scholarly journals Risk of involuntary admission among first-generation ethnic minority groups with early psychosis: a retrospective cohort study using health administrative data

2019 ◽  
Vol 29 ◽  
Author(s):  
Rebecca Rodrigues ◽  
Arlene G. MacDougall ◽  
Guangyong Zou ◽  
Michael Lebenbaum ◽  
Paul Kurdyak ◽  
...  
Keyword(s):  
Ethnic Minority ◽  
First Generation ◽  
Minority Groups ◽  
Minority Group ◽  
Early Psychosis ◽  
Involuntary Admission ◽  
Ethnic Minority Groups ◽  
Refugee Status ◽  
First Generation Migrants

Abstract Aims Ethnic minority groups often have more complex and aversive pathways to mental health care. However, large population-based studies are lacking, particularly regarding involuntary hospitalisation. We sought to examine the risk of involuntary admission among first-generation ethnic minority groups with early psychosis in Ontario, Canada. Methods Using health administrative data, we constructed a retrospective cohort (2009–2013) of people with first-onset non-affective psychotic disorder aged 16–35 years. This cohort was linked to immigration data to ascertain migrant status and country of birth. We identified the first involuntary admission within 2 years and compared the risk of involuntary admission for first-generation migrant groups to the general population. To control for the role of migrant status, we restricted the sample to first-generation migrants and examined differences by country of birth, comparing risk of involuntary admission among ethnic minority groups to a European reference. We further explored the role of migrant class by adjusting for immigrant vs refugee status within the migrant cohort. We also explored effect modification of migrant class by ethnic minority group. Results We identified 15 844 incident cases of psychotic disorder, of whom 19% (n = 3049) were first-generation migrants. Risk of involuntary admission was higher than the general population in five of seven ethnic minority groups. African and Caribbean migrants had the highest risk of involuntary admission (African: risk ratio (RR) = 1.52, 95% CI = 1.34–1.73; Caribbean: RR = 1.58, 95% CI = 1.37–1.82), and were the only groups where the elevated risk persisted when compared to the European reference group within the migrant cohort (African: RR = 1.24, 95% CI = 1.04–1.48; Caribbean: RR = 1.29, 95% CI = 1.07–1.56). Refugee status was independently associated with involuntary admission (RR = 1.16, 95% CI = 1.02–1.32); however, this risk varied by ethnic minority group, with Caribbean refugees having an elevated risk of involuntary admission compared with Caribbean immigrants (RR = 1.72, 95% CI = 1.15–2.58). Conclusions Our findings are consistent with the international literature showing increased rates of involuntary admission among some ethnic minority groups with early psychosis. Interventions aimed at improving pathways to care could be targeted at these groups to reduce disparities.

De Relatie Tussen Taalkeuze, Inschatting Taalvaardigheid Nederlands en Sociaal-Culturele Factoren bij Italianen in Vlaanderen en Turken in Nederland

1997 ◽  
Vol 57 ◽  
pp. 93-103
Author(s):  
Jetske Klatter-Folmer ◽  
Piet Van Avermaet
Keyword(s):  
Ethnic Minority ◽  
Minority Groups ◽  
Minority Group ◽  
Language Shift ◽  
Language Choice ◽  
Ethnic Minority Groups ◽  
Choice Behaviour ◽  
Majority Culture ◽  
Relevant Factors

In this research project, the model of social determination of language shift will be expanded. An attempt is made to fill the gap that still exists regarding the effects on language shift of an ethnic minority group member's confidence in his ability to comply with the linguistic demands of the dominant majority culture. To that end, we investigate the confidence of members of ethnic minority groups and how it is built up, its place in the hierarchy of relevant factors, and their interaction. We detail how this confidence relates to language choice behaviour and language shift. This paper focuses mainly on the theoretical outline and design of the project.

scholarly journals Constructing im/migrants and ethnic minority groups as ‘carriers of disease’: Power effects of categorization practices in tuberculosis health reporting in the UK and Germany

Ethnicities ◽  
2019 ◽  
Vol 19 (3) ◽  
pp. 518-534
Author(s):  
Hella von Unger ◽  
Penelope Scott ◽  
Dennis Odukoya
Keyword(s):  
Ethnic Minority ◽  
Minority Groups ◽  
Epidemiological Data ◽  
Vulnerable Groups ◽  
Potential Contribution ◽  
Health Reporting ◽  
Ethnic Minority Groups ◽  
Core Feature ◽  
The Uk

