Dataset Information

Ethnic inequalities and pathways to care in psychosis in England: a systematic review and meta-analysis.

ABSTRACT:

Background

As part of a national programme to tackle ethnic inequalities, we conducted a systematic review and meta-analysis of research on ethnic inequalities in pathways to care for adults with psychosis living in England and/or Wales.

Methods

Nine databases were searched from inception to 03.07.17 for previous systematic reviews, including forward and backward citation tracking and a PROSPERO search to identify ongoing reviews. We then carried forward relevant primary studies from included reviews (with the latest meta-analyses reporting on research up to 2012), supplemented by a search on 18.10.17 in MEDLINE, Embase, PsycINFO and CINAHL for primary studies between 2012 and 2017 that had not been covered by previous meta-analyses.

Results

Forty studies, all conducted in England, were included for our updated meta-analyses on pathways to care. Relative to the White reference group, elevated rates of civil detentions were found for Black Caribbean (OR?=?3.43, 95% CI?=?2.68 to 4.40, n?=?18), Black African (OR?=?3.11, 95% CI?=?2.40 to 4.02, n?=?6), and South Asian patients (OR?=?1.50, 95% CI 1.07 to 2.12, n?=?10). Analyses of each Mental Health Act section revealed significantly higher rates for Black people under (civil) Section 2 (OR?=?1.53, 95% CI?=?1.11 to 2.11, n?=?3). Rates in repeat admissions were significantly higher than in first admission for South Asian patients (between-group difference p?ConclusionsOur updated meta-analyses reveal persisting but not significantly worsening patterns of ethnic inequalities in pathways to psychiatric care, particularly affecting Black groups. This provides a comprehensive evidence base from which to inform policy and practice amidst a prospective Mental Health Act reform.

Trial registration

CRD42017071663.

SUBMITTER: Halvorsrud K

PROVIDER: S-EPMC6290527 | biostudies-literature | 2018 Dec

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Ethnic inequalities and pathways to care in psychosis in England: a systematic review and meta-analysis.

Halvorsrud Kristoffer K Nazroo James J Otis Michaela M Brown Hajdukova Eva E Bhui Kamaldeep K

BMC medicine 20181212 1

<h4>Background</h4>As part of a national programme to tackle ethnic inequalities, we conducted a systematic review and meta-analysis of research on ethnic inequalities in pathways to care for adults with psychosis living in England and/or Wales.<h4>Methods</h4>Nine databases were searched from inception to 03.07.17 for previous systematic reviews, including forward and backward citation tracking and a PROSPERO search to identify ongoing reviews. We then carried forward relevant primary studies f ...[more]

PMID: 30537961

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Dataset Information

Ethnic inequalities and pathways to care in psychosis in England: a systematic review and meta-analysis.

Background

Methods

Results

Trial registration

Publications

Ethnic inequalities and pathways to care in psychosis in England: a systematic review and meta-analysis.

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