Contextual determinants and participant perspectives on the common mental disorders and access to psychological treatments in UK ethnic minorities

关于英国少数民族常见精神障碍和获得心理治疗的环境决定因素和参与者观点：利用全国代表性调查数据的混合方法研究有人担心，英国少数民族在常见精神障碍（CMD）的患病率和获得治疗方面存在不平等。这可能是由于耻辱感和求医方面的差异、不同的文化/解释痛苦的模式、使用非正式的社会网络以及认为所提供的治疗不太可接受。根据人们居住的地方也存在差异，例如，在本民族密度较高的地区，CMD的患病率较低，但原因尚不清楚。英国最近一次具有全国代表性的少数民族心理健康调查是在17年前进行的。这项混合方法研究将利用具有全国代表性的英国成人精神病发病率调查（APMS）的数据，评估英国少数民族群体中CMD的患病率和治疗不平等。将进行一项嵌套定性研究，以评估差异的原因（解释模型、报告的获得治疗的障碍、获得护理的途径、歧视的经历、对自己心理健康和福祉的看法），以及从参与者的角度来看，这些差异如何因社区/种族密度而异。这项建议将通过对具有全国代表性的大型调查进行全面分析，并辅以深入的定性访谈，解决知识方面的差距，为政策提供信息。

Contextual determinants and participant perspectives on the common mental disorders and access to psychological treatments in UK ethnic minorities: Mixed methods study utilising data from nationally representative surveysThere are concerns that ethnic minority groups within the UK experience inequalities in the prevalence of the common mental disorders (CMD) and in access to treatments. This may be due to stigma and differences in health-seeking, differing cultural/explanatory models of distress, the usage of informal social networks and perceptions of offered treatments as less acceptable. There is also variation according to where people live, for example the prevalence of CMD is lower in areas of higher own ethnic density, however reasons for this are unclear. The last nationally representative UK surveys of ethnic minority mental health were conducted 17 years ago.This mixed methods study will utilise data from the nationally representative UK Adult Psychiatric Morbidity Surveys (APMS), to assess prevalence and treatment inequalities for CMD amongst ethnic minority groups in England. A nested qualitative study will be conducted to assess reasons for differences (explanatory models, reported barriers to accessing treatments, pathways into care, experiences of discrimination, perceptions of own mental health and wellbeing), and how these vary by neighbourhood/ ethnic density, from the perspectives of participants.This proposal will address gaps in knowledge and inform policy through comprehensive analyses of large nationally representative surveys, informed by in-depth qualitative interviews.