Department of Epidemiology, Documentation and Health Promotion, Municipal Health Service, PO Box 2200, 1000 CE Amsterdam, The Netherlands.
Soc Psychiatry Psychiatr Epidemiol. 2012 Jan;47(1):111-8. doi: 10.1007/s00127-010-0312-1. Epub 2010 Nov 13.
Several European studies have shown that migrants from non-western countries are at increased risk of psychotic disorders. This study examines how this is reflected in the risk of acute compulsory admission (ACA).
Information on all patients with an ACA in Amsterdam from 1996 to 2005 was linked to the Amsterdam municipal register.
The incidence of first ACA in Amsterdam was 4.5 per 10,000 person years. The incidence risk of ACA for any psychiatric disorders and for psychotic disorders in particular showed a 2- to 3-fold increase in almost all migrant groups from non-western countries, and especially for second-generation migrants. In addition, all non-western migrant groups were at increased risk of being assessed as posing a danger to others.
The relative risk of ACA for psychotic disorders was similar to that for the incidence of psychotic disorders in most ethnic groups from other studies, suggesting that the increased risk of ACA in non-western migrants can mainly be explained by the increased incidence of psychotic disorders in these groups. However, the relative risk of ACA for psychotic disorders among Moroccan migrants was lower than expected on the basis of incidence studies, which suggests that additional factors are relevant, such as illness-related expression and access to and quality of care.
几项欧洲研究表明，来自非西方国家的移民患精神病的风险增加。本研究旨在考察这在急性强制入院（ACA）风险中是如何体现的。
1996 年至 2005 年期间，阿姆斯特丹所有 ACA 患者的信息均与阿姆斯特丹市登记册相关联。
阿姆斯特丹首次 ACA 的发病率为每 10000 人年 4.5 例。ACA 的发病风险对于任何精神障碍，尤其是精神病障碍，在来自非西方国家的几乎所有移民群体中都增加了 2 至 3 倍，特别是对于第二代移民。此外，所有非西方移民群体都有被评估为对他人构成危险的风险增加。
ACA 对精神病的相对风险与其他研究中大多数来自其他族群的精神病发病率相似，这表明非西方移民 ACA 风险增加主要可以用这些群体中精神病发病率的增加来解释。然而，摩洛哥移民患精神病的 ACA 相对风险低于基于发病率研究的预期，这表明其他因素（如与疾病相关的表现以及获得和护理质量）也很重要。
