An epidemiological study of schizophrenia

Abstract

This report is based on the findings of an epidemiological study of 29,468 rural, semi-rural and urban inhabitants of the Agra region of Uttar Pradesh. The survey was made in order to find out the prevalence of severe mental disorders and associated conditions in an Indian community. The sampling was purposive and areas selected were contiguous. Census methods were used. All inhabitants were investigated by a team consisting of a psychologist, a statistician, social workers and psychiatrists. After reconnaissance and initial contact by home visits, suspected cases were detected by a searching inquiry and the information so obtained was carefully documented. These cases were subjected to psychiatric examination and abnormal ones identified. Consultation with another psychiatrist was necessary to make a final diagnosis. The lifetime prevalence rate of schizophrenia was 2·2 per thousand, about the same frequency as found in other parts of the world. The maximum number of cases occurred in males between the ages of 15 and 24 and in females between the ages of 35 and 44. Single people, that is, never married, widowed, divorced or separated suffered significantly much more from the disease than bachelors and married people. A significant relationship was found between schizophrenia and castes in Vaish and Brahmin males as compared with others. The highest rate of schizophrenia was found among people in unremunerative status. Intoxicants were used more by schizophrenics than by normal people. Caste group indulgents had their own preferences in drug use, cannabis indulgence being highest among Brahmins. No association of schizophrenia with residence, educational status or sex was found.