Ethnic Disparities in Access to Mental Health Services for Black and Asian Migrants in Major Resettlement Countries.
Uloženo v:
| Název: | Ethnic Disparities in Access to Mental Health Services for Black and Asian Migrants in Major Resettlement Countries. |
|---|---|
| Autoři: | Ogbeiwi O; Research & Development Department, South West Yorkshire Partnership NHS Foundation Trust, Fieldhead Hospital, Wakefield, WF1 3SP, UK. osahonjio@yahoo.co.uk., Ilyas A; Research & Development Department, South West Yorkshire Partnership NHS Foundation Trust, Fieldhead Hospital, Wakefield, WF1 3SP, UK., Harper M; Research & Development Department, South West Yorkshire Partnership NHS Foundation Trust, Fieldhead Hospital, Wakefield, WF1 3SP, UK., Khan W; Research & Development Department, South West Yorkshire Partnership NHS Foundation Trust, Fieldhead Hospital, Wakefield, WF1 3SP, UK. |
| Zdroj: | Journal of racial and ethnic health disparities [J Racial Ethn Health Disparities] 2025 Dec; Vol. 12 (6), pp. 3676-3688. Date of Electronic Publication: 2024 Sep 05. |
| Způsob vydávání: | Journal Article; Systematic Review |
| Jazyk: | English |
| Informace o časopise: | Publisher: Springer International Publishing Country of Publication: Switzerland NLM ID: 101628476 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2196-8837 (Electronic) Linking ISSN: 21968837 NLM ISO Abbreviation: J Racial Ethn Health Disparities Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: [Cham] : Springer International Publishing |
| Výrazy ze slovníku MeSH: | Asian People*/psychology , Asian People*/statistics & numerical data , Black People*/statistics & numerical data , Black People*/psychology , Health Services Accessibility*/statistics & numerical data , Healthcare Disparities*/ethnology , Mental Health Services*/statistics & numerical data , Transients and Migrants*/psychology , Transients and Migrants*/statistics & numerical data, Humans ; Mental Disorders/ethnology ; Mental Disorders/therapy |
| Abstrakt: | Competing Interests: Declarations. Conflict of Interest: The authors declare no competing interests. Ethnic inequalities in high-income countries result in higher risk of mental illness and lower access to healthcare services for migrant populations than the majority White populations. This literature review examined evidence of the responsible barriers. A systematic search of six databases (Psychology and Behavioral Sciences Collection; eBook Collection [EBSCOhost]; CINAHL; GreenFILE; Library, Information Science & Technology Abstracts; and MEDLINE) was done using search terms. Eighteen recent, locally accessible studies conducted in six major resettlement countries were selected following PRISMA guidelines and the extracted evidence was analysed descriptively and thematically. Three main themes of ethnic mental health differentials of Black and Asian migrants were identified: access to services (13 studies), risk of mental illness (7 studies), and experience of care services (7 studies). Their access disparities revealed migrants suffer inequalities in service utilisation (5 studies) and greater obstacles to receiving care (8 studies). Their higher risk of mental illness was related to over-diagnosis of psychosis (2 studies), higher prevalence (4 studies), and exposure to predisposing factors (3 studies). Migrants experienced poorer quality and outcomes of care (3 studies), and use of restraint (2 studies) and seclusion (1 study) and expressed fear and mistrust of services (2 studies). The common ethnic barriers in service delivery were language and cultural difficulties, systemic discrimination and marginalisation, and social stigmatisation. It is proposed that systemic racism as well as communication and cultural difficulties are the core determinants of migrants' ethnic disparities of accessing mental health services in these major host countries. (© 2024. W. Montague Cobb-NMA Health Institute.) |
