Summary
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.
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References
Aslam M (1979) The practice of Asian medicine in the United Kingdom. Thesis for Ph.D. Dept. of Pharmacy, University of Nottingham
Astrup C, Odegaard O (1960) Internal migration and mental disease in Norway. Psychiatr Q[Suppl] 34: 116–130
Bagley C (1969) A survey of problems reported by Indian and Pakistani immigrants in Britain. Race 9: 65–78
Bal SS (1987) Psychological symptomatology and health beliefs of Asian patients. In: Dent H (ed) Clinical. psychology: research and developments. Croom Helm, London, pp 101–110
Balarajan R, Bulusu L, Adelstein AM, Shukla V (1984) Patterns of mortality among migrants to England and Wales from the Indian subcontinent. Br Med J 289: 1185–1187
Bhopal RS (1986) The inter-relationship of folk, traditional and western medicine within the Asian community in Britain. Soc Sci Med 22: 99–105
Brewin C (1980) Explaining the lower rates of psychiatric treatment among Asian immigrants to the U.K.: a preliminary study. Soc Psychiatry 15: 17–19
Carpenter L, Brockington IF (1980) A study of mental illness in Asians, West Indians and Africans living in Manchester. Br J Psychiatry 137: 201–210
Cochrane R (1977) Mental illness in immigrants to England and Wales: an analysis of mental hospital admissions 1971. Soc Psychiatry 12: 25–35
Cochrane R (1983) The social creation of mental illness. Longmans,London
Cochrane R, Stopes-Roe M (1977) Psychological and social adjustment of Asian immigrants to Britain: a community survey. Soc Psychiatry 12: 195–206
Cochrane R, Stopes-Roe M (1979) Psychological disturbance in Ireland, in England and in Irish emigrants to England: a comparative study. Econ Soc Rev 10: 301–320
Cochrane R, Stopes-Roe M (1981) Psychological symptoms levels in Indian immigrants to England: a comparison with native English. Psychol Med 11: 319–327
Cochrane R, Bal SS (1987) Migration and schizophrenia: an examination of five hypotheses. Soc Psychiatry 22: 181–191
Cutter C (1983) The mental health of Pathan women in Bradford: a case study of migrant Asian women. Department of Sociology, University of Warwick (unpublished)
Dean G, Walsh D, Downing H, Shelley E (1981) First admissions of native born and immigrants to psychiatric hospital in South East England 1976. Br J Psychiatry 139: 506–512
Eagles JM, Whalley LJ (1985) Decline in the diagnosis of schizophrenia among first admissions to Scottish mental hospitals from 1909-1978. Br J Psychiatry 146: 151–154
Eitinger L (1959) The incidence of mental disease among refugees in Norway. J Merit Sci 105: 326–380
Ghosh SK (1984) Prevalence survey of drinking alcohol and alcohol dependence in the Asian population in the U.K. In Krasner N, Madden JS, Walker RS (eds) Alcohol related problems. John Wiley and Sons, Chichester
Glover GR (1987) 993W: Birthplace not stated or born at sea. Psychol Med 17:1009–1012
Gordon EB (1965) Mentally ill West Indian immigrants. Br J Psychiatry 111: 877–887
Harrison G, Owens D, Holton A, Neilson D, Boot D (In press) A prospective study of severe mental disorder in Afro-Caribbean patients. Psychol Med
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Cochrane, R., Bal, S.S. Mental hospital admission rates of immigrants to England: A comparison of 1971 and 1981. Soc Psychiatry Psychiatr Epidemiol 24, 2–11 (1989). https://doi.org/10.1007/BF01788193
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DOI: https://doi.org/10.1007/BF01788193