Ethnic disparity in access to the memory assessment service between South Asian and white British older adults in the United Kingdom: A cohort study
| Autor: | Zoë Turner, Javid Khalique, John R.F. Gladman, Adam L. Gordon, Neil H Chadborn, Giulia Ogliari |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Mental Health Services Gerontology medicine.medical_specialty Referral common Ethnic group Health Services Accessibility White People Cohort Studies 03 medical and health sciences 0302 clinical medicine Asian People Memory Ethnicity Humans Medicine Healthcare Disparities Referral and Consultation Asia Southeastern Aged Language Aged 80 and over Transients and Migrants 030214 geriatrics business.industry Public health common.demographic_type Odds ratio Mental health United Kingdom Psychiatry and Mental health Cohort Female Geriatrics and Gerontology business White British Cohort study |
| Zdroj: | International Journal of Geriatric Psychiatry. 35:507-515 |
| ISSN: | 1099-1166 0885-6230 |
| DOI: | 10.1002/gps.5263 |
| Popis: | BACKGROUND Equality of access to memory assessment services by older adults from ethnic minorities is both an ethical imperative and a public health priority. OBJECTIVE To investigate whether timeliness of access to memory assessment service differs between older people of white British and South Asian ethnicity. DESIGN Longitudinal cohort. SETTING Nottingham Memory Study; outpatient secondary mental healthcare. SUBJECTS Our cohort comprised 3654 white British and 32 South Asian older outpatients. METHODS The criterion for timely access to memory assessment service was set at 90 days from referral. Relationships between ethnicity and likelihood of timely access to memory assessment service were analysed using binary logistic regression. Analyses were adjusted for socio-demographic factors, deprivation and previous access to rapid response mental health services. RESULTS Among white British outpatients, 2272 people (62.2%) achieved timely access to memory assessment service. Among South Asian outpatients, fourteen people (43.8%) achieved timely access to memory assessment service. After full adjustment, South Asian outpatients had a 0.47-fold reduced likelihood of timely access, compared to white British outpatients (odds ratio 0.47, 95% confidence interval 0.23-0.95, P value = .035). The difference became non-significant when restricting analyses to outpatients reporting British nationality or English as first language. Older age, lower index of deprivation and previous access to rapid response mental health services were associated with reduced likelihood of timely access, while gender was not. CONCLUSIONS In a UK mental healthcare service, older South Asian outpatients are less likely to access dementia diagnostic services in a timely way, compared to white British outpatients. |
| Databáze: | OpenAIRE |
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