scholarly journals Racial/Ethnic Discrimination and Common Mental Disorders Among Workers: Findings From the EMPIRIC Study of Ethnic Minority Groups in the United Kingdom

2005 ◽  
Vol 95 (3) ◽  
pp. 496-501 ◽  
Author(s):  
Kamaldeep Bhui ◽  
Stephen Stansfeld ◽  
Kwame McKenzie ◽  
Saffron Karlsen ◽  
James Nazroo ◽  
...  
Keyword(s):  
United Kingdom ◽  
Mental Disorders ◽  
Ethnic Minority ◽  
Minority Groups ◽  
Common Mental Disorders ◽  
Ethnic Discrimination ◽  
Ethnic Minority Groups ◽  
The United Kingdom ◽  
Racial Ethnic

Psychiatry of old age and ethnic minority older people in the United Kingdom

2009 ◽  
Vol 19 (2) ◽  
pp. 119-134 ◽  
Author(s):  
Ajit Shah
Keyword(s):  
United Kingdom ◽  
Mental Disorders ◽  
Older People ◽  
Ethnic Minority ◽  
Old Age ◽  
Secondary Care ◽  
Minority Groups ◽  
Psychiatric Morbidity ◽  
Ethnic Minority Groups ◽  
The United Kingdom

SummaryThis review examines the demographic changes, the epidemiology of mental disorders and suicides, the potential risk and protective factors, access to secondary care old age psychiatry services (OAPSs) and the policy context pertaining to older people from ethnic minority groups in the United Kingdom. The number of older people from ethnic minority groups is increasing. The prevalence of mental disorders in older people from ethnic minority groups is either similar to or higher than that in the indigenous population. Therefore, the number of older people from ethnic minority groups with psychiatric morbidity is also increasing. Ethnic minority older people also have inequity of access to secondary care OAPSs. There is an urgent need to develop and implement practical strategies to improve access by older people from ethnic minority groups to OAPSs.

The Recruitment and Retention of Members of Black and other Ethnic Minority Groups to NHS Research Ethics Committees in the United Kingdom

2005 ◽  
Vol 1 (1) ◽  
pp. 27-31 ◽  
Author(s):  
Babatunde A. Gbolade
Keyword(s):  
United Kingdom ◽  
Ethnic Minority ◽  
Research Ethics ◽  
Minority Groups ◽  
Ethics Committees ◽  
Research Ethics Committees ◽  
Ethnic Minority Groups ◽  
Recruitment And Retention ◽  
Ethical Implications ◽  
The United Kingdom

The publication ‘Governance arrangements for NHS Research Ethics Committees’ is clear in its recommendations about the composition of National Health Service research ethics committees in the United Kingdom. It highlights the need for a sufficiently broad range of experience and expertise, balanced age and gender distribution and every effort to be made to recruit members from black and ethnic minority backgrounds, as well as people with disabilities. It was considered that this composition would make it possible for the scientific, clinical and methodological aspects of a research proposal to be reconciled with the welfare of research participants, and with broader ethical implications. Black and other ethnic minorities constitute 7.9 per cent of the UK population. Ideally, in any research ethics committee with a maximum of 18 members, at least one would be a member of the black or other ethnic minority groups. However, this does not appear to be the case; some committees having more than one, while most do not have any. This paper looks at the present position and suggests ways of improving recruitment and retention of members of these groups.

scholarly journals 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

2021 ◽  
pp. 1-8
Author(s):  
Gargie Ahmad ◽  
Sally McManus ◽  
Claudia Cooper ◽  
Stephani L. Hatch ◽  
Jayati Das-Munshi
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Ethnic Minority ◽  
Odds Ratio ◽  
Minority Groups ◽  
Common Mental Disorders ◽  
Psychiatric Morbidity ◽  
Ethnic Minority Groups ◽  
Antidepressant Use ◽  
Over Time

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.

scholarly journals Racial discrimination and covid-19 vaccine uptake: is mistrust of the health service behind vaccine refusal?

2021 ◽  
Author(s):  
Elise Paul ◽  
Daisy Fancourt ◽  
Mohammad Razai
Keyword(s):  
Health Service ◽  
Ethnic Minority ◽  
Minority Groups ◽  
Ethnic Discrimination ◽  
Vaccine Uptake ◽  
Vaccine Hesitancy ◽  
Medical Setting ◽  
Ethnic Minority Groups ◽  
Vaccine Refusal ◽  
Racial Ethnic

Objectives To assess the role of racial and ethnic discrimination in determining covid-19 vaccine refusal in ethnic minority groups. Design Population based cohort study. Setting Survey data from the University College London COVID-19 Social Study. Participants Data from 633 adults belonging to ethnic minority groups who took part in the study from 23 July 2020 to 14 June 2021 were included. Experiences of racial/ethnic discrimination occurring since the start of the first lockdown were collected in the last week of July 2020. Structural equation modelling was used to model the direct effect of racial/ethnic discrimination on covid-19 vaccine refusal, as well as the indirect effects through low trust in the central UK government and the UK health service to handle the pandemic. The model adjusted for a range of demographic and covid-19-related covariates. Main outcome measures Data on covid-19 vaccination status was collected from 23 December 2020 to 14 June 2021 and operationalised as having had or agreed to have at least one dose versus having been offered but turned it down (refusal). Results Nearly one in ten (6.7%) who had refused a covid-19 vaccine reported having experienced racial/ethnic discrimination in a medical setting since the start of the pandemic and had experienced twice as many incidents of racial/ethnic discrimination than those who had accepted the vaccine. The total effect of racial/ethnic discrimination on refusing a covid-19 vaccine was nearly 4-fold (odds ratio [OR] = 3.9, 95% confidence interval [CI] = 1.4 to 10.9) and was mediated by low trust in the health system to handle the pandemic (indirect effect: OR = 2.5, 95% CI = 1.1 to 5.4). Conclusions Findings underscore the importance of addressing racial/ethnic discrimination in order to increase covid-19 vaccine uptake amongst ethnic minority adults. The results also highlight the crucial role the National Health Service must play in regaining trust from ethnic minority groups in order to overcome vaccine hesitancy.

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