| References: | Schofield P, Kordowicz M, Pennycooke E, Armstrong D. Ethnic differences in psychosis-Lay epidemiology explanations. Health Expect. 2019;2019(22):965–73. https://doi.org/10.1111/hex.12901 . (PMID: 10.1111/hex.12901) Allen J, Balfour R, Bell R, Marmot M. Social determinants of mental health. Int Rev Psychiatry. 2014;26(4):392–408. https://doi.org/10.3109/09540261.2014.928270 . (PMID: 10.3109/09540261.2014.92827025137105) Ahmad G, McManus S, Cooper C, Hatch SL, Das-Munshi J. 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. Br J Psychiatry. 2021;2021:1–8. https://doi.org/10.1192/bjp.2021.179 . (PMID: 10.1192/bjp.2021.179) Moore D, Castagnini E, Mifsud N, Geros H, Sizer H, Addington J, van der Gaag M, Nelson B, McGorry P, O’Donoghue B. The associations between migrant status and ethnicity and the identification of individuals at ultra-high risk for psychosis and transition to psychosis: a systematic review. Soc Psychiatry Psychiatr Epidemiol. 2021;56(11):1923. https://doi.org/10.1007/s00127-021-02047-3 . (PMID: 10.1007/s00127-021-02047-333641006) Khanal KP, Anagnostopoulou N, Aleksic B, Anagnostopoulos DC, Skokauskas N. Strengthening CAMHS and reducing child and adolescent mental health inequalities in Europe. Eur Child Adolesc Psychiatry. 2021;30(9):1479–83. https://doi.org/10.1007/s00787-021-01788-5 . (PMID: 10.1007/s00787-021-01788-533983459) Stare, BG., & Fernando, DM. Black American men’s treatment experiences in mental health court: a phenomenological analysis. J Addict Offend Counsel Apr. 2019;40(1):17–35.19p. https://doi.org/10.1002/jaoc.12054. DeSa S, Gebremeskel AT, Omonaiye O, Yaya S. Barriers and facilitators to access mental health services among refugee women in high-income countries: a systematic review. Syst Rev. 2022;11:62. https://doi.org/10.1186/s13643-022-01936-1 . (PMID: 10.1186/s13643-022-01936-1353876808985267) Jankovic, J., Parsons, J., Jovanović, N., Berrisford, G., Copello, A., Fazil, Q., & Priebe, S. Differences in access and utilisation of mental health services in the perinatal period for women from Black and Asian-a population-based study. BMC Medicine. 2020;18:245. https://doi.org/10.1186/s12916-020-01711-w . Voglino G, Gualano MR, Lo Moro G, Forghieri P, Caprioli M, Elhadidy HSMA, Bert F, Siliquini R. Mental health and discrimination among migrants from Africa: an Italian cross-sectional study. J Community Psychol. 2022;50:601–19. https://doi.org/10.1002/jcop.22685 . (PMID: 10.1002/jcop.2268534380179) Misra S, Jackson VW, Chong J, Choe K, Tay C, Wong J, Yang LH. Systematic review of cultural aspects of stigma and mental illness among racial and ethnic minority groups in the United States: implications for interventions. Am J Community Psychol. 2021;2021:1–27. https://doi.org/10.1002/ajcp.12516 . (PMID: 10.1002/ajcp.12516) Rivera JMB, Puyat JH, Wiedmeyer ML, Lavergne MR. Primary care and access to mental health consultations among immigrants and nonimmigrants with mood or anxiety disorders: Soins de première ligne et accès aux consultations en santé mentale chez les immigrants et les non-immigrants souffrant de troubles de l’humeur ou anxieux. Can J Psychiatry / La Rev Can Psychiatr. 2021;66(6):540–50. https://doi.org/10.1177/0706743720952234 . (PMID: 10.1177/0706743720952234) Turner, N., Hastings, JF., & Neighbors, HW. Mental health care treatment seeking among African Americans and Caribbean Blacks: what is the role of religiosity/spirituality? Aging & Mental Health. 2019;23(7):905–911. https://doi.org/10.1080/13607863.2018.1453484. Brandow, CL., & Swarbrick, M. (2021). Improving Black mental health: a collective call to action. Psychiatric services (Washington, D.C.). https://doi.org/10.1176/appi.ps.202000894. Brar-Josan N, Yohani SC. Cultural brokers’ role in facilitating informal and formal mental health supports for refugee youth in school and community context: a Canadian case study. Br J Guid Couns. 