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首页> 外文期刊>The British journal of psychiatry : >Increased first-contact rates for very-late-onset schizophrenia-like psychosis in African- and Caribbean-born elders
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Increased first-contact rates for very-late-onset schizophrenia-like psychosis in African- and Caribbean-born elders

机译：非洲和加勒比出生的老年人中初发性精神分裂症样精神病的首次接触率增加

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Background Studies have consistently shown a higher incidence of schizophrenia with onset in early adult life in African and Caribbean migrants to the UK. Aims To establish the incidence (first-contact rates) of very-late-onset (60 years) schizophrenia-like psychosis (SLP) in south London and to test the hypothesis that this is higher among African- and Caribbean-born than indigenous elders. Method We identified all new referrals of SLP to the Maudsley Hospital between 1995 and 2000. Demographic details, including age, ethnicity and electoral ward (address), were obtained from case notes. Incidence was estimated using 1997 census data to determine the denominator population for each ethnic group. Results The incidence of SLP was significantly higher in African- and Caribbean-born than indigenous elders: 172.4 per 100 000 population (95% CI=57.9-286.8) in African- and Caribbean-born males and 323.5 per 100 000 population (95% CI 167.8-479.1) in African- and Caribbean-born females. Rates also were increased in elders from other immigrant groups, but the numbers involved were too small to reach accepted levels of significance. Conclusions Large-scale epidemiological studies are needed to determine both the incidence of and the coexistent risk factors for SLP among all elderly migrants, who may constitute a group with high service needs.
机译：背景研究始终显示，在向英国移民的非洲和加勒比海地区，成年人早期出现精神分裂症的发病率较高。目的确定伦敦南部最晚（> 60岁）精神分裂症样精神病（SLP）的发病率（初次接触率），并检验以下假设：非洲和加勒比出生的人比本地人高长老。方法我们确定了1995年至2000年之间所有新的SLP转诊至Maudsley医院。人口统计信息，包括年龄，种族和选举病房（地址），均从病例记录中获得。使用1997年的人口普查数据估算发病率，以确定每个种族的分母数量。结果非洲和加勒比出生的老年人中SLP的发生率显着高于土著老年人：非洲和加勒比出生的男性中172.4 /每十万人口（95％CI = 57.9-286.8），每十万人中323.5（95％） CI 167.8-479.1）在非洲和加勒比地区出生的女性中。来自其他移民群体的长者的比率也有所提高，但涉及的人数太少，无法达到公认的重要水平。结论需要进行大规模的流行病学研究，以确定所有老年人口中SLP的发生率和共存的危险因素，这些老年人可能构成一个具有较高服务需求的群体。

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