Non-Hispanic Black and multiracial adults in the US exhibit significantly higher prevalence of schizophrenia spectrum disorders (SSDs) and psychotic symptoms compared to non-Hispanic White individuals.
Neighborhood social vulnerability, as measured by a composite Social Vulnerability Metric (SVM), substantially attenuates racial disparities in SSD and psychotic symptom prevalence, emphasizing social determinants’ role.
Despite adjustment for SVM, SSD prevalence remains significantly elevated among non-Hispanic multiracial individuals, indicating additional factors beyond neighborhood vulnerability contribute to risk.
Findings underscore structural racism’s influence via community-level social inequities shaping mental health disparities in severe psychotic disorders.
