Ethnic inequalities in the use of secondary and tertiary mental health services among patients with obsessive–compulsive disorder
Obsessive-compulsive disorder (OCD) has similar prevalence rates across ethnic groups. However, ethnic minorities are underrepresented in clinical trials of OCD. It is unclear whether this is also the case in clinical services. To explore whether ethnic minorities with OCD are underrepresented in se...
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| Veröffentlicht in: | British journal of psychiatry 2015-12, Vol.207 (6), p.530-535 |
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| creator | de la Cruz, Lorena Fernández Llorens, Marta Jassi, Amita Krebs, Georgina Vidal-Ribas, Pablo Radua, Joaquim Hatch, Stephani L. Bhugra, Dinesh Heyman, Isobel Clark, Bruce Mataix-Cols, David |
| description | Obsessive-compulsive disorder (OCD) has similar prevalence rates across ethnic groups. However, ethnic minorities are underrepresented in clinical trials of OCD. It is unclear whether this is also the case in clinical services.
To explore whether ethnic minorities with OCD are underrepresented in secondary and tertiary mental health services in the South London and Maudsley (SLaM) NHS Foundation Trust.
The ethnic distribution of patients with OCD seen between 1999 and 2013 in SLaM (n = 1528) was compared with that of the general population in the catchment area using census data. A cohort of patients with depression (n = 22 716) was used for comparative purposes.
Ethnic minorities with OCD were severely underrepresented across services (-57%, 95% CI -62% to -52%). The magnitude of the observed inequalities was significantly more pronounced than in depression (-29%, 95% CI -31% to -27%).
There is a clear need to understand the reasons behind such ethnic inequalities and implement measures to reduce them. |
| doi_str_mv | 10.1192/bjp.bp.114.154062 |
| format | Article |
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To explore whether ethnic minorities with OCD are underrepresented in secondary and tertiary mental health services in the South London and Maudsley (SLaM) NHS Foundation Trust.
The ethnic distribution of patients with OCD seen between 1999 and 2013 in SLaM (n = 1528) was compared with that of the general population in the catchment area using census data. A cohort of patients with depression (n = 22 716) was used for comparative purposes.
Ethnic minorities with OCD were severely underrepresented across services (-57%, 95% CI -62% to -52%). The magnitude of the observed inequalities was significantly more pronounced than in depression (-29%, 95% CI -31% to -27%).
There is a clear need to understand the reasons behind such ethnic inequalities and implement measures to reduce them.</description><identifier>ISSN: 0007-1250</identifier><identifier>EISSN: 1472-1465</identifier><identifier>DOI: 10.1192/bjp.bp.114.154062</identifier><identifier>PMID: 26206866</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Adolescent ; Adult ; Child ; Depressive Disorder - epidemiology ; Diagnostic and Statistical Manual of Mental Disorders ; Ethnic Groups - psychology ; Healthcare Disparities - statistics & numerical data ; Humans ; London - ethnology ; Mental Health Services - statistics & numerical data ; Obsessive-Compulsive Disorder - complications ; Obsessive-Compulsive Disorder - ethnology ; Registries ; Secondary Care Centers ; Tertiary Care Centers</subject><ispartof>British journal of psychiatry, 2015-12, Vol.207 (6), p.530-535</ispartof><rights>Copyright © Royal College of Psychiatrists, 2015</rights><rights>The Royal College of Psychiatrists 2015.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c459t-485bc7ce08a8ef773aa786381f6047fe71e831b59d17c6144172fa08c7296b373</citedby><cites>FETCH-LOGICAL-c459t-485bc7ce08a8ef773aa786381f6047fe71e831b59d17c6144172fa08c7296b373</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S0007125000240063/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,230,314,776,780,881,27901,27902,55603</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26206866$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:132540769$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>de la Cruz, Lorena Fernández</creatorcontrib><creatorcontrib>Llorens, Marta</creatorcontrib><creatorcontrib>Jassi, Amita</creatorcontrib><creatorcontrib>Krebs, Georgina</creatorcontrib><creatorcontrib>Vidal-Ribas, Pablo</creatorcontrib><creatorcontrib>Radua, Joaquim</creatorcontrib><creatorcontrib>Hatch, Stephani L.</creatorcontrib><creatorcontrib>Bhugra, Dinesh</creatorcontrib><creatorcontrib>Heyman, Isobel</creatorcontrib><creatorcontrib>Clark, Bruce</creatorcontrib><creatorcontrib>Mataix-Cols, David</creatorcontrib><title>Ethnic inequalities in the use of secondary and tertiary mental health services among patients with obsessive–compulsive disorder</title><title>British journal of psychiatry</title><addtitle>Br J Psychiatry</addtitle><description>Obsessive-compulsive disorder (OCD) has similar prevalence rates across ethnic groups. However, ethnic minorities are underrepresented in clinical trials of OCD. It is unclear whether this is also the case in clinical services.
