Ethnic disparities in mental health problems in New Caledonia and French Polynesia.

Autor: Sebbane, Déborah, Wathelet, Marielle, Amadeo, Stéphane, Goodfellow, Benjamin, Roelandt, Jean-Luc, Dourgnon, Paul, Chevreul, Karine
Předmět:
SUICIDE risk factors
PSYCHIATRIC epidemiology
MENTAL illness risk factors
MENTAL depression risk factors
ALCOHOLISM risk factors
RISK assessment
ETHNIC groups
CROSS-sectional method
HEALTH services accessibility
SUBSTANCE abuse
POISSON distribution
OCCUPATIONS
INCOME
T-test (Statistics)
RECEIVER operating characteristic curves
INDIGENOUS peoples
SEX distribution
SOCIOECONOMIC factors
STATISTICAL sampling
FISHER exact test
LOGISTIC regression analysis
MULTIVARIATE analysis
AGE distribution
DISEASE prevalence
DESCRIPTIVE statistics
CHI-squared test
SURVEYS
MARITAL status
RESEARCH
RURAL conditions
STATISTICAL reliability
HEALTH equity
COMPARATIVE studies
HOMELESSNESS
PSYCHOSES
DATA analysis software
CONFIDENCE intervals
PSYCHOSOCIAL factors
EDUCATIONAL attainment
INTER-observer reliability
SOCIAL anxiety
SENSITIVITY & specificity (Statistics)
Zdroj: Australian & New Zealand Journal of Psychiatry; Nov2024, Vol. 58 Issue 11, p952-962, 11p
Abstrakt: Objectives: Indigenous people experience poorer mental health compared to the general population. Socioeconomic gaps partly explain these disparities. However, there is variability between populations and French overseas territories are understudied. This study examines the prevalence of mental health problems among Indigenous people in New Caledonia and French Polynesia, describing and comparing it with that of their counterparts while considering associated factors. Methods: We used the data from the cross-sectional Mental Health in the General Population survey in the only 3 sites for which information on indigenous status was available: Noumea (2006) and the 'Bush' (2008) in New Caledonia, and French Polynesia (2015–2017). Current mental health issues were screened using the Mini-International Neuropsychiatric Interview. In multivariable analyses, we considered the following factors: gender, age, education level, marital status, occupational activity and monthly income. Results: Overall, 2294 participants were analysed. Among the 1379 indigenous participants, 52.3% had at least one mental health issue. The prevalence of depressive disorder (18.0% vs 11.7%), alcohol use disorder (16.7% vs 11.7%) and suicide risk (22.3% vs 16.7%) were higher among indigenous participants compared to non-indigenous participants. After adjustment, the association between indigenous status and these mental health issues did not persist, except for alcohol use disorder. Conclusion: We found higher prevalence of depressive disorder, alcohol use disorder and suicide risk among indigenous people of French Polynesia and New Caledonia compared to their counterparts. These differences seemed largely explained by socioeconomic disparities. Future studies could explore the use of and access to healthcare by indigenous populations. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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