期刊
ACTA PSYCHIATRICA SCANDINAVICA
卷 130, 期 4, 页码 257-268出版社
WILEY
DOI: 10.1111/acps.12254
关键词
schizophrenia and disorders with psychotic features; health services accessibility; population groups
类别
资金
- Canadian Institutes of Health Research (CIHR) Operating Grant [220976]
- CIHR Post-Doctoral Fellowship Award
- Medical Research Council [G0500817]
- Wellcome Trust [WT087417]
- European Union (European Community) [HEALTH-F2-2009-241909]
ObjectiveWe sought to systematically review the literature on ethnic differences in the likelihood of general practitioner (GP) involvement, police involvement, and involuntary admission on the pathway to care of patients with first-episode psychosis (FEP). MethodWe searched electronic databases and conducted forward and backward tracking to identify relevant studies. We calculated pooled odds ratios (OR) to examine the variation between aggregated ethnic groups in the indicators of the pathway to care. ResultsWe identified seven studies from Canada and England that looked at ethnic differences in GP involvement (n=7), police involvement (n=7), or involuntary admission (n=5). Aggregated ethnic groups were most often compared. The pooled ORs suggest that Black patients have a decreased likelihood of GP involvement (OR=0.70, 0.57-0.86) and an increased likelihood of police involvement (OR=2.11, 1.67-2.66), relative to White patients. The pooled ORs were not statistically significant for patients with Asian backgrounds (GP involvement OR=1.23, 0.87-1.75; police involvement OR=0.86, 0.57-1.30). There is also evidence to suggest that there may be ethnic differences in the likelihood of involuntary admission; however, effect modification by several sociodemographic factors precluded a pooling of these data. ConclusionEthnic differences in pathways to care are present at the first episode of psychosis.
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