Incidence of schizophrenia among migrants in the Netherlands:A direct comparison of first contact longitudinal register approaches

To estimate the effect of selective sampling on first contact (FC) studies of the relation between migration and schizophrenia. We compared the FC method directly with a more inclusive longitudinal psychiatric register (LPR) method, by letting both methods estimate age and sex adjusted incidence rate ratios (IRR) in the population of The Hague aged 20-54 years, for the three largest migrant groups (first and second generation Caribbean, Turkish, and Moroccan) relative to the native Dutch population. Both methods found that the adjusted IRR was higher for migrants than for native Dutch [all mig... Mehr ...

Verfasser: Hogerzeil, Simon J
van Hemert, Albert M.
Veling, Wim
Hoek, Hans W.
Dokumenttyp: Artikel
Erscheinungsdatum: 2017
Reihe/Periodikum: Hogerzeil , S J , van Hemert , A M , Veling , W & Hoek , H W 2017 , ' Incidence of schizophrenia among migrants in the Netherlands : A direct comparison of first contact longitudinal register approaches ' , Social Psychiatry and Psychiatric Epidemiology , vol. 52 , no. 2 , pp. 147-154 . https://doi.org/10.1007/s00127-016-1310-8
Schlagwörter: Schizophrenia / Incidence / Migrants / First-contact design / Case register / POPULATION-BASED COHORT / PSYCHOTIC DISORDERS / 2ND-GENERATION IMMIGRANTS / SOCIOECONOMIC-STATUS / MOROCCAN IMMIGRANTS / UNTREATED PSYCHOSIS / NEGATIVE PATHWAYS / ETHNIC-MINORITIES / MENTAL-DISORDERS / RISK
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-29190384
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://hdl.handle.net/11370/1b25d896-6034-4263-8ecb-12a951912b1e

To estimate the effect of selective sampling on first contact (FC) studies of the relation between migration and schizophrenia. We compared the FC method directly with a more inclusive longitudinal psychiatric register (LPR) method, by letting both methods estimate age and sex adjusted incidence rate ratios (IRR) in the population of The Hague aged 20-54 years, for the three largest migrant groups (first and second generation Caribbean, Turkish, and Moroccan) relative to the native Dutch population. Both methods found that the adjusted IRR was higher for migrants than for native Dutch [all migrants IRR = 1.70 (95% Cl 1.30-2.21) for the LPR method and 1.91 (95% Cl 1.15-3.25) for the FC]. The IRR for Moroccans was significantly lower in the LPR [IRR 2.69 (95% 2.10-3.41)] than in the FC study [4.81 (3.41-6.68)]. The FC method was relatively more inclusive for migrants presenting at earlier ages or with shorter durations of prior treatment (DPT) than the native Dutch. This resulted in differential sampling and artificially higher IRRs for Moroccan and, to a lesser extent, Turkish migrants. We confirm that the incidence of schizophrenia is raised twofold for migrants compared to nonmigrants. Using the LPR method, however, IRR estimates were less pronounced for most migrant groups than in a high quality FC study conducted in the same population. The FC method may overestimate the risk of schizophrenia for migrant groups who seek first mental health at a relatively younger age, or who present directly with schizophrenia.