Ethnic inequalities in the use of health services for common mental disorders in England
Ethnic inequalities in the use of health services for common mental disorders in England
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DOI：
10.1007/s00127-012-0565-y
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发表时间：
2013-05-01
影响因子：
4.4
通讯作者：
Bebbington, Paul
中科院分区：
文献类型：
--
作者：
Cooper, Claudia;Spiers, Nicola;Bebbington, Paul
本研究的目的是调查少数民族是否比白色人群更不可能接受心理健康问题的治疗，控制症状的严重程度，我们分析了1993年，2000年和2007年全国精神病发病率调查的23,917名参与者的数据。调查答复率分别为79%、69%和57%。修订后的临床访谈时间表用于调整症状严重程度。在控制症状严重程度后，黑人比他们的白色同行更不可能服用抗抑郁药（比值比0. 4; 95%置信区间0. 2 - 0. 9）。在控制了症状严重程度和社会经济地位后，黑人（0.7; 0.5-0.97）和南亚人（0.5; 0.3-0.8）种族群体在过去一年中就其心理健康问题与全科医生联系的可能性较低。需要采取干预措施减少这些不平等，以确保NHS医疗保健根据所有种族群体的需要公平地提供。
The purpose of this study is to investigate whether minority ethnic people were less likely to receive treatment for mental health problems than the white population were, controlling for symptom severity.We analysed data from 23,917 participants in the 1993, 2000 and 2007 National Psychiatric Morbidity Surveys. Survey response rates were 79, 69 and 57 %, respectively. The revised Clinical Interview Schedule was used to adjust for symptom severity.Black people were less likely to be taking antidepressants than their white counterparts were (Odds ratio 0.4; 95 % confidence interval 0.2-0.9) after controlling for symptom severity. After controlling for symptom severity and socioeconomic status, people from black (0.7; 0.5-0.97) and South Asian (0.5; 0.3-0.8) ethnic groups were less likely to have contacted a GP about their mental health in the last year.Interventions to reduce these inequalities are needed to ensure that NHS health care is delivered fairly according to need to all ethnic groups.