Ethnic inequalities in multiple comorbidities among people with psychosis
Introduction Studies have shown ethnic inequalities in health, with a higher incidence of illnesses among people of some minoritised ethnic groups. Furthermore, it has been observed that people with severe mental illnesses have a higher risk for multimorbidity. However, no study has investigated et...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-06-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933822008641/type/journal_article |
| _version_ | 1797616916663107584 |
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| author | D. Fonseca De Freitas M. Khondoker J. Nazroo R. Hayes K. Bhui |
| author_facet | D. Fonseca De Freitas M. Khondoker J. Nazroo R. Hayes K. Bhui |
| author_sort | D. Fonseca De Freitas |
| collection | DOAJ |
| description |
Introduction
Studies have shown ethnic inequalities in health, with a higher incidence of illnesses among people of some minoritised ethnic groups. Furthermore, it has been observed that people with severe mental illnesses have a higher risk for multimorbidity. However, no study has investigated ethnic disparities in comorbidity in people with a schizophrenia spectrum disorder.
Objectives
This study investigates potential ethnic disparities in physical health comorbidity in a cohort of people with psychosis.
Methods
Using a cross-sectional design, we identified service-users of the South London and Maudsley NHS Trust who were diagnosed with a schizophrenia spectrum disorder between 2007 and 2020. We assessed the prevalence of asthma, bronchitis, diabetes, hypertension, low blood pressure, overweight or obesity, and rheumatoid arthritis. Latent class analyses were used to investigate distinct profiles of comorbidity. Multinomial regression was then used to investigate ethnic disparities in these profiles. The regression model was adjusted for gender, age, neighbourhood deprivation, smoking and duration of care.
Results
On a sample of 23,418 service-users with psychosis, we identified two classes of comorbidity: low comorbidity and multiple comorbidities. Compared to the White British ethnicity, a higher risk for multiple comorbidities was observed for people with any Black background, Indian, Pakistani, Asian British, and mixed-race ethnicities. Furthermore, Black African women had a significantly higher risk for multiple comorbidities than their male counterparts.
Conclusions
Ethnic disparities are observed in multiple comorbidities among people with psychosis. Further research is needed to understand the impact of these disparities, especially in relation to mortality.
Disclosure
No significant relationships.
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| first_indexed | 2024-03-11T07:48:03Z |
| format | Article |
| id | doaj.art-3d38aa68911f4c4da09eb7066d73f522 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:48:03Z |
| publishDate | 2022-06-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-3d38aa68911f4c4da09eb7066d73f5222023-11-17T05:07:14ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S340S34010.1192/j.eurpsy.2022.864Ethnic inequalities in multiple comorbidities among people with psychosisD. Fonseca De Freitas0M. Khondoker1J. Nazroo2R. Hayes3K. Bhui4Institute of Psychiatry, Psychology & Neuroscience, King’s College London, Psychological Medicine, London, United KingdomUniversity of East Anglia, Norwich Medical School, Norwich, United KingdomUniversity of Manchester, School Of Social Sciences, Manchester, United KingdomInstitute of Psychiatry, Psychology, and Neuroscience, King’s College London, Department Of Psychological Medicine, London, United KingdomUniversiy of Oxford, Dept Of Psychiatry And Nuffield Dept Of Primary Care Health Sciences, Oxford, United Kingdom Introduction Studies have shown ethnic inequalities in health, with a higher incidence of illnesses among people of some minoritised ethnic groups. Furthermore, it has been observed that people with severe mental illnesses have a higher risk for multimorbidity. However, no study has investigated ethnic disparities in comorbidity in people with a schizophrenia spectrum disorder. Objectives This study investigates potential ethnic disparities in physical health comorbidity in a cohort of people with psychosis. Methods Using a cross-sectional design, we identified service-users of the South London and Maudsley NHS Trust who were diagnosed with a schizophrenia spectrum disorder between 2007 and 2020. We assessed the prevalence of asthma, bronchitis, diabetes, hypertension, low blood pressure, overweight or obesity, and rheumatoid arthritis. Latent class analyses were used to investigate distinct profiles of comorbidity. Multinomial regression was then used to investigate ethnic disparities in these profiles. The regression model was adjusted for gender, age, neighbourhood deprivation, smoking and duration of care. Results On a sample of 23,418 service-users with psychosis, we identified two classes of comorbidity: low comorbidity and multiple comorbidities. Compared to the White British ethnicity, a higher risk for multiple comorbidities was observed for people with any Black background, Indian, Pakistani, Asian British, and mixed-race ethnicities. Furthermore, Black African women had a significantly higher risk for multiple comorbidities than their male counterparts. Conclusions Ethnic disparities are observed in multiple comorbidities among people with psychosis. Further research is needed to understand the impact of these disparities, especially in relation to mortality. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822008641/type/journal_articlemultimorbidityPsychosishealth inequalitiesethnicity |
| spellingShingle | D. Fonseca De Freitas M. Khondoker J. Nazroo R. Hayes K. Bhui Ethnic inequalities in multiple comorbidities among people with psychosis European Psychiatry multimorbidity Psychosis health inequalities ethnicity |
| title | Ethnic inequalities in multiple comorbidities among people with psychosis |
| title_full | Ethnic inequalities in multiple comorbidities among people with psychosis |
| title_fullStr | Ethnic inequalities in multiple comorbidities among people with psychosis |
| title_full_unstemmed | Ethnic inequalities in multiple comorbidities among people with psychosis |
| title_short | Ethnic inequalities in multiple comorbidities among people with psychosis |
| title_sort | ethnic inequalities in multiple comorbidities among people with psychosis |
| topic | multimorbidity Psychosis health inequalities ethnicity |
| url | https://www.cambridge.org/core/product/identifier/S0924933822008641/type/journal_article |
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