ArticlePsychological medicine2016
Minority status and mental distress: a comparison of group density effects.
Article in Psychological medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The ethnic density effect in psychosis: a systematic review and multilevel meta-analysis.The British journal of psychiatry : the journal of mental science · 2021Pooled it
- The physical health and premature mortality of Indigenous Māori following first-episode psychosis diagnosis: A 15-year follow-up study.The Australian and New Zealand journal of psychiatry · 2024Article
- Unraveling ethnic disparities in antipsychotic prescribing among patients with psychosis: A retrospective cohort study based on electronic clinical records.Schizophrenia research · 2023Article
- Understanding Associations Between Race/Ethnicity, Experiences of Discrimination, and Psychotic-like Experiences in Middle Childhood.Journal of the American Academy of Child and Adolescent Psychiatry · 2022Article
- Variation in rates of self-harm hospital admission and re-admission by ethnicity in London: a population cohort study.Social psychiatry and psychiatric epidemiology · 2021Article
- Migration, ethnicity and psychoses: evidence, models and future directions.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2019Article
- Childhood abuse and psychotic experiences - evidence for mediation by adulthood adverse life events.Epidemiology and psychiatric sciences · 2019Article
- Psychological Therapy in Secondary Mental Health Care: Access and Outcomes by Ethnic Group.Journal of racial and ethnic health disparities · 2019Article
- Depression among Black Youth; Interaction of Class and Place.Brain sciences · 2018Article
- Neighbourhood deprivation is positively associated with detection of the ultra-high risk (UHR) state for psychosis in South East London.Schizophrenia research · 2018Article
- Big data in mental health research - do theBJPsych bulletin · 2017Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundIt has been observed that mental disorders, such as psychosis, are more common for people in some ethnic groups in areas where their ethnic group is less common. We set out to test whether this ethnic density effect reflects minority status in general, by looking at three situations where individual characteristics differ from what is usual in a locality.
methodUsing data from the South East London Community Health study (n = 1698) we investigated associations between minority status (defined by: ethnicity, household status and occupational social class) and risk of psychotic experiences, common mental disorders and parasuicide. We used a multilevel logistic model to examine cross-level interactions between minority status at individual and neighbourhood levels.
resultsBeing Black in an area where this was less common (10%) was associated with higher odds of psychotic experiences [odds ratio (OR) 1.34 95% confidence interval (CI) 1.07-1.67], and attempted suicide (OR 1.84 95% CI 1.19-2.85). Living alone where this was less usual (10% less) was associated with increased odds of psychotic experiences (OR 2.18 95% CI 0.91-5.26), while being in a disadvantaged social class where this was less usual (10% less) was associated with increased odds of attempted suicide (OR 1.33 95% CI 1.03-1.71). We found no evidence for an association with common mental disorders.
conclusionsThe relationship between minority status and mental distress was most apparent when defined in terms of broad ethnic group but was also observed for individual household status and occupational social class.
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