A meta-analysis of ethnic differences in pathways to care at the first episode of psychosis
A meta-analysis of ethnic differences in pathways to care at the first episode of psychosis
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DOI：
10.1111/acps.12254
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发表时间：
2014-10-01
影响因子：
6.7
通讯作者：
McKenzie, K.
中科院分区：
文献类型：
--
作者：
Anderson, K. K.;Flora, N.;McKenzie, K.
我们试图系统地回顾文献的种族差异的可能性全科医生（GP）的参与，警察的参与，和非自愿入院的途径，以照顾首发精神病患者（FEP）。MethodWe搜索电子数据库，并进行了向前和向后跟踪，以确定相关的研究。我们计算合并优势比（OR）检查聚集种族群体之间的变化的途径careful.ResultsWe确定的指标，从加拿大和英国的研究，在种族差异GP参与（n=7），警察参与（n=7），或非自愿入院（n=5）。最经常比较的是族裔群体的总和。合并OR表明，相对于白色患者，黑人患者GP参与的可能性降低（OR=0.70，0.57-0.86），警察参与的可能性增加（OR=2.11，1.67-2.66）。亚裔背景患者的合并OR无统计学显著性（GP参与OR=1.23，0.87-1.75;警察参与OR=0.86，0.57-1.30）。也有证据表明，可能有种族差异的可能性，非自愿入院，然而，影响修改由几个社会人口因素排除了这些data.ConclusionEthnic差异的途径，以照顾精神病的第一次发作。
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.