2019;47(4):512–24. https://doi.org/10.1080/03069885.2017.1403010 . (PMID: 10.1080/03069885.2017.1403010) Bateman T. Review of minority ethnic over-representation in the criminal justice system in England and Wales recommends that the government introduce a principle of ‘Explain of Reform.’ Youth Justice News. 2018;18(1):96–107. https://doi.org/10.1177/1473225418760599 . (PMID: 10.1177/1473225418760599) Arora PG, Khoo O. Sources of stress and barriers to mental health service use among Asian immigrant-origin youth: a qualitative exploration. J Child Fam Stud. 2020;29(9):2590–602. https://doi.org/10.1007/s10826-020-01765-7 . (PMID: 10.1007/s10826-020-01765-7) Rehman Z, Jaspal R, Fish J. Service provider perspectives of minority stress among Black, Asian and Minority Ethnic lesbian, gay and bisexual people in the UK. J Homosex. 2021;68(14):2551. https://doi.org/10.1080/00918369.2020.1804256 . (PMID: 10.1080/00918369.2020.180425632924868) Webster, J., Watson, RT. (2002). Analyzing the past to prepare for the future: writing a literature review, Management Information Systems Quarterly, 26 (2): pp. xiii-xxiii. Synder H. Literature review as a research methodology: an overview and guidelines. J Bus Res. 2019;104(2019):333–9. https://doi.org/10.1016/j.jbusres.2019.07.039 . (PMID: 10.1016/j.jbusres.2019.07.039) Rhead RD, Woodhead C, Ahmad G, Das-Munshi J, McManus S, Hatch SL. A comparison of single and intersectional social identities associated with discrimination and mental health service use: data from the 2014 Adult Psychiatric Morbidity Survey in England. Soc Psychiatry Psychiatr Epidemiol. 2022. https://doi.org/10.1007/s00127-022-02259-1 . (PMID: 10.1007/s00127-022-02259-1352544509477952) Geros H, Sizer H, Mifsud N, Reynolds S, Kim DJ, Eaton S, McGorry P, Nelson B, O’Donoghue B. Migrant status and identification as ultra-high risk for psychosis and transitioning to a psychotic disorder. Acta Psychiatr Scand. 2020;141:52–9. https://doi.org/10.1111/acps.13099 . (PMID: 10.1111/acps.1309931520527) Terhaag S, Fitzsimons E, Daraganova G, Patalay P. Sex, ethnic and socioeconomic inequalities and trajectories in child and adolescent mental health in Australia and the UK: findings from national prospective longitudinal studies. J Child Psychol Psychiatry. 2021;62(10):1255–67. https://doi.org/10.1111/jcpp.13410 . (PMID: 10.1111/jcpp.1341033948953) Erdem Ö, Riva E, Prins RG, Burdorf A, Van der Doef M. Health-related behaviours mediate the relation between ethnicity and (mental) health in the Netherlands. Ethn Health. 2019;24(3):287–300. https://doi.org/10.1080/13557858.2017.1346181 . (PMID: 10.1080/13557858.2017.134618128678531) Lim E, Gandhi K, Siriwardhana C, Davis J, Chen JJ. Racial and ethnic differences in mental health service utilization among the Hawaii Medicaid population. J Ment Health. 2019;28(5):536–45. https://doi.org/10.1080/09638237.2018.1521917 . (PMID: 10.1080/09638237.2018.152191730417731) Payne-Gill J, Whitfield C, Beck A. The relationship between ethnic background and the use of restrictive practices to manage incidents of violence or aggression in psychiatric inpatient settings. Int J Ment Health Nurs. 2021;30:1221–31. https://doi.org/10.1111/inm.12873bs_bs_banner . (PMID: 10.1111/inm.12873bs_bs_banner341801289292244) Johnson MH, McNeish R, Vargo AC. Exploring ethnic differences in caregiver perceptions of the quality of children’s mental health care. J Child Fam Stud. 2020;2020(29):2552–67. https://doi.org/10.1007/s10826-020-01750-0 . (PMID: 10.1007/s10826-020-01750-0) Lopez AM, Thomann M, Dhatt Z, Ferrera J, Al-Nassir M, Ambrose M, Sullivan S. Understanding racial inequities in the implementation of harm reduction initiatives. Am J Public Health. 2022;112(S2):S173–81. https://doi.org/10.2105/AJPH.2022.306767 . (PMID: 10.2105/AJPH.2022.306767353493118965181) Yasmin-Qureshi S, Ledwith S. Beyond the barriers: South Asian women’s experience of accessing and receiving psychological therapy in primary care. J Public Ment Health. 