Podcast
Questions and Answers
What is a significant finding regarding the social epidemiology of psychosis?
What is a significant finding regarding the social epidemiology of psychosis?
- Higher rates occur in socially organized communities.
- Higher rates are found in rural areas.
- Rates are uniform across all types of communities.
- Major cities exhibit the highest rates of psychosis. (correct)
What role does income play in the context of migration and psychosis risk?
What role does income play in the context of migration and psychosis risk?
- Income acts as a main determinant without confounding effects.
- Income mediates the effects of childhood trauma on psychosis.
- Income is unrelated to psychosis risk in migrants.
- Income serves as a confounder for psychosis risk among migrants. (correct)
Which of the following factors is NOT considered a confounder in the study of immigrant status and psychosis risk?
Which of the following factors is NOT considered a confounder in the study of immigrant status and psychosis risk?
- Gender
- Ethnic background (correct)
- Childhood trauma
- Cannabis use
In the context of social epidemiology, which of the following is a psychosocial disempowerment factor linked to minority status?
In the context of social epidemiology, which of the following is a psychosocial disempowerment factor linked to minority status?
What is the relationship between urbanicity and schizophrenia according to the findings?
What is the relationship between urbanicity and schizophrenia according to the findings?
What is the risk ratio for schizophrenia related to immigrant status?
What is the risk ratio for schizophrenia related to immigrant status?
Which factor is NOT identified as a mediator in the research on ethnicity and psychosis?
Which factor is NOT identified as a mediator in the research on ethnicity and psychosis?
Which city is mentioned as having higher rates of schizophrenia due to urbanicity?
Which city is mentioned as having higher rates of schizophrenia due to urbanicity?
What does psychosocial disempowerment indicate in the context of ethnicity and psychosis risk?
What does psychosocial disempowerment indicate in the context of ethnicity and psychosis risk?
What adjustment factors were included in the EU-GEI case study related to social distance?
What adjustment factors were included in the EU-GEI case study related to social distance?
What characteristic is commonly observed in areas with the highest rates of psychosis?
What characteristic is commonly observed in areas with the highest rates of psychosis?
How does migration impact the risk of psychosis according to the findings?
How does migration impact the risk of psychosis according to the findings?
Which factor is considered a conditioning mediator in the context of ethnicity and psychosis?
Which factor is considered a conditioning mediator in the context of ethnicity and psychosis?
What reverse causality issue is suggested in the study of urbanicity and non-affective psychotic disorders?
What reverse causality issue is suggested in the study of urbanicity and non-affective psychotic disorders?
Which group exhibited a social distance in the EU-GEI case study that could influence psychosis risk?
Which group exhibited a social distance in the EU-GEI case study that could influence psychosis risk?
What social characteristic is associated with higher rates of psychosis in urban areas?
What social characteristic is associated with higher rates of psychosis in urban areas?
Which factor is identified as a mediator affecting the relationship between ethnicity and psychosis risk?
Which factor is identified as a mediator affecting the relationship between ethnicity and psychosis risk?
In the context of migration, which of the following is a confounding factor that may influence psychosis risk?
In the context of migration, which of the following is a confounding factor that may influence psychosis risk?
What is one potential consequence of reverse causality observed in studies of urbanicity and psychotic disorders?
What is one potential consequence of reverse causality observed in studies of urbanicity and psychotic disorders?
What factor significantly contributes to the risk of psychosis in migrant populations?
What factor significantly contributes to the risk of psychosis in migrant populations?
What factors are considered mediators contributing to the psychosocial disempowerment of minority populations in relation to psychosis risk?
What factors are considered mediators contributing to the psychosocial disempowerment of minority populations in relation to psychosis risk?
Which urban characteristic is indicated to potentially reverse the causality related to non-affective psychotic disorders?
Which urban characteristic is indicated to potentially reverse the causality related to non-affective psychotic disorders?
What is a significant confounder affecting the relationship between immigrant history and the risk of psychosis?
What is a significant confounder affecting the relationship between immigrant history and the risk of psychosis?
In the context of migration, which characteristic significantly influences psychosis risk among immigrant populations?
In the context of migration, which characteristic significantly influences psychosis risk among immigrant populations?
How does the concept of income serve in the study of ethnicity and psychosis risk?
How does the concept of income serve in the study of ethnicity and psychosis risk?
Flashcards
Social Epidemiology
Social Epidemiology
A branch of epidemiology that investigates the social distribution and social determinants of health.
Social Determinants of Psychosis
Social Determinants of Psychosis
Factors like social isolation, disorganization, and urbanicity that contribute to higher psychosis rates in some communities.
Migration and Psychosis Risk
Migration and Psychosis Risk
Migrant populations may have a higher risk of psychotic disorders, possibly due to conditions such as differing cultural contexts, income, and other factors.
Ethnicity and Psychosis Risk
Ethnicity and Psychosis Risk
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Urbanicity and Psychosis
Urbanicity and Psychosis
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Social Disorganization
Social Disorganization
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Migration and Psychosis
Migration and Psychosis
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Ethnicity and Psychosis: Income
Ethnicity and Psychosis: Income
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Psychosocial Disempowerment
Psychosocial Disempowerment
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Unobserved Confounding
Unobserved Confounding
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What does 'inner city tracts' mean?
What does 'inner city tracts' mean?
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What is a confounder?
What is a confounder?
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What is 'linguistic distance'?
What is 'linguistic distance'?
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How does income act as a mediator in ethnicity & psychosis?
How does income act as a mediator in ethnicity & psychosis?
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Reverse Causality
Reverse Causality
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Social Epidemiology of Psychosis
Social Epidemiology of Psychosis
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Confounding Variable
Confounding Variable
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Income as a Confounder
Income as a Confounder
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Study Notes
Social Epidemiology of Psychosis
- Focuses on the social distribution and determinants of health, specifically psychosis.
- High rates are found in inner-city areas, characterized by social disorganization and isolation.
- Major urban centers, such as Chicago, Ireland, and London, show elevated rates.
Migration and Psychosis Risk
- Income is a confounding factor.
- Individuals with a migrant history have a higher risk of psychosis.
- The migration context differs significantly between countries like Australia and Canada, where immigration is more accessible.
- The risk ratio for schizophrenia and immigrant status is 2.9.
- Factors like gender, childhood trauma, and cannabis use are potential confounders needing adjustment.
Ethnicity and Psychosis Risk
- Income acts as a mediator in the relationship between ethnicity and psychosis.
- Mediators, such as education, linguistic distance, and discrimination, influence the impact of ethnicity.
- Psychosocial disempowerment due to minority status may contribute.
- Unobserved confounding, impacting both the mediator and outcome, could occur even with mediator adjustment.
EU-GEI Case Study
- Investigated 1130 first-episode psychosis (FEP) cases and 1479 controls from Brazil, UK, Netherlands, Spain, and Italy.
- Factors assessed included social distance (education, parental socioeconomic status, social isolation) and cultural/linguistic aspects (language trees and fluency).
- Data were adjusted for age, sex, childhood trauma, cannabis use, and social distance.
Urbanicity and Psychosis
- Higher rates of schizophrenia are observed in urban centers like London.
- Reverse causality is a potential concern, where non-affective psychotic disorders might push individuals towards urban areas for treatment, potentially skewing results.
- Measuring symptoms at an early age helps mitigate reverse causality.
- Individuals experiencing psychotic symptoms might relocate to urban areas for treatment.
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