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Differences in the primary care management of patients with psychosis from two ethnic groups: a population-based cross-sectional study

Research output: Contribution to journalArticle

Original languageEnglish
Pages (from-to)439 - 446
Number of pages8
JournalFamily Practice
Volume27
Issue number4
DOIs
Publication statusPublished - 22 Mar 2010

King's Authors

Abstract

Objective. To investigate ethnic differences in the primary care management of patients with psychosis. Methods. Data were obtained from Lambeth DataNet, a database of computerized general practice case records derived from practices in an inner city London borough. We undertook a cross-sectional survey of patients with psychosis. Outcome measures: health screening, chronic disease management and prescribing data and differences between ethnic groups were expressed as odds ratios (ORs). Results. One thousand six hundred and ninety-four of 165,911 (1.02%) registered patients had a diagnosis of psychosis; 1090 (64%) had ethnicity recorded; 501 were White and 403 were Black or Black British. There were no significant ethnic differences for blood pressure, cholesterol or HbA1c monitoring or control; cervical or mammography screening; treatment with hypotensives, statins, antidepressants, lithium, antipsychotics or atypical antipsychotics. Depot injectable antipsychotics were more likely to be prescribed to Black patients than other delivery modes: OR 2.10 (95% CI: 1.20-3.67). Conclusions. Measurable aspects of physical health care of patients with psychosis were similar, regardless of ethnicity. Increased use of the depot antipsychotic medication in black patients needs further exploration.

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