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

Tania Bosqui, Dermot O'Reilly, Ari Väänänen, Kishan Patel, Michael Donnelly, David Wright, Ciara Close, Anne Kouvonen

Research output: Contribution to journalArticle

15 Downloads (Pure)

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.

Original languageEnglish
Pages (from-to)77
JournalInternational journal of mental health systems
Volume13
DOIs
Publication statusPublished - 28 Dec 2019

Fingerprint

Northern Ireland
Prescriptions
Research
Population
Health Services Accessibility
Information Storage and Retrieval
Anti-Anxiety Agents
Mental Health Services
Censuses
Social Work
Antidepressive Agents
Germany
Primary Health Care
Mental Health
Delivery of Health Care

Bibliographical note

© The Author(s) 2019.

Cite this

@article{835953618e36494f9fcc51f3b4955a1b,
title = "First-generation migrants' use of psychotropic medication in Northern Ireland a record linkage study",
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 Bosqui and Dermot O'Reilly and Ari V{\"a}{\"a}n{\"a}nen and Kishan Patel and Michael Donnelly and David Wright and Ciara Close and Anne Kouvonen",
note = "{\circledC} The Author(s) 2019.",
year = "2019",
month = "12",
day = "28",
doi = "10.1186/s13033-019-0334-3",
language = "English",
volume = "13",
pages = "77",
journal = "International journal of mental health systems",
issn = "1752-4458",

}

TY - JOUR

T1 - First-generation migrants' use of psychotropic medication in Northern Ireland a record linkage study

AU - Bosqui, Tania

AU - O'Reilly, Dermot

AU - Väänänen, Ari

AU - Patel, Kishan

AU - Donnelly, Michael

AU - Wright, David

AU - Close, Ciara

AU - Kouvonen, Anne

N1 - © The Author(s) 2019.

PY - 2019/12/28

Y1 - 2019/12/28

N2 - 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.

AB - 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.

U2 - 10.1186/s13033-019-0334-3

DO - 10.1186/s13033-019-0334-3

M3 - Article

C2 - 31890002

VL - 13

SP - 77

JO - International journal of mental health systems

JF - International journal of mental health systems

SN - 1752-4458

ER -