First-generation migrants’ use of psychotropic medication in Northern Ireland: a record linkage study

Tania J. Bosqui , Dermot O’Reilly , Ari Väänänen , Kishan Patel , Michael Donnelly , David Wright , Ciara Close , Anne Kouvonen Piotrowska

Abstract

Purpose There is a recent and growing migrant population in Northern Ireland. However, rigorous research is absent regarding access to mental health care by different migrant groups. In order to address this knowledge gap, this study aimed to identify the relative use of psychotropic medication between the largest first generation migrant groups in Northern Ireland and the majority population. Methods Census (2011) data was linked to psychotropic prescriptions for the entire enumerated population of Northern Ireland using data linkage methodology through the Administrative Data Research Centre Northern Ireland (ADRC-NI). Results Lower prescription dispensation for all psychotropic medication types, particularly antidepressants (OR = 0.35, CI 95% 0.33–0.36) and anxiolytics (OR = 0.42, CI 95% 0.40–0.44), was observed for all migrant groups with the exception of migrants from Germany. Conclusions It is likely that the results reflect poorer access to services and indicate a need to improve access and the match between resources, services and the health and social care needs of migrants. Further research is required to identify barriers to accessing primary care and mental health services.
Author Tania J. Bosqui
Tania J. Bosqui,,
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, Dermot O’Reilly
Dermot O’Reilly,,
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, Ari Väänänen
Ari Väänänen,,
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, Kishan Patel
Kishan Patel,,
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, Michael Donnelly
Michael Donnelly,,
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, David Wright
David Wright,,
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, Ciara Close
Ciara Close,,
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, Anne Kouvonen Piotrowska (Filia we Wrocławiu)
Anne Kouvonen Piotrowska,,
- Filia we Wrocławiu
Journal seriesInternational Journal of Mental Health Systems, ISSN 1752-4458, (N/A 70 pkt)
Issue year2019
No13
Pages1-9
Publication size in sheets0.5
Article number77
Keywords in EnglishMental health, Migrants, Northern Ireland, Psychotropic prescription, Access
ASJC Classification2719 Health Policy; 2738 Psychiatry and Mental health; 2739 Public Health, Environmental and Occupational Health; 2921 Phychiatric Mental Health
DOIDOI:10.1186/s13033-019-0334-3
Languageen angielski
File
first_osiwadczenie.pdf 869.73 KB
First_tekst.pdf 836.53 KB
Score (nominal)70
Score sourcejournalList
Publication indicators Scopus SNIP (Source Normalised Impact per Paper): 2018 = 1.05; WoS Impact Factor: 2017 = 1.694 (2) - 2017=1.811 (5)
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