Disparities in Access to a Regular Primary Care Physician Among First-Generation Migrants with Early Psychosis in Ontario, Canada.
Disparities in primary care utilization among migrants with early psychosis may be related to lack of access to a regular primary care physician. This study aimed to investigate access to a regular primary care physician among first-generation migrants with early psychosis. People aged 14–35 years w...
| Publicado en: | Community Mental Health Journal Vol. 60; no. 6; pp. 1237 - 1242 |
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| Autores principales: | , , , |
| Formato: | Artículo |
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Springer Nature
Aug2024
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=178066306&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 178066306 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00103853 CMH jtl: Community Mental Health Journal issn: 00103853 maglogo: N pubinfo: dt: Aug2024 vid: 60 iid: 6 pid: 237 pub: Springer Nature artinfo: ui: 178066306 10.1007/s10597-024-01266-7 ppf: 1237 ppct: 5 formats: fmt: – @attributes: type: T – @attributes: type: P size: 610KB tig: atl: Disparities in Access to a Regular Primary Care Physician Among First-Generation Migrants with Early Psychosis in Ontario, Canada. aug: au: Valdez, Crystal Rodrigues, Rebecca Reid, Jennifer Anderson, Kelly K. affil: Department of Epidemiology and Biostatistics, Schulich School of Medicine & Dentistry, London, ON, Canada ICES Western, London, ON, Canada Department of Psychiatry, Schulich School of Medicine & Dentistry, London, ON, Canada https://ror.org/02grkyz14 Department of Epidemiology and Biostatistics, The Western Centre for Public Health and Family Medicine, Western University, 1465 Richmond Street, N6G 2M1, London, ON, Canada su: Latin America Ontario Canada Health services accessibility Cross-sectional method Primary health care Migrant labor Health equity Psychoses Sociodemographic factors Psychosocial factors Research funding Descriptive statistics Confidence intervals sug: subj: Health services accessibility Cross-sectional method Primary health care Migrant labor Health equity Psychoses Sociodemographic factors Psychosocial factors Latin America Ontario Canada Research funding Descriptive statistics Confidence intervals keyword: Ethnicity Family physician Migrant Pathways to care Primary care Psychosis Ethnicity Family physician Migrant Pathways to care Primary care Psychosis ab: Disparities in primary care utilization among migrants with early psychosis may be related to lack of access to a regular primary care physician. This study aimed to investigate access to a regular primary care physician among first-generation migrants with early psychosis. People aged 14–35 years with first onset non-affective psychotic disorder in Ontario, Canada were identified in health administrative data (N = 39,440). Access to a regular primary care physician through enrollment in the year prior to diagnosis was compared between first-generation migrants (categorized by country of birth) and the general population using modified Poisson regression. Most migrant groups had a lower prevalence of regular primary care physician access relative to the general population, particularly migrants from Africa (African migrants: 81% vs. non-migrants: 89%). Adjustment for sociodemographic and clinical factors attenuated these differences, although the disparities for migrants from Africa remained (PR = 0.96, 95%CI = 0.94–0.99). Interventions aimed at improving primary care physician access in migrant groups may facilitate help-seeking and improve pathways to care in early psychosis. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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