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A meta-analysis of ethnic differences in pathways to care at the first episode of psychosis.

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Title: A meta-analysis of ethnic differences in pathways to care at the first episode of psychosis.
Authors: Anderson, K. K., Flora, N., Archie, S., Morgan, C., McKenzie, K.
Source: Acta Psychiatrica Scandinavica. Oct2014, Vol. 130 Issue 4, p257-268. 12p. 1 Diagram, 6 Charts.
Subjects: Ethnic differences, Ethnic relations, Hospital admission & discharge, Psychoses, Psychiatric treatment, Medical care, Patients
Abstract: Objective We sought to systematically review the literature on ethnic differences in the likelihood of general practitioner ( GP) involvement, police involvement, and involuntary admission on the pathway to care of patients with first-episode psychosis ( FEP). Method We searched electronic databases and conducted forward and backward tracking to identify relevant studies. We calculated pooled odds ratios ( OR) to examine the variation between aggregated ethnic groups in the indicators of the pathway to care. Results We identified seven studies from Canada and England that looked at ethnic differences in GP involvement ( n = 7), police involvement ( n = 7), or involuntary admission ( n = 5). Aggregated ethnic groups were most often compared. The pooled ORs suggest that Black patients have a decreased likelihood of GP involvement ( OR = 0.70, 0.57-0.86) and an increased likelihood of police involvement ( OR = 2.11, 1.67-2.66), relative to White patients. The pooled ORs were not statistically significant for patients with Asian backgrounds ( GP involvement OR = 1.23, 0.87-1.75; police involvement OR = 0.86, 0.57-1.30). There is also evidence to suggest that there may be ethnic differences in the likelihood of involuntary admission; however, effect modification by several sociodemographic factors precluded a pooling of these data. Conclusion Ethnic differences in pathways to care are present at the first episode of psychosis. [ABSTRACT FROM AUTHOR]
Copyright of Acta Psychiatrica Scandinavica is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: A meta-analysis of ethnic differences in pathways to care at the first episode of psychosis.
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  Data: <searchLink fieldCode="AR" term="%22Anderson%2C+K%2E+K%2E%22">Anderson, K. K.</searchLink><br /><searchLink fieldCode="AR" term="%22Flora%2C+N%2E%22">Flora, N.</searchLink><br /><searchLink fieldCode="AR" term="%22Archie%2C+S%2E%22">Archie, S.</searchLink><br /><searchLink fieldCode="AR" term="%22Morgan%2C+C%2E%22">Morgan, C.</searchLink><br /><searchLink fieldCode="AR" term="%22McKenzie%2C+K%2E%22">McKenzie, K.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Acta+Psychiatrica+Scandinavica%22">Acta Psychiatrica Scandinavica</searchLink>. Oct2014, Vol. 130 Issue 4, p257-268. 12p. 1 Diagram, 6 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Ethnic+differences%22">Ethnic differences</searchLink><br /><searchLink fieldCode="DE" term="%22Ethnic+relations%22">Ethnic relations</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+admission+%26+discharge%22">Hospital admission & discharge</searchLink><br /><searchLink fieldCode="DE" term="%22Psychoses%22">Psychoses</searchLink><br /><searchLink fieldCode="DE" term="%22Psychiatric+treatment%22">Psychiatric treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Patients%22">Patients</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective We sought to systematically review the literature on ethnic differences in the likelihood of general practitioner ( GP) involvement, police involvement, and involuntary admission on the pathway to care of patients with first-episode psychosis ( FEP). Method We searched electronic databases and conducted forward and backward tracking to identify relevant studies. We calculated pooled odds ratios ( OR) to examine the variation between aggregated ethnic groups in the indicators of the pathway to care. Results We identified seven studies from Canada and England that looked at ethnic differences in GP involvement ( n = 7), police involvement ( n = 7), or involuntary admission ( n = 5). Aggregated ethnic groups were most often compared. The pooled ORs suggest that Black patients have a decreased likelihood of GP involvement ( OR = 0.70, 0.57-0.86) and an increased likelihood of police involvement ( OR = 2.11, 1.67-2.66), relative to White patients. The pooled ORs were not statistically significant for patients with Asian backgrounds ( GP involvement OR = 1.23, 0.87-1.75; police involvement OR = 0.86, 0.57-1.30). There is also evidence to suggest that there may be ethnic differences in the likelihood of involuntary admission; however, effect modification by several sociodemographic factors precluded a pooling of these data. Conclusion Ethnic differences in pathways to care are present at the first episode of psychosis. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Acta Psychiatrica Scandinavica is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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