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Ethnic Identity and the Risk of Schizophrenia in Ethnic Minorities: A Case-Control Study

机译:种族认同与少数民族精神分裂症的风险:病例对照研究

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Objectives: The high incidence of schizophrenia in immigrant ethnic groups in Western Europe may be explained by social stress associated with ethnic minority status. Positive identification with one's own ethnic group is a strong predictor of mental health in immigrants. We investigated whether negative ethnic identity is related to schizophrenia risk in non-Western immigrants. Methods: Matched case-control study of first-episode schizophrenia, including 100 non-Western immigrant cases, general hospital controls (n = 100), and siblings (n = 63). Conditional logistic regression analyses were used to investigate associations between schizophrenia and ethnic group identity. Results: Cases had a negative ethnic identity more often than general hospital controls (64% and 35%, respectively, P < .001). After adjustment for marital status, level of education, unemployment, self-esteem, social support, and cannabis use, negative ethnic identity was associated with schizophrenia: odds ratio = 3.29; 95% confidence interval = 1.36–7.92. Cases significantly more often had an assimilated or a marginalized identity and less often had a separated identity. Comparisons between cases and siblings largely confirmed these findings. Conclusions: Negative identification with the own ethnic group may be a risk factor for schizophrenia in immigrants living in a context of social adversity.
机译:目的:西欧移民民族中的精神分裂症高发可能是由于与少数民族身份相关的社会压力所致。与自己的种族群体进行积极认同是移民心理健康的有力预测指标。我们调查了否定的种族身份是否与非西方移民的精神分裂症风险有关。方法:对首发精神分裂症的病例对照研究,包括100例非西方移民病例,综合医院对照(n = 100)和兄弟姐妹(n = 63)。使用条件逻辑回归分析来研究精神分裂症与族群身份之间的关联。结果:患者的种族认同为负数的比例要高于综合医院的对照组(分别为64%和35%,P <.001)。在对婚姻状况,教育水平,失业,自尊,社会支持和大麻使用进行调整之后,种族歧视的负面影响与精神分裂症相关:比值比= 3.29; 95%的置信区间= 1.36–7.92。案件具有更多被同化或边缘化身份的情况,而很少具有分离的身份。病例和兄弟姐妹之间的比较很大程度上证实了这些发现。结论:与本民族的否定认同可能是生活在社会逆境中的移民中精神分裂症的危险因素。

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  • 来源
    《Schizophrenia Bulletin》 |2010年第6期|p.1149-1156|共8页
  • 作者

    Johan P. Mackenbach;

  • 作者单位

    Center for Early Psychosis, Parnassia Psychiatric Institute, Prinsegracht 63, 2512EX The Hague, The Netherlands;

    tel: +31-70-391-7160, fax: +31-70-391-7088, e-mail:;

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  • 入库时间 2022-08-18 01:07:25

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