期刊
BRITISH JOURNAL OF PSYCHIATRY
卷 221, 期 3, 页码 520-527出版社
CAMBRIDGE UNIV PRESS
DOI: 10.1192/bjp.2021.179
关键词
Ethnicity; mental health inequalities; treatment inequalities; common mental disorders; social epidemiology
类别
资金
- Economic and Social Research Council (ESRC) studentship [ES/P000703/1]
- Health Foundation
- Academy of Medical Sciences
- ESRC [ES/S002715/1]
- King's College London
- National Institute for Health Research (NIHR) Applied Research Collaboration South London at King's College Hospital NHS Foundation Trust
- NIHR Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King's College London
- ESRC Centre for Society and Mental Health at King's College London [ES/S012567/1]
- UK Research and Innovation (UKRI) [MR-VO49879/1]
- ESRC [ES/S002715/1] Funding Source: UKRI
The study found that all ethnic minority groups in England had lower treatment receipt for mental health problems compared to the White British group, with inequalities appearing to be widening over time for the Black group in particular. Addressing socioeconomic inequality could potentially reduce these ethnic inequalities, but it does not fully explain the pronounced treatment disparities.
Background Concerns persist that some ethnic minority groups experience longstanding mental health inequalities in England. It is unclear if these have changed over time. Aims To assess the prevalence of common mental disorders (CMDs) and treatment receipt by ethnicity, and changes over time, using data from the nationally representative probability sample in the Adult Psychiatric Morbidity Surveys. Method We used survey data from 2007 (n = 7187) and 2014 (n = 7413). A Clinical Interview Schedule - Revised score of >= 12 indicated presence of a CMD. Treatment receipt included current antidepressant use; any counselling or therapy; seeing a general practitioner about mental health; or seeing a community psychiatrist, psychologist or psychiatric nurse, in the past 12 months. Multivariable logistic regression assessed CMD prevalence and treatment receipt by ethnicity. Results CMD prevalence was highest in the Black group; ethnic variation was explained by demographic and socioeconomic factors. After adjustment for these factors and CMDs, odds ratios for treatment receipt were lower for the Asian (0.62, 95% CI 0.39-1.00) and White Other (0.58, 95% CI 0.38-0.87) groups in 2014, compared with the White British group; for the Black group, this inequality appeared to be widening over time (2007 treatment receipt odds ratio 0.68, 95% CI 0.38-1.23; 2014 treatment receipt odds ratio 0.23, 95% CI 0.13-0.40; survey year interaction P < 0.0001). Conclusions Treatment receipt was lower for all ethnic minority groups compared with the White British group, and lowest among Black people, for whom inequalities appear to be widening over time. Addressing socioeconomic inequality could reduce ethnic inequalities in mental health problems, but this does not explain pronounced treatment inequalities.
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