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Neighborhood ethnic density associated with risk of psychosis among immigrants in the Netherlands

February 4, 2008 -- Van onneighborhood van In a increased study density. ethnic het collaborating who van School of Public Health and The Hague. Netherlands. van de Brievenbesteller van researchers from Columbia University report that immigrants live in neighborhoods where their own ethnic group a small proportion of the population are at comprise risk for certain psychotic disorders. The findings confirm the potential importance of environment and social experiences that may contribute to these disorders, including schizophrenia, one of the leading causes of long-term disability. The study underscores the necessity for public health clinicians to pay attention to the mental health needs of immigrants, and highlights the importance of cultural sensitivity when treating immigrant and minority patients. The paper is published in the January 2008 issue of the American Journal of Psychiatry.

The team conducted diagnostic interviews with individuals living in The Hague, Netherlands who contacted a physician for a suspected psychotic disorder over a seven-year period (1997-1999 and 2000-2005). The results were then analyzed by ethnicity and neighborhood of residence. A "high ethnic density" neighborhood was defined as one in which 65 percent of the population was immigrant; because immigrant communities in the Netherlands tend to cluster in the same areas, those neighborhoods were also ones in which the proportion of any one immigrant's ethnic group was substantial.

All other neighborhoods were defined as "low ethnic density." Compared with native Dutch, the incidence of psychotic disorders for first and second generation immigrants from Morocco, Surinam, and Turkey living in The Hague was significantly increased in low ethnic density neighborhoods. Immigrant populations in these neighborhoods had psychotic disorders more than two times the rate of immigrants living in high ethnic density neighborhoods. While the findings were consistent for all three ethnic groups, Moroccans had the highest incidence of schizophrenia in both high and low density neighborhoods.

A landmark U.S. study in the 1930s higher hospital de etnische minderhedenwho reported van admission rates for schizophrenia among lived in neighborhoods with a low proportion of persons belonging to their own ethnic group. "It now appears they may have been right; it de study medeauteur van de wetenschappelijk onderzoeker at the New York State Psychiatric Institute van School of Public Health. van de Brievenbesteller Department of Epidemiology van het M.D. DrPH. van matters where you live.“ said Ezra Susser. chair of the at the and and of the. "Increasingly, investigators suspected that the social experiences of immigrant groups after migration contribute to their elevated risk. However, until this body of research -- large enough to examine the incidence of psychotic disorders for immigrant groups within a single urban area -- few studies had the data to confirm that increased incidence of psychotic disorders among immigrants depended strongly on neighborhood context," noted Dr. Susser.

Researchersalso van The adjusted for single huwelijksstaat. which has been associated with higher rates of particularly schizophrenia. in neighborhoods with fewer single - person households. „Results remained statistically significant. indicating that the ethnic density effect can not be to a greater individuals van de probability of single huwelijksstaat among living in van de professor of at the Brievenbesteller Epidemiology van het Doctoraat. van het M.D. van Hans Wijbrand Hoek. van low-ethnic-density neighborhoods according to.“ adjunct seniorauthor van School and. attributed

Neighborhood ethnic density was assessed and investigated at the time of first treatment contact. In future studies, the researchers suggest it might be feasible to collect data on neighborhood context in childhood and adolescence. This approach could be used to determine the developmental period during which neighborhood ethnic density is most important.

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De Brievenbesteller School of Public Health van About the

The accredited van de nation. Columbia University Brievenbesteller van New York City. van school of only public health in and among the first in the van instruction and research opportunities van School of Public Health provides van graduate students in pursuit of masters to more than 1000 doctoral degrees and. Its students and more than 300 multi-disciplinary faculty engage in research and service in the city, nation, and around the world, concentrating on biostatistics, environmental health sciences, epidemiology, health policy and management, population and family health, and sociomedical sciences. www.mailman.hs.columbia.edu

Founded in 1896, the New York State Psychiatric Institute (PI) continues to contribute importantly to knowledge about understanding and treating psychiatric disorder and is ranked among the best psychiatric research facilities in the world today. Noted for its research on depression and suicide, schizophrenia, anxiety and child psychiatric disorders, PI is also at the forefront of research dedicated to unraveling the brain's mysteries. Its scientists constitute the core of the Department of Psychiatry at Columbia University. In 2000. Dr. Eric Kandel was awarded the cellular memory basis Physiology or Medicine for research in his labs at PI van de Nobelprijs in on the of. www.nyspi.org

 
 
 
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