The effect of ethnicity and gender on first‐contact rates for schizophrenia‐like psychosis in Bangladeshi, Black and White elders in Tower Hamlets, London

Abstract

Bangladeshi elderly migrants do not have an increased rate of SLP compared to indigenous elders. The usual female preponderance of SLP is not apparent in this elderly migrant population. Old age psychiatry services in the UK should take into account the increasing needs of Bangladeshi elders with dementia.

Risk of mental disorders in family reunification migrants and native Danes: a register-based historically prospective cohort study

“…It is possible the lack of outpatient data from 1994 led to underestimation of morbidity rates for both family reunification migrants and native Danes; however, there is no reason to believe that this underestimation differed between the two groups. Moreover, as done previously, we used diagnosis upon discharge of 'firsttime' contacts as a measure of the risk of mental disorders among refugees compared with native Danes (Leao et al 2006;Mitter et al 2004). We decided on this after our initial analyses showed that only 15-20% of the treated individuals changed from one (major) diagnosis group to another after their first contact.…”

“…As in similar studies we used first-time psychiatric hospital contact as a way of measuring the existence of mental disorder in the cohort (Leao et al 2006;Mitter et al 2004). In reality this implies a first-time contact after inclusion into the study for both family reunification migrants and controls.…”

Migrant status, age, gender and social isolation in very late-onset schizophrenia-like psychosis

“…All new cases of very late-onset schizophrenia-like psychosis (SLP) referred to Old Age Psychiatry services (inpatient or outpatient) at the Maudsley hospital (between April 1995 and April 2000) and the Mile End Hospital (between January 1997 and January 2003) were identified according to strict diagnostic criteria (see Figure 1) (Reeves et al, 2001;Mitter et al, 2004). Patients were identified by reviewing all case notes, initial summary letters, liaison with members of the multi-disciplinary team and by cross-reference with in-patient data.…”

“…Previously we have investigated first service contact rates for very-late-onset ( > 60 years) schizophrenialike psychosis (SLP) by examining case notes from old age psychiatry services in two ethnically diverse areas of South and East London (Reeves et al, 2001;Mitter et al, 2004). These data suggest that older adults from migrant populations may be at greater risk of developing the disorder than their British-born peers; a trend towards younger age of onset; and a reduction in female preponderance amongst migrant than British-born patients.…”

Untitled

“…Panizzon et al [116] described significant heritability in sal-T measures (~0.42 and ~0.47 for at-home and in-lab values respectively). Serum TT levels are higher in adult male Bangladeshi migrants to the United Kingdom compared to residents of Bangladesh [108], and in native Anymara men in urban vs. rural Bolivia [10], as well as Chinese men living in Pennsylvania vs. Beijing [128]. However, this may be as a consequence of dietary intake.…”