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Social factors 'cause ethnic schizophrenia'

BBC News Online: Health June 22, 2002

Schizophrenia rates are high among African-Caribbeans

Unemployment and early separation from both parents may be key factors behind the higher rates of schizophrenia in British African-Caribbeans, research suggests.

Rates of schizophrenia are up to twice as high among this sector of the population.

The study by the Centre for Caribbean Medicine at King's College London suggests the main reasons may be social.

The researchers compared rates of schizophrenia among African-Caribbeans in London with those in Trinidad and Barbados.

They found that the rate was much higher in the UK - strongly suggesting that social, rather than genetic factors played an important role.

They went on to find that UK African-Caribbeans who had been separated from one or both parents for four years or more during childhood were more likely to develop schizophrenia.

A similar link was also seen with unemployment in British Afro-Caribbeans.

'Strain'

Dr Rosemarie Mallet, a medical sociologist based at King's College Institute of Psychiatry and lead author of the paper, said: "This research highlights the significance of social disadvantage as a cause of severe mental illness.

"It's important we find out why this disease is more prevalent in this ethnic group, not least because of the distress it causes to patients and relatives in this disadvantaged section of the population.

"The knock-on effect of the increased rate is a greater strain on psychiatric services in London and inner city hospitals.

"Plus, on another level, finding out the cause of the disease in African-Caribbeans will help us to understand it better in all populations, because it is clear that schizophrenia isn't just down to poor genetics or neuro-developmental patterns."

Professor Roger Jones, UK Executive Director of the Centre for Caribbean Medicine, said: "There are large communities of African-Caribbeans around King's College in south London and we believe we have an obligation to investigate the health inequalities that can occur in them."

The research will be published in the journal Social Psychiatry & Psychiatric Epidemiology.

Source: http://news.bbc.co.uk/low/english/health/newsid_2057000/2057205.stm

 

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Schizophrenia in UK African-Caribbeans "Due to Social Factors"
Health Media Ltd - June 19, 2002

Dr Rosemarie Mallet, a medical sociologist from The Centre for Caribbean Medicine, King's College London, says the findings highlight the significance of social disadvantage as a cause of severe mental illness.

Earlier studies suggested that twice as many African-Caribbeans in the UK develop schizophrenia compared to white people with similar backgrounds.

In addition, Dr Mallet's work showed that rates of the mental disorder were significantly lower in the Caribbean population in Trinidad and Barbados than in London's African-Caribbeans. This, he said, suggested that social and environmental factors were responsible for the high UK rates.

Dr Mallet's following investigations found that UK African-Caribbeans who had been separated from one or both parents for four years or more during childhood were more likely to develop schizophrenia. A similar link was also seen with unemployment in UK African-Caribbeans.

"It's important we find out why this disease is more prevalent in this ethnic group, not least because of the distress it causes to patients and relatives in this disadvantaged section of the population," he says. "The knock-on effect of the increased rate is a greater strain on psychiatric services in London and inner city hospitals."

Furthermore, finding out the cause of the disease in African-Caribbeans will help doctors understand it better in all populations, because it is clear that schizophrenia is not just down to poor genetics or neuro-developmental patterns, says Dr Mallet.

The study is due to be published in the journal Social Psychiatry & Psychiatric Epidemiology.

Source:  Psychport.com

This "Mental Health E-News" posting is a service of the New York Ass'n of Psychiatric Rehabilitation Services, a statewide coalition of people who use and/or provide community mental health services dedicated to improving services and social conditions for people with psychiatric disabilities by promoting their recovery, rehabilitation and rights.
To join our list, e-mail us your request and, where appropriate, the name of your organization to NYAPRS@aol.com.

Save these dates!
September 10 - 13, 2002
NYAPRS 20th Annual Conference Celebration
'Now More Than Ever: Hope, Healing and Recovery'
at the Nevele Grande Resort, Ellenville New York
contact: Mary McLaughlin, NYAPRS
1 Columbia Place Albany, NY 12207
(518) 436-0008; fax: (518) 436-0044
 

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