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Ethnic inequalities in the use of health services for common mental disorders in England

Abstract

Purpose  

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.

Method  

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.

Results  

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.

Conclusions  

Interventions to reduce these inequalities are needed to ensure that NHS health care is delivered fairly according to need
to all ethnic groups.

  • Content Type Journal Article
  • Category Original Paper
  • Pages 1-8
  • DOI 10.1007/s00127-012-0565-y
  • Authors
    • Claudia Cooper, Department of Mental Health Sciences (Bloomsbury Campus), UCL, 67-73 Riding House Street, 2nd Floor, Charles Bell House, London, W1W 7EJ UK
    • Nicola Spiers, Department of Health Sciences, University of Leicester, 22-28 Princess Rd West, Leicester, LE1 6TP UK
    • Gill Livingston, Department of Mental Health Sciences (Bloomsbury Campus), UCL, 67-73 Riding House Street, 2nd Floor, Charles Bell House, London, W1W 7EJ UK
    • Rachel Jenkins, Institute of Psychiatry, De Crespigny Park, Box P035, London, UK
    • Howard Meltzer, Department of Health Sciences, University of Leicester, 22-28 Princess Rd West, Leicester, LE1 6TP UK
    • Terry Brugha, Department of Health Sciences, University of Leicester, 22-28 Princess Rd West, Leicester, LE1 6TP UK
    • Sally McManus, National Centre for Social Research, London, UK
    • Scott Weich, Health Sciences Research Institute, Warwick Medical School, University of Warwick, Coventry, CV4 7AL UK
    • Paul Bebbington, Department of Mental Health Sciences (Bloomsbury Campus), UCL, 67-73 Riding House Street, 2nd Floor, Charles Bell House, London, W1W 7EJ UK
    • Journal Social Psychiatry and Psychiatric Epidemiology
    • Online ISSN 1433-9285
    • Print ISSN 0933-7954
Posted in: Journal Article Abstracts on 09/12/2012 | Link to this post on IFP |
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