Migration- and ethnicity-related categories are a core feature of public health systems internationally, particularly in health reporting on communicable infectious diseases. The specific categories and classifications used differ from country to country and are subject to controversy and change. The article compares categorization practices in health reporting in the UK and Germany with regard to tuberculosis. Tuberculosis has been framed as a ‘migrants’ disease’ in recent decades and new categories were introduced to collect and report epidemiological data. We reconstruct the genesis, change and power effects of categories related to im/migrants and ethnic minority groups. In both countries, migration-related categorizations entail constructions of im/migrants as ‘carriers of disease’. However, the categories also connect with discourses on human rights, prevention, treatment and care for migrants as vulnerable groups. While this ambivalent role of migration-related categories is not unique to health statistics, the potential contribution to processes of ‘othering’ and politics of exclusion seem particularly imminent in the context of communicable diseases such as tuberculosis. Ethnicity categories used in the UK, but not in Germany, also contribute to othering through racialization and culturalization, yet at the same time provide opportunities for community participation in the discourse.

Salient Multiculturalism Enhances Minority Group Members’ Feelings of Power

2016 ◽  
Vol 43 (2) ◽  
pp. 259-271 ◽  
Author(s):  
Jacquie D. Vorauer ◽  
Matthew S. Quesnel
Keyword(s):  
Ethnic Minority ◽  
Minority Groups ◽  
Minority Group ◽  
Color Blindness ◽  
Ethnic Minority Groups ◽  
Dominant Group ◽  
Intergroup Interaction ◽  
Group Members ◽  
General Goal

The present research examined how messages advocating different intergroup ideologies affect outcomes relevant to minority group members’ ability to exert power in exchanges with dominant group members. We expected that salient multiculturalism would have positive implications for minority group members’ feelings of power by virtue of highlighting essential contributions they make to society, and that no such empowering effect would be evident for them in connection with alternative ideologies such as color-blindness or for dominant group members. Results across four studies involving different participant populations, operationalizations of ideology, ethnic minority groups, and experimental settings were consistent with these hypotheses and further indicated that the effects of salient multiculturalism on feelings of power had downstream implications for expectations of control in an ostensibly upcoming intergroup interaction and general goal-directed cognition.

scholarly journals Race and Ethnicity in the Evidence for Integrating Palliative Care Into Oncology

2018 ◽  
Vol 14 (6) ◽  
pp. e346-e356
Author(s):  
William F. Pirl ◽  
Estefany Saez-Flores ◽  
Matthew Schlumbrecht ◽  
Ryan Nipp ◽  
Lara N. Traeger ◽  
...  
Keyword(s):  
Palliative Care ◽  
Ethnic Minority ◽  
Race And Ethnicity ◽  
Minority Groups ◽  
Evidence Base ◽  
Data Representation ◽  
Ethnic Minority Groups ◽  
Ethnicity Data ◽  
Racial And Ethnic Minority

Purpose: ASCO recommends early involvement of palliative care for patients with advanced cancers on the basis of evidence from 18 randomized trials. We examined racial and ethnic minority representation in these trials and the role of race and ethnicity in the statistical analyses. The goal was to identify specific gaps in the palliative care evidence base for these individuals and potential strategies to address them. Methods: We reviewed the 18 trials cited in the 2012 and 2017 ASCO clinical statements on integrating palliative care into oncology. We extracted data on the reporting and categorization of race and ethnicity, on the enrollment of specific racial and ethnic minority groups, and on how race and ethnicity were addressed in the analyses. Results: One third of patient trials reported representation of specific racial and ethnic minority groups, one third reported rates of “white” versus “other,” and one third did not report race or ethnicity data. Among the patient trials with race and ethnicity data, 9.9% of participants were Asian, 8.8% Hispanic/Latino, and 5.7% African American. Analyses that used race and ethnicity were primarily baseline comparisons among randomized groups. Conclusion: Race and ethnicity were inconsistently reported in the trials. Among those that provided race and ethnicity data, representation of specific racial and ethnic minority groups was low. In addition to more research in centers with large minority populations, consistent reporting of race and ethnicity and supplementary data collection from minority patients who participate in trials may be strategies for improvement.

scholarly journals Patterns and Predictors of ADRD Among Racial and Ethnic Minority Groups

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 612-612
Author(s):  
Laura Zahodne ◽  
Cerise Elliott
Keyword(s):  
African Americans ◽  
Ethnic Minority ◽  
Cognitive Aging ◽  
Minority Groups ◽  
Minority Group ◽  
Ethnic Minority Group ◽  
Arab Americans ◽  
Ethnic Minority Groups ◽  
National Data ◽  
Racial Ethnic

