The Centers for Disease Control and Prevention has identified racism as a serious threat to public health. Structural racism is a fundamental cause of inequity within interconnected institutions and the social environments in which we live and develop. This review illustrates how these ethnoracial inequities impact risk for the extended psychosis phenotype. Black and Latinx populations are more likely than White populations to report psychotic experiences in the United States due to social determining factors such as racial discrimination, food insecurity, and police violence. Unless we dismantle these discriminatory structures, the chronic stress and biological consequences of this race-based stress and trauma will impact the next generation's risk for psychosis directly, and indirectly through Black and Latina pregnant mothers. Multidisciplinary early psychosis interventions show promise in improving prognosis, but coordinated care and other treatments still need to be more accessible and address the racism-specific adversities many Black and Latinx people face in their neighborhoods and social environments.

中文翻译：

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种族主义和精神病的社会决定因素


美国疾病控制和预防中心（Centers for Disease Control and Prevention）已将种族主义确定为对公共卫生的严重威胁。结构性种族主义是相互关联的机构以及我们生活和发展的社会环境中不平等的根本原因。本综述说明了这些种族不平等如何影响扩展精神病表型的风险。由于种族歧视、粮食不安全和警察暴力等社会决定因素，黑人和拉丁裔人群比白人更有可能报告在美国的精神病经历。除非我们拆除这些歧视性结构，否则这种基于种族的压力和创伤的慢性压力和生物学后果将直接影响下一代患精神病的风险，并通过黑人和拉丁裔孕妇间接影响。多学科早期精神病干预在改善预后方面显示出希望，但协调护理和其他治疗仍然需要更容易获得，并解决许多黑人和拉丁裔人在社区和社会环境中面临的种族主义特定逆境。