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Ethnic inequality, multimorbidity and psychosis: can a syndemic framework resolve disputed evidence?

Abstract:
Syndemic theory is described as population-level clustering or co-occurrence of health conditions in the context of shared aetiologies that interact and can act synergistically. These influences appear to act within specific places of high disadvantage. We suggest ethnic inequality in experiences and outcomes of multimorbidity, including psychosis, may be explained through a syndemic framework. We discuss the evidence for each component of syndemic theory in relation to psychosis, using psychosis and diabetes as an exemplar. Following this, we discuss the practical and theoretical adaptations to syndemic theory in order to apply it to psychosis, ethnic inequality and multimorbidity, with implications for research, policy, and practice.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1038/s41537-023-00367-8

Authors


More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Psychiatry
Role:
Author
More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Psychiatry
Role:
Author
More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Psychiatry
Role:
Author
ORCID:
0000-0002-9205-2144


Publisher:
Springer Nature
Journal:
Schizophrenia More from this journal
Volume:
9
Article number:
37
Publication date:
2023-06-09
Acceptance date:
2023-05-02
DOI:
ISSN:
2334-265X


Language:
English
Keywords:
Pubs id:
1343447
Local pid:
pubs:1343447
Deposit date:
2023-05-21

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