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First-contact incidence rate of schizophrenia on Barbados

Published online by Cambridge University Press:  03 January 2018

George E. Mahy ,
Rosemarie Mallett ,
Julian Leff  and
Dinesh Bhugra
George E. Mahy*
Affiliation:
School of Clinical Medicine and Research, University of the West Indies, Queen Elizabeth Hospital, St Michael, Barbados
Rosemarie Mallett
Affiliation:
School of Clinical Medicine and Research, University of the West Indies, Queen Elizabeth Hospital, St Michael, Barbados
Julian Leff
Affiliation:
School of Clinical Medicine and Research, University of the West Indies, Queen Elizabeth Hospital, St Michael, Barbados
Dinesh Bhugra
Affiliation:
School of Clinical Medicine and Research, University of the West Indies, Queen Elizabeth Hospital, St Michael, Barbados
*
G. E. Mahy, Senior Lecturer, School of Clinical Medicine and Research, University of the West Indies, Queen Elizabeth Hospital, St Michael, Barbados
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Abstract

Background

The incidence rate for broad schizophrenia among second-generation African–Caribbean people in the United Kingdom has been reported as high. Ethnicity, migration and psychosocial stressors have been suggested as causal factors.

Aims

To determine the incidence of schizophrenia for the whole population of Barbados using an identical methodology to two previous studies in Trinidad (Bhugra et al, 1996) and London (Bhugra et al, 1997)

Method

A12-month study of all persons in the 18–54-year age group presenting with a psychosis for the first time was carried out on the population of Barbados. Information was collected using World Health Organization screening and measurement instruments.

Results

On an island of just over a quarter of a million, 40 out of the 53 patients that met the inclusion criteria were categorised as S+ (narrow) schizophrenia, giving an incidence rate of 2.8/10 000 (95% CI 1.97–3.7). The incidence rate for broad schizophrenia was calculated at 3.2/10 000 (95% CI 2.3–4.1), which is significantly lower than the comparable rate for London's African–Caribbeans of 6.6/10000 (95% CI 4.5–8.7)

Conclusions

The very high rate for broad schizophrenia among African–Caribbean people in the UK is probably due to environmental factors.

Type
Papers
Information
The British Journal of Psychiatry , Volume 175 , Issue 1 , July 1999 , pp. 28 - 33
Copyright
Copyright © 1999 The Royal College of Psychiatrists 

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Footnotes

Declaration of interest

Support received from the Sainsbury Family Charitable Trusts.

References

Bhugra, D., Hilwig, M., Hossein, B., et al (1996) First-contact incidence rates of schizophrenia in Trinidad and one-year follow-up. British Journal of Psychiatry, 169, 587–592.CrossRefGoogle ScholarPubMed
Bhugra, D., Lett, J., Mallett, R., et al (1997) Incidence and outcome of schizophrenia in whites, African–Caribbeans and Asians in London. Psychological Medicine. 27, 791–798.CrossRefGoogle Scholar
Brown, C. (1992) ‘Same difference’: the persistence of racial disadvantage in the British employment market. In Racism and Anti-racism, Inequalities, Opportunities and Policies (eds Abraham, P., Rattansi, A. & Skellington, R.), pp. 46–63. London: Sage.Google Scholar
Caribbean Development Bank (1996) Annual Report. Barbados: CDB.Google Scholar
Davison, R. B. (1962) West Indian Migrants. London: Oxford University Press.Google Scholar
Everts, A. (1913) Dementia praecox in the coloured race. Psychoanalytical Review, 1, 338–403.Google Scholar
Goodman, R. & Richards, H. (1995) Child and adolescent psychiatric presentations of second-generation Afro-Caribbeans in Britain. British Journal of Psychiatry, 167, 362–369.CrossRefGoogle ScholarPubMed
Hickling, F. W. & Rodgers-Johnson, P. (1995) The incidence of first contact schizophrenia in Jamaica. British Journal of Psychiatry, 167, 193–196.CrossRefGoogle ScholarPubMed
Hiro, D. (1991) Black British, White British: a History of Race Relations in Britain. London: Paladin.Google Scholar
Hoyos, M. D., Yeo, J., Renwick, S., et al (1980) Morbidity in general practice in Barbados. West Indian Medical Journal, xxix, 97.Google Scholar
Hutchinson, G., Takei, N., Fahy, T., et al (1996) Morbid risk of schizophrenia in first-degree relatives of White and African–Caribbean patients with psychosis, British Journal of Psychiatry, 169, 776–780.CrossRefGoogle ScholarPubMed
Jablensky, A., Sartorius, N., Ernberg, G., et al (1992) Schizophrenia: manifestations, incidence and course in different cultures: a WHO ten country study. Psychological Medicine Monograph Supplement 20. Cambridge: Cambridge University Press.Google Scholar
Kiev, A. (1963) Beliefs and delusions of West Indian immigrants to London. British Journal of Psychiatry, 109, 356–363.CrossRefGoogle ScholarPubMed
King, M., Coker, E., Leavey, G., et al (1994) Incidence of psychotic illness in London: comparison of ethnic groups. British Medical Journal, 309, 1115–1119.CrossRefGoogle ScholarPubMed
Mahy, G. (1973) The psychotic West Indian returning from Britain. West Indian Medical Journal, xxii, 4.Google Scholar
Ministry of Health, Government of Barbados (1995) Annual Report of the Chief Medical Officer. Bridgetown: Government Publishers.Google Scholar
Patterson, S. (1965) Dark Strangers – a Study of West Indians in London, p. 359. London: Penguin Books.Google Scholar
United Nations Development Programme (1998) Human Development Report. New York: United Nations.Google Scholar
United Nations Population Division (1994) Annual Populations 1950–2050 (1994 revision, diskette). New York: United Nations.Google Scholar
Walvin, J. (1984) Passage to Britain: Immigration in British History and Politics. London: Penguin.Google Scholar
Wing, J., Sartorius, N. & Cooper, J. (1974) Measurement and Classification of Psychiatric Symptoms. Cambridge: Cambridge University Press.Google Scholar
World Health Organization (1973) International Pilot Study of Schizophrenia (vol. 1). Geneva: WHO.Google Scholar
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