Cochrane R, Bal S S
Soc Psychiatry Psychiatr Epidemiol. 1989 Jan;24(1):2-11. doi: 10.1007/BF01788193.
The present study compares admissions to mental hospitals in England in 1981 with comparable figures obtained for 1971. Patients were classified by place of birth and the two data sets reveal interesting similarities a decade apart. With schizophrenia the trend in 1981, as in 1971, is for the foreign born to have higher rates of admission in comparison to the native born; and as in 1971 the groups with the highest rate of admission are the Irish born and those born in the Caribbean and Poland. Overall rates of admission in 1981 for immigrants from India, Pakistan, Germany and Italy (like 1971) are lower than the native born rates. As in 1971 the Irish and Scots have extremely high rates of alcohol and drug related disorders, and although they also have high rates of personality disorders they are not as high as the 1971 rates. Those born in the Caribbean continue to show relatively low rates of admission for alcohol, drug and personality disorders. For Indian born males the 1981 figure for alcohol related admissions is twice that of 1971. There is an apparent increase in the rates of depression in 1981 compared to 1971 across all the groups which is affected by changes in recording procedures. There are other findings which are peculiar to only one sub-group, such as the very low re-admission rates for Pakistani women compared to the other groups. This paper provides some possible explanations to account for these variations in rates of admission.
本研究将1981年英格兰精神病院的收治情况与1971年的可比数据进行了比较。患者按出生地分类，这两组数据集揭示了相隔十年的有趣相似之处。对于精神分裂症，1981年的趋势与1971年一样，即外国出生者的入院率高于本国出生者；与1971年一样，入院率最高的群体是爱尔兰出生者以及加勒比地区和波兰出生者。1981年来自印度、巴基斯坦、德国和意大利的移民的总体入院率（与1971年一样）低于本国出生者的入院率。与1971年一样，爱尔兰人和苏格兰人酒精和药物相关疾病的发病率极高，尽管他们人格障碍的发病率也很高，但不如1971年的发病率高。加勒比地区出生的人酒精、药物和人格障碍的入院率仍然相对较低。对于印度出生的男性，1981年与酒精相关的入院率数字是1971年的两倍。与1971年相比，1981年所有群体中抑郁症的发病率明显上升，这受到记录程序变化的影响。还有其他一些仅针对一个亚组的特殊发现，例如与其他群体相比，巴基斯坦女性的再次入院率非常低。本文为这些入院率的差异提供了一些可能的解释。