To explore whether ethnic minorities with OCD are underrepresented in secondary and tertiary mental health services in the South London and Maudsley (SLaM) NHS Foundation Trust.
The ethnic distribution of patients with OCD seen between 1999 and 2013 in SLaM (n = 1528) was compared with that of the general population in the catchment area using census data. A cohort of patients with depression (n = 22 716) was used for comparative purposes.
Ethnic minorities with OCD were severely underrepresented across services (-57%, 95% CI -62% to -52%). The magnitude of the observed inequalities was significantly more pronounced than in depression (-29%, 95% CI -31% to -27%).
There is a clear need to understand the reasons behind such ethnic inequalities and implement measures to reduce them.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Child</subject><subject>Depressive Disorder - epidemiology</subject><subject>Diagnostic and Statistical Manual of Mental Disorders</subject><subject>Ethnic Groups - psychology</subject><subject>Healthcare Disparities - statistics & numerical data</subject><subject>Humans</subject><subject>London - ethnology</subject><subject>Mental Health Services - statistics & numerical data</subject><subject>Obsessive-Compulsive Disorder - complications</subject><subject>Obsessive-Compulsive Disorder - ethnology</subject><subject>Registries</subject><subject>Secondary Care Centers</subject><subject>Tertiary Care Centers</subject><issn>0007-1250</issn><issn>1472-1465</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkcFu1DAURS0EokPhA9ggL9lk8Esc21miqhSkSmxgbdnOS8dDEqe206o7JD6BP-yX4NEMXSJWvtc-78r2JeQtsC1AV3-w-2Vrl6L5FlrORP2MbIDLugIu2udkwxiTFdQtOyOvUtoX2_BaviRntaiZUEJsyK_LvJu9o37G29WMPntMxdC8Q7ompGGgCV2YexMfqJl7mjFmfzATztmMdIdmzLsCxTvvyqyZwnxDF1OC5pzovS-HwSZMyd_h48_fLkzLOh4M7X0Kscf4mrwYzJjwzWk9J98_XX67-Fxdf736cvHxunK87XLFVWuddMiUUThI2RgjlWgUDIJxOaAEVA3YtutBOgGcg6wHw5STdSdsI5tzUh1z0z0uq9VL9FN5iQ7G69PWj6JQtwCK8cK_P_JLDLcrpqwnnxyOo5kxrEmDFG0npRTNf6CNUtAp1hUUjqiLIaWIw9M9gOlDrbrUqu1SNNfHWsvMu1P8aifsnyb-9liA5hRqJht9f4N6H9Y4l-_8R-wfS5izbg</recordid><startdate>20151201</startdate><enddate>20151201</enddate><creator>de la Cruz, Lorena Fernández</creator><creator>Llorens, Marta</creator><creator>Jassi, Amita</creator><creator>Krebs, Georgina</creator><creator>Vidal-Ribas, Pablo</creator><creator>Radua, Joaquim</creator><creator>Hatch, Stephani L.</creator><creator>Bhugra, Dinesh</creator><creator>Heyman, Isobel</creator><creator>Clark, Bruce</creator><creator>Mataix-Cols, David</creator><general>Cambridge University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7TK</scope><scope>ADTPV</scope><scope>AOWAS</scope></search><sort><creationdate>20151201</creationdate><title>Ethnic inequalities in the use of secondary and tertiary mental health services among patients with obsessive–compulsive disorder</title><author>de la Cruz, Lorena Fernández ; Llorens, Marta ; Jassi, Amita ; Krebs, Georgina ; Vidal-Ribas, Pablo ; Radua, Joaquim ; Hatch, Stephani L. ; Bhugra, Dinesh ; Heyman, Isobel ; Clark, Bruce ; Mataix-Cols, David</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c459t-485bc7ce08a8ef773aa786381f6047fe71e831b59d17c6144172fa08c7296b373</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Child</topic><topic>Depressive Disorder - epidemiology</topic><topic>Diagnostic and Statistical Manual of Mental Disorders</topic><topic>Ethnic Groups - psychology</topic><topic>Healthcare Disparities - statistics & numerical data</topic><topic>Humans</topic><topic>London - ethnology</topic><topic>Mental