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Do risk factors for schizophrenia predispose to emigration?

Pedersen, Carsten Bocker ; Mortensen, Preben Bo and Cantor-Graae, Elizabeth LU (2011) In Schizophrenia Research 127(1-3). p.229-234
Abstract
Objective: Increased incidence rates of schizophrenia in immigrants still lack a satisfactory explanation. The aim of this study was to examine the hypothesis that risk factors for schizophrenia also increase the risk of emigration to a foreign country. If valid, Danes emigrating from Denmark carry a higher predisposition to develop schizophrenia compared to Danes living in Denmark. Methods: Utilizing data from the Danish Civil Registration System, we established a population-based cohort of 1.10 million native Danes. We assessed relative risks of emigration to a foreign country in relation to sex, age, urban birth, parental age, and a history of mental illness. Results: Urban birth in Denmark was a significant predictor of emigration to a... (More)
Objective: Increased incidence rates of schizophrenia in immigrants still lack a satisfactory explanation. The aim of this study was to examine the hypothesis that risk factors for schizophrenia also increase the risk of emigration to a foreign country. If valid, Danes emigrating from Denmark carry a higher predisposition to develop schizophrenia compared to Danes living in Denmark. Methods: Utilizing data from the Danish Civil Registration System, we established a population-based cohort of 1.10 million native Danes. We assessed relative risks of emigration to a foreign country in relation to sex, age, urban birth, parental age, and a history of mental illness. Results: Urban birth in Denmark was a significant predictor of emigration to a foreign country. A maternal history of psychiatric contact during childhood and a parental history of bipolar affective disorder increased the risks of emigration. A personal history of mental illness decreased the risk of emigration, mostly for people diagnosed with schizophrenia. Conclusions: Our study provided evidence that Danish emigrants residing in a foreign country have both a higher predisposition of schizophrenia due to differential exposure to birth in urban areas and a lower predisposition of schizophrenia due to differential exposure to a history of mental illness. Although competing selection mechanisms operate, the combined effect of these different selection mechanisms was limited, thus suggesting a potential role for yet to be identified adverse environmental effects operating either before or after emigration. (C) 2011 Elsevier B.V. All rights reserved. (Less)
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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Schizophrenia, Bipolar affective disorder, Emigration, Denmark, Epidemiology, Risk factor
in
Schizophrenia Research
volume
127
issue
1-3
pages
229 - 234
publisher
Elsevier
external identifiers
  • wos:000289395100035
  • scopus:79952314488
ISSN
0920-9964
DOI
10.1016/j.schres.2011.01.013
language
English
LU publication?
yes
id
23e6127c-b8bb-4d08-8a63-b72e3997796a (old id 1964785)
date added to LUP
2016-04-01 11:08:52
date last changed
2022-02-18 00:32:28
@article{23e6127c-b8bb-4d08-8a63-b72e3997796a,
  abstract     = {{Objective: Increased incidence rates of schizophrenia in immigrants still lack a satisfactory explanation. The aim of this study was to examine the hypothesis that risk factors for schizophrenia also increase the risk of emigration to a foreign country. If valid, Danes emigrating from Denmark carry a higher predisposition to develop schizophrenia compared to Danes living in Denmark. Methods: Utilizing data from the Danish Civil Registration System, we established a population-based cohort of 1.10 million native Danes. We assessed relative risks of emigration to a foreign country in relation to sex, age, urban birth, parental age, and a history of mental illness. Results: Urban birth in Denmark was a significant predictor of emigration to a foreign country. A maternal history of psychiatric contact during childhood and a parental history of bipolar affective disorder increased the risks of emigration. A personal history of mental illness decreased the risk of emigration, mostly for people diagnosed with schizophrenia. Conclusions: Our study provided evidence that Danish emigrants residing in a foreign country have both a higher predisposition of schizophrenia due to differential exposure to birth in urban areas and a lower predisposition of schizophrenia due to differential exposure to a history of mental illness. Although competing selection mechanisms operate, the combined effect of these different selection mechanisms was limited, thus suggesting a potential role for yet to be identified adverse environmental effects operating either before or after emigration. (C) 2011 Elsevier B.V. All rights reserved.}},
  author       = {{Pedersen, Carsten Bocker and Mortensen, Preben Bo and Cantor-Graae, Elizabeth}},
  issn         = {{0920-9964}},
  keywords     = {{Schizophrenia; Bipolar affective disorder; Emigration; Denmark; Epidemiology; Risk factor}},
  language     = {{eng}},
  number       = {{1-3}},
  pages        = {{229--234}},
  publisher    = {{Elsevier}},
  series       = {{Schizophrenia Research}},
  title        = {{Do risk factors for schizophrenia predispose to emigration?}},
  url          = {{http://dx.doi.org/10.1016/j.schres.2011.01.013}},
  doi          = {{10.1016/j.schres.2011.01.013}},
  volume       = {{127}},
  year         = {{2011}},
}