SCHIZOPHRENIA IN SURINAMESE AND DUTCH ANTILLEAN IMMIGRANTS TO THE NETHERLANDS - EVIDENCE OF AN INCREASED INCIDENCE

Background, Reports of an increased incidence of schizophrenia in Afro -Caribbean immigrants to the UK are a matter of much debate. It is of interest, therefore, that in the 1970s and 1980s many immigrants from Surinam and The Netherlands Antilles have settled in The Netherlands. The purpose of our study was to compare the risk of a first admission for schizophrenia for Surinamese- and Antillean-born persons aged 15-3 9 years to that for their Dutch-born peers in the period 1983-1992. Me thods, We used data from the Dutch psychiatric registry. Age-adjusted relative risks were calculated using Poisson regression analysis. Resu lts. The risk for the immigrants was found to be three to four times h igher than that for the Dutch-born. Age-adjusted relative risks were s ignificantly higher for male than for female immigrants. Conclusions, The results provide evidence of an increased incidence in these immigr ant groups and support similar findings on Afro-Caribbeans in the UK. Migration from Surinam was on such a large scale that selective migrat ion of persons at risk for the disorder is unlikely to account entirel y for these findings.