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Ethnic Minority Status, Age-at-Immigration and Psychosis Risk in Rural Environments: Evidence From the SEPEA Study
James B Kirkbride1,2, Yasir Hameed3, Konstantinos Ioannidis2,4
1PsyLife Group, Division of Psychiatry, University College London, London, UK.
First-episode psychosis (FEP) risk is higher in Black African, Black Caribbean, and Pakistani ethnic groups. Migration during childhood significantly increases psychosis risk, independent of socioeconomic factors and setting.
Area of Science:
- Psychiatry
- Epidemiology
- Public Health
Background:
- First-episode psychosis (FEP) disproportionately affects ethnic minority groups.
- Existing research on FEP incidence is predominantly from urban settings, limiting understanding in diverse environments.
Purpose of the Study:
- To investigate FEP incidence variation by ethnicity, generation status, and age at immigration.
- To examine these variations in a mixed rural and urban setting.
Main Methods:
- A cohort of 687 individuals aged 16-35 with FEP was identified in the East of England.
- Multilevel Poisson regression was used to analyze incidence rates, adjusting for confounders.
Main Results:
- Black African, Black Caribbean, and Pakistani individuals showed significantly higher FEP risk compared to White British individuals.
- Non-British white migrants did not have elevated FEP risk.
- Migration during childhood was associated with increased psychosis risk for first-generation migrants.
Conclusions:
- Elevated psychosis risk in certain ethnic minority groups is not explained by postmigratory socioeconomic factors.
- These findings hold true for both rural and urban settings.
- Childhood migration, a critical neurodevelopmental period, may elevate psychosis risk.
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