Durbin Anna, Rudoler David, Durbin Janet, Laporte Audrey, Callaghan Russell C
Faculty of Medicine, Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada,
J Immigr Minor Health. 2014 Dec;16(6):1025-34. doi: 10.1007/s10903-013-9831-7.
According to international research African-Caribbean and Black African populations have increased risk of hospitalization for schizophrenia, compared to Whites. Less is known about admission risk for other racial-ethnic groups. This study investigated racial-ethnic differences in hospital admission for schizophrenia in California. It also investigated the influence of area social factors (racial-ethnic neighborhood composition, and per capita income) and health service factors (presence of primary care clinics). The study sample included individuals admitted to a California hospital during 1990-2005 with a primary appendicitis related diagnosis, and without a prior or concurrent indication of schizophrenia. The adjusted logistic model examined how patient racial-ethnicity (White, Black, Hispanic, Other), other personal, area social characteristics and presence of primary care clinics influenced hospital admissions for schizophrenia. Black individuals were almost twice as likely as Whites to be admitted while Hispanics and Other race individuals were less to be admitted. In addition, male sex, having more comorbidities and living in areas with greater proportions of non-Whites increased risk. The increased risk for Blacks compared to Whites was consistent with the existing literature. However, this is among the first studies to report that Hispanics had a reduced risk of admission for schizophrenia, compared to Whites. Future studies may want to include a broader range of health services to better understand patterns of care use among individuals with schizophrenia.
根据国际研究，与白人相比，非裔加勒比人和非洲黑人患精神分裂症住院的风险更高。对于其他种族群体的入院风险了解较少。本研究调查了加利福尼亚州精神分裂症住院患者的种族差异。它还调查了地区社会因素（种族邻里构成和人均收入）和卫生服务因素（初级保健诊所的存在）的影响。研究样本包括1990年至2005年期间入住加利福尼亚州一家医院、主要诊断为阑尾炎且无精神分裂症既往或并发指征的个体。调整后的逻辑模型研究了患者种族（白人、黑人、西班牙裔、其他）、其他个人、地区社会特征以及初级保健诊所的存在如何影响精神分裂症的住院情况。黑人入院的可能性几乎是白人的两倍，而西班牙裔和其他种族个体入院的可能性较小。此外，男性、患有更多合并症以及生活在非白人比例更高的地区会增加风险。与白人相比，黑人风险增加与现有文献一致。然而，这是首批报告西班牙裔患精神分裂症入院风险低于白人的研究之一。未来的研究可能希望纳入更广泛的卫生服务，以更好地了解精神分裂症患者的护理使用模式。
