Pathways to care and ethnicity. 2: Source of referral and help-seeking.
The British journal of psychiatry
; 186(4): 290-296, Apr 2005. tab
Artigo
em Inglês
| MedCarib
| ID: med-17573
Biblioteca responsável:
TT5
Localização: TT5; W1, BR616
ABSTRACT
Background Previous research has found that AfricanCaribbean and Black African patients are likely to come into contact with mental health services via more negative routes, when compared with White patients. We soughtto investigate pathways to mental health care and ethnicityin a sample of patients with a first episode of psychosis drawn from two UK centres. Method We included all White British, other White, AfricanCaribbean and Black African patients with a first episode of psychosis who made contact with psychiatric services over a 2-year period and were living in defined areas. Clinical, socio-demographic and pathways to care data were collected from patients, relatives and case notes. Results Compared with White British patients, general practitioner referral was less frequent for both AfricanCaribbean and Black African patients and referral by a criminal justice agency was more common. With the exception of criminal justice referrals for Black African patients, these findings remained significant after adjusting for potential confounders. Conclusions These findings suggest that factors are operating during a first episode of psychosis to increase the risk that the pathway to care for Black patients will involve non-health professionals.
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Coleções:
Bases de dados internacionais
Contexto em Saúde:
Agenda de Saúde Sustentável para as Américas
Problema de saúde:
Objetivo 11 Desigualdades e iniquidades na saúde
Base de dados:
MedCarib
Assunto principal:
Saúde Mental
/
Região do Caribe
/
População Negra
/
Saúde das Minorias Étnicas
/
Serviços de Saúde Mental
Tipo de estudo:
Estudo prognóstico
Aspecto:
Determinantes sociais da saúde
/
Equidade e iniquidade
Limite:
Humanos
Idioma:
Inglês
Revista:
The British journal of psychiatry
Ano de publicação:
2005
Tipo de documento:
Artigo
Instituição/País de afiliação:
Institute of Psychiatry/United Kingdom
/
Royal Free and University College Medical School/United Kingdom
/
The University of the West Indies/Trinidad and Tobago
/
University of Bristol/United Kingdom
/
University of Cambridge/United Kingdom
/
University of Nottingham/United Kingdom