Urbanicity and risk of first-episode psychosis: incidence study in Brazil

被引：36
|
作者：
Del-Ben, Cristina Marta [1 ,2 ]
Shuhama, Rosana [1 ,2 ]
Loureiro, Camila Marcelino [2 ,3 ]
Carvalho Ragazzi, Taciana Cristina [1 ,2 ]
Zanatta, Daniela Perocco [1 ,2 ]
Galo Tenan, Silvia Helena [1 ]
Ferreira Santos, Jair Licio [2 ,4 ]
Louzada-Junior, Paulo [3 ]
dos Santos, Antonio Carlos [3 ]
Morgan, Craig [5 ]
Menezes, Paulo Rossi [2 ,6 ]
机构：
[1] Univ Sao Paulo, Ribeirao Preto Med Sch, Dept Neurosci & Behav, Ave Bandeirantes 3900, BR-14048900 Ribeirao Preto, SP, Brazil
[2] Univ Sao Paulo, Populat Mental Hlth Res Ctr, Ribeirao Preto, SP, Brazil
[3] Univ Sao Paulo, Ribeirao Preto Med Sch, Dept Internal Med, Ribeirao Preto, SP, Brazil
[4] Univ Sao Paulo, Ribeirao Preto Med Sch, Dept Social Med, Ribeirao Preto, SP, Brazil
[5] Kings Coll London, Dept Hlth Serv & Populat Res, London, England
[6] Univ Sao Paulo, Fac Med, Dept Prevent Med, Ribeirao Preto, SP, Brazil
来源：
BRITISH JOURNAL OF PSYCHIATRY | 2019年 / 215卷 / 06期
关键词：
Schizophrenia spectrum and other psychotic disorders; urban and rural populations; incidence; TREATED INCIDENCE; SCHIZOPHRENIA;
D O I：
10.1192/bjp.2019.110
中图分类号：
R749 [精神病学];
学科分类号：
100205 ;
摘要：
We estimated the incidence of first-episode psychosis over a 3-year period in a Brazilian catchment area comprising the region's main city, Ribeirao Preto (1 425 306 persons-years at risk), and 25 other municipalities with a total of 1 646 556 persons-years at risk. The incidence rates were estimated and adjusted by gender and age, using the direct standardisation method to the world population as reference. The incidence of psychosis was higher in the younger groups, men, and among Black and minority ethnic Brazilians. Psychosis incidence was lower in Ribeirao Preto (16.69/100 000 person-years at risk; 95% CI 15.68-17.70) compared with the average incidence in the remaining municipalities (21.25/100 000 person-years at risk; 95% CI 20.20-22.31), which have lower population density, suggesting a distinct role for urbanicity in the incidence of first-episode psychosis in low- and middle-income countries.
引用
收藏
页码：726 / 729
页数：4
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