Bosqui Tania, O'Reilly Dermot, Väänänen Ari, Patel Kishan, Donnelly Michael, Wright David, Close Ciara, Kouvonen Anne
1Department of Psychology, American University of Beirut, Beirut, Lebanon.
2Administrative Data Research Centre Northern Ireland, Centre for Public Health, Queen's University Belfast, Belfast, UK.
Int J Ment Health Syst. 2019 Dec 28;13:77. doi: 10.1186/s13033-019-0334-3. eCollection 2019.
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.
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).
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.
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.
北爱尔兰近期移民人口不断增加。然而，关于不同移民群体获得心理健康护理的情况，缺乏严谨的研究。为了填补这一知识空白，本研究旨在确定北爱尔兰最大的第一代移民群体与多数人口之间精神药物的相对使用情况。
通过北爱尔兰行政数据研究中心（ADRC-NI），采用数据链接方法，将2011年人口普查数据与北爱尔兰全体普查人口的精神药物处方相链接。
除来自德国的移民外，所有移民群体的所有精神药物类型，尤其是抗抑郁药（OR = 0.35，95%置信区间0.33 - 0.36）和抗焦虑药（OR = 0.42，95%置信区间0.40 - 0.44）的处方配给量较低。
结果可能反映出获得服务的机会较差，表明需要改善移民获得服务的机会，以及资源、服务与移民健康和社会护理需求之间的匹配度。需要进一步研究以确定获得初级保健和心理健康服务的障碍。
