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Disparities in Access to a Regular Primary Care Physician Among First-Generation Migrants with Early Psychosis in Ontario, Canada.
- Source :
-
Community mental health journal [Community Ment Health J] 2024 Aug; Vol. 60 (6), pp. 1237-1241. Date of Electronic Publication: 2024 Apr 09. - Publication Year :
- 2024
-
Abstract
- 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.<br /> (© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
- Subjects :
- Humans
Ontario epidemiology
Female
Male
Adolescent
Adult
Young Adult
Healthcare Disparities ethnology
Healthcare Disparities statistics & numerical data
Primary Health Care statistics & numerical data
Physicians, Primary Care statistics & numerical data
Psychotic Disorders ethnology
Psychotic Disorders therapy
Health Services Accessibility statistics & numerical data
Transients and Migrants statistics & numerical data
Transients and Migrants psychology
Subjects
Details
- Language :
- English
- ISSN :
- 1573-2789
- Volume :
- 60
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Community mental health journal
- Publication Type :
- Academic Journal
- Accession number :
- 38592350
- Full Text :
- https://doi.org/10.1007/s10597-024-01266-7