First-contact incidence of psychosis in north-eastern Italy: influence of age, gender, immigration and socioeconomic deprivation

Lasalvia, Antonio; Bonetto, Chiara; Tosato, Sarah; Zanatta, Gioia; Cristofalo, Doriana; Salazzari, Damiano; Lazzarotto, Lorenza; Bertani, Mariaelena; Bissoli, Sarah; Santi, Katia De; Cremonese, Carla; Rossi, Moreno De; Gardellin, Francesco; Ramon, Luana; Zucchetto, Mauro; Amaddeo, Francesco; Tansella, Michele; Ruggeri, Mirella

doi:10.1192/bjp.bp.113.134445

Cited by 55 publications

(55 citation statements)

References 64 publications

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“…In previous studies, living in urban slum households with a poor quality of life was suggested to influence the mental health status of teenage girls [32,33]. Many studies supported that those living in poverty or lower socioeconomic status, disabled, housewives living in slums [44,45], and those living in the most deprived areas [46] are at risk of poor mental health status.…”

Section: Discussionmentioning

confidence: 99%

Household Food Insecurity and Mental Health Among Teenage Girls Living in Urban Slums in Varanasi, India: A Cross-Sectional Study

Rani

Singh

Acharya

et al. 2018

IJERPH

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This study was undertaken to investigate the relation between household food insecurity and mental health problems in teenage girls living in urban slums. This community-based cross-sectional study was conducted in 5 urban slums in Varanasi, India, between September 2016 and July 2017. A probability proportion to size (PPS) method was employed to select 5 of 210 urban slums at a first stage, and in the second stage, 418 teenage girls were chosen randomly from selected households. The Household Food Insecurity Access Scale (HFIAS) and mental health inventory tools were employed to assess food insecurity and mental health status. Multivariable logistic regression analysis with at a 95% confidence interval (CI) was used to assess the association between household food insecurity and mental health status. Of 418 respondents, 47.6% were food insecure; 64.1%, 57.7%, and 58.4% had high levels of anxiety, depression, or psychological distress, respectively; and 57.2% exhibited a medium level of loss of behavioral control. Furthermore, teenage girls from food insecure households were more likely to have high levels of anxiety, depression, loss of behavioral control and psychological distress than those living in food secure households. This study shows food insecurity is independently associated with mental health problems among teenage girls. Food insecurity in Indian slums should be addressed by specific public health intervention programs that provide access to sufficient safe, nutritious food.

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Section: Discussionmentioning

confidence: 99%

Household Food Insecurity and Mental Health Among Teenage Girls Living in Urban Slums in Varanasi, India: A Cross-Sectional Study

Rani

Singh

Acharya

et al. 2018

IJERPH

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“…[26–28] Similarly, in a study examining the immigrant population in Italy, researchers found that immigrants have higher rates of all psychotic disorders compared with the general population. [29] Likewise, another international study found that immigrants were at a higher risk of schizophrenia when compared with native-born individuals. [30] Specifically, those who immigrate as youth are at higher risk[31, 30] than those who immigrate at older ages.…”

Section: Overview Of Risk and Protective Factorsmentioning

confidence: 99%

Immigration and Mental Health

2017

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Purpose of review While the experience of migration and resettlement in a new country is associated with mental health risks, immigrants generally demonstrate better mental health than expected. This review describes patterns in mental health outcomes among immigrants. We discuss a conceptual model of the potential underlying mechanisms that could buffer the stress and disadvantage experienced by this substantial and growing population. Recent findings While epidemiological studies have established a general pattern of lower risk for mental health disorders among first-generation (foreign-born) immigrants in the U.S., recent studies highlight how this pattern varies substantially by the intersection of race, ethnicity, national origin, gender, and socioeconomic status. Contextual factors including the family and neighborhood context; an immigrant’s social position; experiences of social support and social exclusion; language competency and ability; and exposure to discrimination and acculturative stress further influence the relationship between immigration and mental health. Summary We conclude with an emphasis on social resilience processes, with a focus on how immigrants develop social relations, social capital and social networks. We recommend future directions for research that prioritize identifying and understanding social adaptation strategies adopted by immigrant groups to cope with immigration stressors.

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“…The study was designed to ensure comparable procedures and methods across settings, with some local adaptation to allow for variations in healthcare provision and health service contact points. The primary deviation from protocol was in the Veneto region, Italy, where data were derived from a previous study which used comparable methods [29], but had a lower upper-age limit of 54.…”

Section: Quality Assurance and Controlmentioning

confidence: 99%

The EUropean Network of National Schizophrenia Networks Studying Gene–Environment Interactions (EU-GEI): Incidence and First-Episode Case–Control Programme

Gayer‐Anderson

Jongsma

Forti

et al. 2020

Soc Psychiatry Psychiatr Epidemiol

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Purpose The EUropean Network of National Schizophrenia Networks Studying Gene-Environment Interactions (EU-GEI) study contains an unparalleled wealth of comprehensive data that allows for testing hypotheses about (1) variations in incidence within and between countries, including by urbanicity and minority ethnic groups; and (2) the role of multiple environmental and genetic risk factors, and their interactions, in the development of psychotic disorders. Methods Between 2010 and 2015, we identified 2774 incident cases of psychotic disorders during 12.9 million person-years at risk, across 17 sites in 6 countries (UK, The Netherlands, France, Spain, Italy, and Brazil). Of the 2774 incident cases, 1130 cases were assessed in detail and form the case sample for case-control analyses. Across all sites, 1497 controls were recruited and assessed. We collected data on an extensive range of exposures and outcomes, including demographic, clinical (e.g. premorbid adjustment), social (e.g. childhood and adult adversity, cannabis use, migration, discrimination), cognitive (e.g. IQ, facial affect processing, attributional biases), and biological (DNA via blood sample/cheek swab). We describe the methodology of the study and some descriptive results, including representativeness of the cohort. Conclusions This resource constitutes the largest and most extensive incidence and case-control study of psychosis ever conducted. Keywords Case-control • Environment-environment interactions • EU-GEI • First-episode psychosis • Gene-environment interactions • Incidence The members of the EU-GEI WP2 Group are listed in Acknowledgements.

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First-contact incidence of psychosis in north-eastern Italy: influence of age, gender, immigration and socioeconomic deprivation

Abstract: The incidence rate in our study area was lower than that found in other European and North American studies and provides new insights into the factors that may increase and/or decrease risk for developing psychosis.

Cited by 55 publications

References 64 publications

Household Food Insecurity and Mental Health Among Teenage Girls Living in Urban Slums in Varanasi, India: A Cross-Sectional Study

Household Food Insecurity and Mental Health Among Teenage Girls Living in Urban Slums in Varanasi, India: A Cross-Sectional Study

Immigration and Mental Health

The EUropean Network of National Schizophrenia Networks Studying Gene–Environment Interactions (EU-GEI): Incidence and First-Episode Case–Control Programme

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