2021;20(1):3–14. https://doi.org/10.1108/JPMH-06-2020-0058 . (PMID: 10.1108/JPMH-06-2020-0058) Eisenberg, D., Downs, MF., Golberstein, E. & Zivin, K. (2009) Stigma and help seeking for mental health among college students. Medical Care Research and Review: MCRR, 66(5), 522–541. (Cited in Misra et al, 2021). Murry, VM., Heflinger, CA., Suiter, SV. & Brody, GH. Examining perceptions about mental health care and help-seeking among rural African American families of adolescents. J Youth Adolesc. 2011;40(9):1118–1131. (Cited in Misra et al, 2021). Jones LV, Hopson L, Warner L, Hardiman ER James T (2015) A qualitative study of Black women’s experiences in drug abuse and mental health services. Affilia, 30(1), 68–82. (Cited in Misra et al, 2021). Hines-Martin V, Malone M, Kim S Brown-Piper A (2003) Barriers to mental health care access in an African American population. Issues Ment Health Nurs, 24(3), 237–256. (Cited in Misra et al, 2021). Weng, SS. & Spaulding-Givens, J. (2017) Strategies for working with Asian Americans in mental health: Community members’ policy perspectives and recommendations. Admini Policy In Mental Health, 44(5), 771–781. (Cited in Misra et al, 2021). McCrone P, Bhui K, Craig T, Mohamud S, Warfa N, Stansfeld S, Thornicroft G, Curtis S. Mental Health Needs, Service Use and Costs among Somali Refugees in the UK. Acta Psychiatr Scand. 2005;111(5):351–7. (PMID: 10.1111/j.1600-0447.2004.00494.x15819728) Creswell JW. Research design: qualitative, quantitative, and mixed methods approaches. Thousand Oaks, CA: Sage; 2014. |
| Contributed Indexing: | Keywords: Barriers; Disparities; Ethnicity; Mental health; Migrants; Racism |
| Entry Date(s): | Date Created: 20240905 Date Completed: 20251124 Latest Revision: 20251201 |
| Update Code: | 20251201 |
| DOI: | 10.1007/s40615-024-02168-w |
| PMID: | 39235711 |
| Databáze: | MEDLINE |
Full Text Finder 
Nájsť tento článok vo Web of Science | Abstrakt: | Competing Interests: Declarations. Conflict of Interest: The authors declare no competing interests.<br />Ethnic inequalities in high-income countries result in higher risk of mental illness and lower access to healthcare services for migrant populations than the majority White populations. This literature review examined evidence of the responsible barriers. A systematic search of six databases (Psychology and Behavioral Sciences Collection; eBook Collection [EBSCOhost]; CINAHL; GreenFILE; Library, Information Science & Technology Abstracts; and MEDLINE) was done using search terms. Eighteen recent, locally accessible studies conducted in six major resettlement countries were selected following PRISMA guidelines and the extracted evidence was analysed descriptively and thematically. Three main themes of ethnic mental health differentials of Black and Asian migrants were identified: access to services (13 studies), risk of mental illness (7 studies), and experience of care services (7 studies). Their access disparities revealed migrants suffer inequalities in service utilisation (5 studies) and greater obstacles to receiving care (8 studies). Their higher risk of mental illness was related to over-diagnosis of psychosis (2 studies), higher prevalence (4 studies), and exposure to predisposing factors (3 studies). Migrants experienced poorer quality and outcomes of care (3 studies), and use of restraint (2 studies) and seclusion (1 study) and expressed fear and mistrust of services (2 studies). The common ethnic barriers in service delivery were language and cultural difficulties, systemic discrimination and marginalisation, and social stigmatisation. It is proposed that systemic racism as well as communication and cultural difficulties are the core determinants of migrants' ethnic disparities of accessing mental health services in these major host countries.<br /> (© 2024. W. Montague Cobb-NMA Health Institute.) |
|---|---|
| ISSN: | 2196-8837 |
| DOI: | 10.1007/s40615-024-02168-w |