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Ethnic inequalities in the use of secondary and tertiary mental health services among patients with obsessive–compulsive disorder

  • Lorena Fernández de la Cruz (a1), Marta Llorens (a2), Amita Jassi (a3), Georgina Krebs (a4), Pablo Vidal-Ribas (a5), Joaquim Radua (a6), Stephani L. Hatch (a5), Dinesh Bhugra (a7), Isobel Heyman (a3), Bruce Clark (a1) and David Mataix-Cols...
Abstract
Background

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.

Aims

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.

Method

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.

Results

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%).

Conclusions

There is a clear need to understand the reasons behind such ethnic inequalities and implement measures to reduce them.

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Copyright
Corresponding author
Lorena Fernández de la Cruz, Department of Clinical Neuroscience, Karolinska Institutet; Child and Adolescent Research Center, Gävlegatan, 22 (Entré B), Floor 8, SE-11330, Stockholm, Sweden. Email: lorena.fernandez.de.la.cruz@ki.se
Footnotes
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Declaration of interest

None.

Footnotes
References
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Ethnic inequalities in the use of secondary and tertiary mental health services among patients with obsessive–compulsive disorder

  • Lorena Fernández de la Cruz (a1), Marta Llorens (a2), Amita Jassi (a3), Georgina Krebs (a4), Pablo Vidal-Ribas (a5), Joaquim Radua (a6), Stephani L. Hatch (a5), Dinesh Bhugra (a7), Isobel Heyman (a3), Bruce Clark (a1) and David Mataix-Cols...
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