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帕多瓦和蒙特利尔的黑人住院患者精神病发病率高:不同背景,相似发现。

High rates of psychosis for black inpatients in Padua and Montreal: different contexts, similar findings.

机构信息

McGill University, Montreal, QC, Canada.

出版信息

Soc Psychiatry Psychiatr Epidemiol. 2011 Mar;46(3):247-53. doi: 10.1007/s00127-010-0187-1. Epub 2010 Feb 18.

DOI:10.1007/s00127-010-0187-1
PMID:20165832
Abstract

OBJECTIVE

This study tested the hypothesis that despite differences in setting, specifically in Padua or Montreal, black psychiatric inpatients will have higher rates of assigned diagnosis of psychosis than their non-black counterparts.

METHODS

Data on psychotic patients admitted to the psychiatry ward were extracted from records of general hospitals in Padua and Montreal. Logistic regression analyses were conducted separately for each site to determine the relation between being black and receiving a diagnosis of psychosis, while controlling for sex and age.

RESULTS

Most black patients at both sites received a diagnosis of psychosis (76% in Padua and 81% in Montreal). Being black was independently and positively associated with being diagnosed with psychosis compared to patients from other groups.

CONCLUSIONS

Black patients admitted to psychiatry, whether in Padua or Montreal, were more likely to be assigned a diagnosis of psychosis than were other patients.

摘要

目的

本研究旨在检验一个假设,即在不同的环境下(具体而言是在帕多瓦或蒙特利尔),黑人精神科住院患者被诊断为精神病的比例会高于非黑人患者。

方法

从帕多瓦和蒙特利尔综合医院的精神科病房记录中提取了精神疾病住院患者的数据。在每个地点分别进行逻辑回归分析,以确定在控制性别和年龄的情况下,黑人身份与精神病诊断之间的关系。

结果

在两个地点,大多数黑人患者都被诊断为精神病(帕多瓦为 76%,蒙特利尔为 81%)。与其他群体的患者相比,黑人被独立且正面地与被诊断为精神病相关联。

结论

无论在帕多瓦还是在蒙特利尔,被收入精神科的黑人患者比其他患者更有可能被诊断为精神病。

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