From Womb to Neighborhood: A Racial Analysis of Social Determinants of Psychosis in the United States

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dc.contributor.authorAnglin, Deidre M.
dc.contributor.authorEreshefsky, Sabrina
dc.contributor.authorKlaunig, Mallory J.
dc.contributor.authorBridgwater, Miranda A.
dc.contributor.authorNiendam, Tara A.
dc.contributor.authorEllman, Lauren M.
dc.contributor.authorDeVylder, Jordan
dc.contributor.authorThayer, Griffin
dc.contributor.authorBolden, Khalima
dc.contributor.authorMusket, Christie W.
dc.contributor.authorGrattan, Rebecca E.
dc.contributor.authorLincoln, Sarah Hope
dc.contributor.authorSchiffman, Jason
dc.contributor.authorLipner, Emily
dc.contributor.authorBachman, Peter
dc.contributor.authorCorcoran, Cheryl M.
dc.contributor.authorMota, Natália B.
dc.contributor.authorVen, Els van der
dc.date.accessioned2021-05-24T19:55:33Z
dc.date.available2021-05-24T19:55:33Z
dc.date.issued2021-05-03
dc.description.abstractThe authors examine U.S.-based evidence that connects characteristics of the social environment with outcomes across the psychosis continuum, from psychotic experiences to schizophrenia. The notion that inequitable social and economic systems of society significantly influence psychosis risk through proxies, such as racial minority and immigrant statuses, has been studied more extensively in European countries. While there are existing international reviews of social determinants of psychosis, none to the authors‘ knowledge focus on factors in the U.S. context specifically—an omission that leaves domestic treatment development and prevention efforts incomplete and underinformed. In this review, the authors first describe how a legacy of structural racism in the United States has shaped the social gradient, highlighting consequential racial inequities in environmental conditions. The authors offer a hypothesized model linking structural racism with psychosis risk through interwoven intermediary factors based on existing theoretical models and a review of the literature. Neighborhood factors, cumulative trauma and stress, and prenatal and perinatal complications were three key areas selected for review because they reflect social and environmental conditions that may affect psychosis risk through a common pathway shaped by structural racism. The authors describe evidence showing that Black and Latino people in the United States suffer disproportionately from risk factors within these three key areas, in large part as a result of racial discrimination and social disadvantage. This broad focus on individual and community factors is intended to provide a consolidated space to review this growing body of research and to guide continued inquiries into social determinants of psychosis in U.S. contexts.en_US
dc.description.urihttps://ajp.psychiatryonline.org/doi/10.1176/appi.ajp.2020.20071091en_US
dc.format.extent12 pagesen_US
dc.genrejournal articles postprintsen_US
dc.identifierdoi:10.13016/m2fdsy-89mi
dc.identifier.citationAnglin, Deidre M.; Ereshefsky, Sabrina; Klaunig, Mallory J.; Bridgwater, Miranda A.; Niendam, Tara A.; Ellman, Lauren M.; DeVylder, Jordan; Thayer, Griffin; Bolden, Khalima; Musket, Christie W.; Grattan, Rebecca E.; Lincoln, Sarah Hope; Schiffman, Jason; Lipner, Emily; Bachman, Peter; Corcoran, Cheryl M.; Mota, Natália B.; Ven, Els van der; From Womb to Neighborhood: A Racial Analysis of Social Determinants of Psychosis in the United States; The American Journal of Psychiatry (2021); https://ajp.psychiatryonline.org/doi/10.1176/appi.ajp.2020.20071091en_US
dc.identifier.urihttps://doi.org/10.1176/appi.ajp.2020.20071091
dc.identifier.urihttp://hdl.handle.net/11603/21609
dc.language.isoen_USen_US
dc.publisherAmerican Psychiatric Associationen_US
dc.relation.isAvailableAtThe University of Maryland, Baltimore County (UMBC)
dc.relation.ispartofUMBC Psychology Department Collection
dc.relation.ispartofUMBC Staff Collection
dc.relation.ispartofUMBC Faculty Collection
dc.relation.ispartofUMBC Student Collection
dc.rightsThis item is likely protected under Title 17 of the U.S. Copyright Law. Unless on a Creative Commons license, for uses protected by Copyright Law, contact the copyright holder or the author.
dc.subjectconnection between characteristics of the social environment and outcomes of psychosis continuum disordersen_US
dc.subjectlink between structural racism with psychosis risken_US
dc.subjectsocial determinants of psychosis in U.S.en_US
dc.subjecttheoretical models
dc.subjectliterature review
dc.titleFrom Womb to Neighborhood: A Racial Analysis of Social Determinants of Psychosis in the United Statesen_US
dc.typeTexten_US

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