-high risk for psychosis (UHR) compared to native-born young people and whether migrant status was associated with the risk of transition to a full-threshold psychotic disorder.METHODS:
The cohort included all young people aged 15-24 who were identified as UHR at a specialist clinic over a five-year period (2012-16). Australian census data were used to obtain the at-risk population. Poisson regression was used to calculate rate ratios and Cox regression analysis determined hazard ratios.RESULTS:
467 young people were identified as UHR, of which 13.5% (n = 63) were born overseas. First-generation migrants were 2.6-fold less likely to be identified as UHR compared to Australian-born young people (IRR = 0.39, 95% CI [0.30, 0.51], P < 0.001). There was no difference between migrant and native-born young people in their risk of transitioning to a psychotic disorder (HR = 0.90, 95% CI [0.39, 2.08], P = 0.81).CONCLUSIONS:
UHR first-generation migrants may be under-accessing mental health services.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Contexto em Saúde:
2_ODS3
Problema de saúde:
2_cobertura_universal
Assunto principal:
Transtornos Psicóticos
/
Emigrantes e Imigrantes
/
Acessibilidade aos Serviços de Saúde
/
Serviços de Saúde Mental
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
Limite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
País/Região como assunto:
Africa
/
Asia
/
Oceania
Idioma:
En
Revista:
Acta Psychiatr Scand
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
Austrália