13.2 Undiagnosed BIPOC Populations
| Diagnosis | Black
(n = 86) (%) |
White
(n = 244) (%) |
Total
(n = 330) (%) |
|---|---|---|---|
| Schizophrenia | 52 (60)* | 117 (48) | 169 (51) |
| Bipolar disorder | 8 (9) | 30 (12) | 38 (912) |
| Schizoaffective disorder | 10 (12) | 26 (11) | 36 (11) |
| Schizophreniform disorder | 8 (9) | 16 (7) | 24 (7) |
| Major depression | 1 (1)b | 20 (8) | 21 (6) |
| Delusional disorder | 2 (2) | 13 (5) | 15 (5) |
| Psychosis NOS | 3 (4) | 12 (5) | 15 (5) |
| Other | 2 (2) | 10 (4) | 12 (3) |
| NOS, not-otherwise-specified
*Significant difference versus White; ORa = 1.4, 95% CI – 1.0-1.8; p = 0.03. bSignificant difference versus White; ORa = 2.8, 95% CI = 1.0 – 7.8; p = 0.04. |
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African American patients are disproportionately diagnosed with psychotic disorders despite the absence of genetic evidence indicating a true elevation in prevalence in this population. Meta-analytic reviews have shown that, among patients admitted to state psychiatric hospitals, African American patients are almost five times more likely than White patients to be diagnosed with schizophrenia. Latine American patients are also more likely than White patients to be diagnosed with psychotic disorders.