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. 2022 Sep;221(3):520-527.
doi: 10.1192/bjp.2021.179.

Prevalence of common mental disorders and treatment receipt for people from ethnic minority backgrounds in England: repeated cross-sectional surveys of the general population in 2007 and 2014

Gargie Ahmad  1 , Sally McManus  2 , Claudia Cooper  3 , Stephani L Hatch  4 , Jayati Das-Munshi  4
Affiliations

Prevalence of common mental disorders and treatment receipt for people from ethnic minority backgrounds in England: repeated cross-sectional surveys of the general population in 2007 and 2014

Gargie Ahmad et al. Br J Psychiatry. 2022 Sep.

Abstract

Background: Concerns persist that some ethnic minority groups experience longstanding mental health inequalities in England. It is unclear if these have changed over time.

Aims: To assess the prevalence of common mental disorders (CMDs) and treatment receipt by ethnicity, and changes over time, using data from the nationally representative probability sample in the Adult Psychiatric Morbidity Surveys.

Method: We used survey data from 2007 (n = 7187) and 2014 (n = 7413). A Clinical Interview Schedule - Revised score of ≥12 indicated presence of a CMD. Treatment receipt included current antidepressant use; any counselling or therapy; seeing a general practitioner about mental health; or seeing a community psychiatrist, psychologist or psychiatric nurse, in the past 12 months. Multivariable logistic regression assessed CMD prevalence and treatment receipt by ethnicity.

Results: CMD prevalence was highest in the Black group; ethnic variation was explained by demographic and socioeconomic factors. After adjustment for these factors and CMDs, odds ratios for treatment receipt were lower for the Asian (0.62, 95% CI 0.39-1.00) and White Other (0.58, 95% CI 0.38-0.87) groups in 2014, compared with the White British group; for the Black group, this inequality appeared to be widening over time (2007 treatment receipt odds ratio 0.68, 95% CI 0.38-1.23; 2014 treatment receipt odds ratio 0.23, 95% CI 0.13-0.40; survey year interaction P < 0.0001).

Conclusions: Treatment receipt was lower for all ethnic minority groups compared with the White British group, and lowest among Black people, for whom inequalities appear to be widening over time. Addressing socioeconomic inequality could reduce ethnic inequalities in mental health problems, but this does not explain pronounced treatment inequalities.

Keywords: Ethnicity; common mental disorders; mental health inequalities; social epidemiology; treatment inequalities.

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Conflict of interest statement

Declaration of interest

None.

Figures

Fig. 1
Fig. 1
Sample flow diagram for 2007 and 2014 Adult Psychiatric Morbidity Survey data. NS-SEC, National Statistics Socio-economic Classification.
See this image and copyright information in PMC

References

    1. Barnett P, Mackay E, Matthews H, Gate R, Greenwood H, Ariyo K, et al. Ethnic variations in compulsory detention under the Mental Healt Act: a systematic review and meta-analysis of international data. Lancet Psychiatry. 2019;6:305–17. doi: 10.1016/S2215-0366(19)30027-6. - DOI - PMC - PubMed
    1. Baker C. Mental Health Statistics for England: Prevalence, Services and Funding. House of Commons Library; 2020. https://commonslibrary.parliament.uk/research-briefings/sn06988/
    1. Department of Health and Social Care. Modernising the Mental Health Act: Final Report of the Independent Review. The Stationery Office; 2018. https://www.gov.uk/government/publications/modernising-the-mental-health... .
    1. Weich S, Nazroo J, Sporston K, McManus S, Blanchard M, Erens B, et al. Common mental disorders and ethnicity in England: the EMPIRIC study. Psychol Med. 2004;34:1543–51. - PubMed
    1. Rees R, Stokes G, Stansfield C, Oliver E, Kneale D, Thomas J. Prevalence of Mental Health Disorders in Adult Minority Ethnic Populations in England A Systematic Review. EPPI-Centre, University College London; 2016. https://discovery.ucl.ac.uk/id/eprint/1485144/

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