Urbanization and psychosis: an update of recent evidence.

IF 7.5 2区 医学 Q1 PSYCHIATRY Current Opinion in Psychiatry Pub Date : 2024-05-01 Epub Date: 2024-03-04 DOI:10.1097/YCO.0000000000000931
Sandeep Grover, Natarajan Varadharajan, Sandesh Venu
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Abstract

Purpose of review: Urbanization, a complex global phenomenon, has a significant bearing on schizophrenia/psychosis burden through various socioeconomic and environmental factors. This review focuses on recent evidence (2019-2023) linking urbanization, schizophrenia, and the role of green space.

Recent findings: This review analyzed 43 articles that examined the correlation between urban birth or upbringing, urban living (urbanicity), and various schizophrenia/psychosis-related outcomes such as incidence, psychotic experiences, etc. The studies showed differing results across geographical locations. Socioeconomic factors like area deprivation, migrant status (ethnic density) and social fragmentation were independently associated with the risk of schizophrenia/psychosis irrespective of urbanicity. More recently, environmental factors such as green space reduction and air pollution have been explored in urban living conditions and were positively associated with an increased risk of schizophrenia/psychosis.

Summary: There is a need for further investigation in low and middle-income countries. The impact of urbanization-related factors and green space on the risk of schizophrenia/psychosis calls for appropriate governmental commitments toward structured and healthy urban planning.

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城市化与精神病:最新证据。
综述的目的:城市化是一个复杂的全球现象,它通过各种社会经济和环境因素对精神分裂症/精神病负担产生重大影响。本综述重点关注将城市化、精神分裂症和绿地的作用联系起来的最新证据(2019-2023年):本综述分析了43篇文章,研究了城市出生或成长、城市生活(城市化)与各种精神分裂症/精神病相关结果(如发病率、精神病经历等)之间的相关性。这些研究显示,不同地理位置的研究结果各不相同。无论城市化程度如何,地区贫困、移民身份(种族密度)和社会分化等社会经济因素都与精神分裂症/精神病的发病风险有独立联系。最近,研究人员对城市生活条件中的环境因素(如绿地减少和空气污染)进行了探讨,发现这些因素与精神分裂症/精神病风险的增加呈正相关。城市化相关因素和绿色空间对精神分裂症/精神病风险的影响要求政府对结构化和健康的城市规划做出适当的承诺。
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来源期刊
Current Opinion in Psychiatry
Current Opinion in Psychiatry 医学-精神病学
CiteScore
12.20
自引率
1.40%
发文量
76
审稿时长
6-12 weeks
期刊介绍: Current Opinion in Psychiatry is an easy-to-digest bimonthly journal covering the most interesting and important advances in the field of psychiatry. Eight sections on mental health disorders including schizophrenia, neurodevelopmental disorders and eating disorders, are presented alongside five area-specific sections, offering an expert evaluation on the most exciting developments in the field.
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