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Racial differences in paranoid ideation and psychoses in an older urban population.
Am J Psychiatry. 2004 May; 161(5):864-71.AJ

Abstract

OBJECTIVE

This study examined whether there are racial differences in the prevalence of paranoid ideation and psychotic symptoms in persons age >/=55 in an urban community.

METHOD

Using 1990 census data for Brooklyn, N.Y., the authors attempted to interview all cognitively intact persons age >/=55 in randomly selected blocks. The final group consisted of 206 whites and 821 blacks. The authors used George's Social Antecedent Model for analyzing 21 independent and three dependent variables: paranoid ideation, psychotic symptoms, and psychotic symptoms/paranoid ideation. The group was weighted by race and gender. To control for intrablock clustering effects without replacement sampling, the authors used SUDAAN for data analysis.

RESULTS

A significant difference in psychotic symptoms or paranoid ideation was found between blacks and whites (24% versus 10%) that was attenuated but not eliminated with logistic regression analyses. Blacks with psychotic symptoms or paranoid ideation, especially Caribbeans, had significantly lower receipt of mental health services and lower perceived service needs. With logistic regression, psychotic symptoms and paranoid ideation were associated with four variables among blacks and whites, although only one was significant in both groups.

CONCLUSIONS

Racial differences in psychotic symptoms and paranoid ideation persist even after control for various clinical, social, and attitudinal effects. Among blacks, response to stressors may be expressed through increased paranoid ideation and psychotic symptoms. Stronger beliefs in spiritualism increase this expression in both races. The high prevalence of psychotic symptoms or paranoid ideation among this aging urban population, especially blacks, highlights a potential public health issue.

Authors+Show Affiliations

Division of Geriatric Psychiatry, SUNY Downstate Medical Center, Box 1203, 450 Clarkson Ave., Brooklyn, NY 11203, USA. cohen_c@hscbklyn.eduNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

15121652

Citation

Cohen, Carl I., et al. "Racial Differences in Paranoid Ideation and Psychoses in an Older Urban Population." The American Journal of Psychiatry, vol. 161, no. 5, 2004, pp. 864-71.
Cohen CI, Magai C, Yaffee R, et al. Racial differences in paranoid ideation and psychoses in an older urban population. Am J Psychiatry. 2004;161(5):864-71.
Cohen, C. I., Magai, C., Yaffee, R., & Walcott-Brown, L. (2004). Racial differences in paranoid ideation and psychoses in an older urban population. The American Journal of Psychiatry, 161(5), 864-71.
Cohen CI, et al. Racial Differences in Paranoid Ideation and Psychoses in an Older Urban Population. Am J Psychiatry. 2004;161(5):864-71. PubMed PMID: 15121652.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Racial differences in paranoid ideation and psychoses in an older urban population. AU - Cohen,Carl I, AU - Magai,Carol, AU - Yaffee,Robert, AU - Walcott-Brown,Lorna, PY - 2004/5/4/pubmed PY - 2004/6/4/medline PY - 2004/5/4/entrez SP - 864 EP - 71 JF - The American journal of psychiatry JO - Am J Psychiatry VL - 161 IS - 5 N2 - OBJECTIVE: This study examined whether there are racial differences in the prevalence of paranoid ideation and psychotic symptoms in persons age >/=55 in an urban community. METHOD: Using 1990 census data for Brooklyn, N.Y., the authors attempted to interview all cognitively intact persons age >/=55 in randomly selected blocks. The final group consisted of 206 whites and 821 blacks. The authors used George's Social Antecedent Model for analyzing 21 independent and three dependent variables: paranoid ideation, psychotic symptoms, and psychotic symptoms/paranoid ideation. The group was weighted by race and gender. To control for intrablock clustering effects without replacement sampling, the authors used SUDAAN for data analysis. RESULTS: A significant difference in psychotic symptoms or paranoid ideation was found between blacks and whites (24% versus 10%) that was attenuated but not eliminated with logistic regression analyses. Blacks with psychotic symptoms or paranoid ideation, especially Caribbeans, had significantly lower receipt of mental health services and lower perceived service needs. With logistic regression, psychotic symptoms and paranoid ideation were associated with four variables among blacks and whites, although only one was significant in both groups. CONCLUSIONS: Racial differences in psychotic symptoms and paranoid ideation persist even after control for various clinical, social, and attitudinal effects. Among blacks, response to stressors may be expressed through increased paranoid ideation and psychotic symptoms. Stronger beliefs in spiritualism increase this expression in both races. The high prevalence of psychotic symptoms or paranoid ideation among this aging urban population, especially blacks, highlights a potential public health issue. SN - 0002-953X UR - https://www.unboundmedicine.com/medline/citation/15121652/Racial_differences_in_paranoid_ideation_and_psychoses_in_an_older_urban_population_ L2 - https://ajp.psychiatryonline.org/doi/full/10.1176/appi.ajp.161.5.864?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -