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Factors associated with the psychosis continuum among homeless people: Comparison between natives and migrants in the SAMENTA study.
Tortelli, Andrea; Perozziello, Anne; Mercuel, Alain; Dauriac-Le Masson, Valérie; Perquier, Florence.
Afiliación
  • Tortelli A; Groupe Hospitalier Universitaire Paris Psychiatrie & Neurosciences, Pôle Psychiatrie Précarité, Paris, France.
  • Perozziello A; INSERM U955, Créteil, France.
  • Mercuel A; INSERM UMR_S 1136, Paris, France.
  • Dauriac-Le Masson V; Institut Convergences Migration, Paris, France.
  • Perquier F; Groupe Hospitalier Universitaire Paris Psychiatrie & Neurosciences, Département d'Epidémiologie, Paris, France.
J Migr Health ; 10: 100240, 2024.
Article en En | MEDLINE | ID: mdl-39040890
ABSTRACT

Background:

In the last decades, there has been a documented increase in the proportion of migrants among homeless people in Europe. While homelessness is associated with psychosis, little is known about the factors associated with psychosis among migrants in this context.

Methods:

Our study analyzed data collected in the SAMENTA cross-sectional survey conducted among 859 adult French-speaking homeless people living in the Greater Paris area. We analyzed the prevalence of psychosis and psychotic-like experiences (PLE) and associated factors by migrant status, using bivariate analysis and multivariable logistic regression models.

Results:

Our sample comprised 280 natives and 559 migrants in France. Psychosis was significantly more prevalent among natives (21.6 %) than among migrants (7.5 %) (p = 0.003). The total prevalence of PLE was 30.8% (95 % CI 24.3 - 38.2), and not statistically different between groups (p = 0.215) or sex (p = 0.528). Adverse events over the past year were associated with the increased odds of psychosis in both groups and with PLE among migrants. Sexual abuse during childhood was associated with both outcomes among natives. Among migrants, exposure to war or life-threatening events increased the odds of psychosis and PLE. Increased odds of psychosis were found among migrants who had been living in France for more than 10 years (OR = 3.34, 95 % CI 1.41-7.93, p = 0.007).

Conclusion:

Differences were found in the factors associated with the psychosis continuum by migrant status, they highlight the impact of experiences related to migration. Prospective studies are needed to better understand these underlying pathways.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Migr Health Año: 2024 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Migr Health Año: 2024 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Reino Unido