Abstract This symposium addresses issues surrounding Alzheimer’s disease and related dementia (ADRD) across multiple racial/ethnic minority groups, including African Americans, Latinos, and Arab Americans. Using US national data, Kindratt and colleagues challenge the universality of the healthy migrant effect by comparing patterns of cognitive disability across US- and foreign-born Arab Americans. Arab Americans represent an increasingly visible ethnic minority group whose unique history has the potential to clarify knowledge about sociocultural influences on ADRD. Also using US national data, Garcia and colleagues examine within-group heterogeneity among Latinos. They conclude that the number of years and proportion of life spent with and without subjective cognitive impairment differ as a function of ancestry and nativity. Using data from two local communities, Diminich and colleagues investigate mechanisms underlying ADRD risk among Latinos by considering both stress responding and plasma-based AD biomarkers as predictors of Latino cognitive health. Lee and colleagues focus on social relationships and cognitive aging in a diverse, national cohort. They suggest that the quality of social support from social network members may uniquely affect the cognitive functioning of African Americans older adults. Finally, Cerise Elliott from the National Institute on Aging (NIA) will offer perspectives on how racial/ethnic minority group focused research can advance NIA’s goals related to understanding and eliminating ADRD inequalities. In total, this symposium highlights the need to disaggregate racial/ethnic groups, as well as the importance of incorporating both individual and contextual factors in order to fully understand patterns of ADRD risk and resilience.

Instrumental and cultural considerations in constructing European identity among ethnic minority groups in Lithuania in a generational perspective

2017 ◽  
Vol 45 (4) ◽  
pp. 651-668 ◽  
Author(s):  
Natalia Waechter
Keyword(s):  
Ethnic Minority ◽  
Minority Groups ◽  
Qualitative Interviews ◽  
Minority Group ◽  
European Identity ◽  
Ethnic Minority Groups ◽  
Instrumental Approach ◽  
Cultural Considerations ◽  
Cultural Approach ◽  
Further Development

Research on European identity focuses mainly on majority populations in Western European countries without differentiating among specific population groups and generations, and, above all, disregarding ethnic minority groups living in Central and Eastern Europe. This paper addresses this gap by investigating the development of European identity among three ethnic minority groups in Lithuania: Belarusians, Poles, and Russians. Theoretically, the project is based on the instrumental approach, which argues that European identity is closely related to perceived benefits from “being European,” and on the cultural approach, which holds a common history, ancestry, and culture responsible for the development of European identity. Existing research has, above all, emphasized the importance of instrumental considerations. Analyzing qualitative interviews collected in the FP7 research project “ENRI-East,” the paper compares how young and adult members of ethnic minority groups construct European identity due to “instrumental” and “cultural” considerations. The results show that both instrumental and cultural considerations are relevant and further development of European identity depends on which age group or ethnic minority group an individual belongs to.

scholarly journals Thalassemia and hemoglobinopathies in an ethnic minority group in Central Vietnam: implications to health burden and relationship between two ethnic minority groups

2017 ◽  
Vol 8 (3) ◽  
pp. 221-228 ◽  
Author(s):  
Nga Thi Nguyen ◽  
Kanokwan Sanchaisuriya ◽  
Pattara Sanchaisuriya ◽  
Hoa Van Nguyen ◽  
Hoa Thi Thuy Phan ◽  
...  
Keyword(s):  
Ethnic Minority ◽  
Minority Groups ◽  
Minority Group ◽  
Ethnic Minority Group ◽  
Ethnic Minority Groups ◽  
Health Burden ◽  
Central Vietnam

Intersectionality, mental health and Chinese people in the UK: a qualitative exploration

2017 ◽  
Vol 22 (4) ◽  
pp. 289-299 ◽  
Author(s):  
Lynn Tang ◽  
David Pilgrim
Keyword(s):  
Mental Health ◽  
Ethnic Minority ◽  
Minority Groups ◽  
Mental Health Problems ◽  
Minority Group ◽  
Work Conditions ◽  
Ethnic Minority Group ◽  
Ethnic Minority Groups ◽  
Content Type ◽  
The Uk

Purpose The purpose of this paper is to provide qualitative evidence from the experience of Chinese service users in the UK to expand the literature on the use of intersectionality analysis in research on the mental health of ethnic minority groups. Design/methodology/approach Repeated in-depth life-history interviews were carried out with 22 participants. Interviews were analysed using the constant comparative method. Findings Four areas of life are identified for their possible negative impact on mental health for this minority group: labour market and work conditions, marriage and family, education, and ageing. The findings illustrate how these intersecting variables may shape the social conditions this ethnic minority group face. For this ethnic minority group in the UK, inequalities can intersect at national as well as transnational level. Originality/value This paper highlights how power relations and structural inequalities including class, gender, age and ethnicity could be drawn upon to understand the interplay of determinants of mental health for ethnic minority groups. As the multi-factorial social forces are closely related to the emergence of poor mental health, it is suggested that interventions to reduce mental health problems in ethnic minority communities should be multi-level and not limited to individualised service responses.

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