Health Services - statistics & numerical data</topic><topic>Obsessive-Compulsive Disorder - complications</topic><topic>Obsessive-Compulsive Disorder - ethnology</topic><topic>Registries</topic><topic>Secondary Care Centers</topic><topic>Tertiary Care Centers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>de la Cruz, Lorena Fernández</creatorcontrib><creatorcontrib>Llorens, Marta</creatorcontrib><creatorcontrib>Jassi, Amita</creatorcontrib><creatorcontrib>Krebs, Georgina</creatorcontrib><creatorcontrib>Vidal-Ribas, Pablo</creatorcontrib><creatorcontrib>Radua, Joaquim</creatorcontrib><creatorcontrib>Hatch, Stephani L.</creatorcontrib><creatorcontrib>Bhugra, Dinesh</creatorcontrib><creatorcontrib>Heyman, Isobel</creatorcontrib><creatorcontrib>Clark, Bruce</creatorcontrib><creatorcontrib>Mataix-Cols, David</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Neurosciences Abstracts</collection><collection>SwePub</collection><collection>SwePub Articles</collection><jtitle>British journal of psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>de la Cruz, Lorena Fernández</au><au>Llorens, Marta</au><au>Jassi, Amita</au><au>Krebs, Georgina</au><au>Vidal-Ribas, Pablo</au><au>Radua, Joaquim</au><au>Hatch, Stephani L.</au><au>Bhugra, Dinesh</au><au>Heyman, Isobel</au><au>Clark, Bruce</au><au>Mataix-Cols, David</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ethnic inequalities in the use of secondary and tertiary mental health services among patients with obsessive–compulsive disorder</atitle><jtitle>British journal of psychiatry</jtitle><addtitle>Br J Psychiatry</addtitle><date>2015-12-01</date><risdate>2015</risdate><volume>207</volume><issue>6</issue><spage>530</spage><epage>535</epage><pages>530-535</pages><issn>0007-1250</issn><eissn>1472-1465</eissn><abstract>Obsessive-compulsive disorder (OCD) has similar prevalence rates across ethnic groups. However, ethnic minorities are underrepresented in clinical trials of OCD. It is unclear whether this is also the case in clinical services.
To explore whether ethnic minorities with OCD are underrepresented in secondary and tertiary mental health services in the South London and Maudsley (SLaM) NHS Foundation Trust.
The ethnic distribution of patients with OCD seen between 1999 and 2013 in SLaM (n = 1528) was compared with that of the general population in the catchment area using census data. A cohort of patients with depression (n = 22 716) was used for comparative purposes.
Ethnic minorities with OCD were severely underrepresented across services (-57%, 95% CI -62% to -52%). The magnitude of the observed inequalities was significantly more pronounced than in depression (-29%, 95% CI -31% to -27%).
There is a clear need to understand the reasons behind such ethnic inequalities and implement measures to reduce them.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>26206866</pmid><doi>10.1192/bjp.bp.114.154062</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Child Depressive Disorder - epidemiology Diagnostic and Statistical Manual of Mental Disorders Ethnic Groups - psychology Healthcare Disparities - statistics & numerical data Humans London - ethnology Mental Health Services - statistics & numerical data Obsessive-Compulsive Disorder - complications Obsessive-Compulsive Disorder - ethnology Registries Secondary Care Centers Tertiary Care Centers |
| title | Ethnic inequalities in the use of secondary and tertiary mental health services among patients with obsessive–compulsive disorder |
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