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Ethnic disparities in the use of seclusion for adult psychiatric inpatients in New Zealand.

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  • معلومة اضافية
    • المصدر:
      Publisher: Pasifika Medical Association Group Country of Publication: New Zealand NLM ID: 0401067 Publication Model: Electronic Cited Medium: Internet ISSN: 1175-8716 (Electronic) Linking ISSN: 00288446 NLM ISO Abbreviation: N Z Med J Subsets: MEDLINE
    • بيانات النشر:
      Publication: 2022- : Auckland : Pasifika Medical Association Group
      Original Publication: Wellington : New Zealand Medical Association
    • الموضوع:
      Health Services Accessibility* ; Health Status Disparities*; Inpatients/*psychology ; Mental Disorders/*ethnology ; Patient Admission/*statistics & numerical data; Adolescent ; Adult ; Age Distribution ; Aged ; Aged, 80 and over ; Female ; Humans ; Male ; Mental Disorders/classification ; Middle Aged ; Multivariate Analysis ; Native Hawaiian or Other Pacific Islander ; New Zealand/epidemiology ; Regression Analysis ; Sex Distribution ; Socioeconomic Factors ; Young Adult
    • نبذة مختصرة :
      Aim: This study aims to investigate disparities in seclusion between Māori and non-Māori non-Pacific (nMnP) adults in mental health inpatient units in New Zealand.
      Method: This study uses data on 7,239 inpatient psychiatric admissions and 782 seclusion events for nine district health boards (servicing 39% of the New Zealand population) for the period 1 July 2008 to 30 June 2010, from a New Zealand Ministry of Health dataset (PRIMHD). We calculate the age-standardised rates of seclusion per monthly inpatient admissions. Regression modelling of seclusion event rate ratios for Māori compared to nMnP adjusted for age, gender, socioeconomic deprivation (NZDep2006), legal status, referral pathway and diagnosis.
      Results: Māori psychiatric inpatients are 39% more likely to experience a seclusion episode than nMnP adults in New Zealand. Important contributors to the disparity in seclusion rates between Māori and nMnP were age and legal status on admission. Adjustment for a range of demographic and admission variables accounted for part of the measured disparity between Māori and nMnP (RR 1.33, fully adjusted).
      Conclusions: To reduce seclusion use for Māori, community mental health services responsive to Māori needs are required to prevent the need for inpatient admission, and reduce the acuity of illness where admission is required.
      Competing Interests: All authors report grants from Te Pou o Te Whakaaro Nui during the conduct of the study.
    • الموضوع:
      Date Created: 20170428 Date Completed: 20170502 Latest Revision: 20211204
    • الموضوع:
      20240628
    • الرقم المعرف:
      28449014