Table 2.
Studies of Gene-Urbanicity Interactions
Study | Country | Measure Genetic risk | Measure Urbanicity | Psychosis Outcome | Rate Unexposeda | Rate Eb | Rate Gc | Rate GEd |
Van Os et al119 | Netherlands | Family history psychosis | Population density—dichotomous | Psychotic disorder | 0.85% | 1.59% | 3.01% | 9.72% |
Van Os et al135 | Denmark | Family history psychotic disorder | Five categories from capital city to rural area—5 levels | Psychotic disorder | Summary increase in incidence associated with urbanicity in individuals without family history: 0.054% | Summary increase in incidence associated with urbanicity in individuals with family history: 0.22% | ||
Spauwen et al106 | Germany | Psychometric psychosis liability | City of Munich vs surrounding villages—dichotomous | Psychotic symptoms | 14.2% | 12.1% | 14.9% | 29% |
Weiser et al136 | Israel | Cognitive impairment endophenotype | Population density—5 levels | Psychotic disorder | Summary increase in incidence associated with urbanicity in cognitively nonvulnerable group: 0.011% | Summary increase in incidence associated with urbanicity in cognitively vulnerable group: 0.10% |
Rate unexposed refers to those exposed to neither urbanicity nor genetic risk.
Rate E refers to those exposed to urbanicity only.
Rate G refers to those exposed to genetic risk only.
Rate EG refers to those exposed to both urbanicity and genetic risk.