Te Whatu Ora Nelson Marlborough, New Zealand.
Department of Psychological Medicine, University of Otago, Wellington, New Zealand.
Australas Psychiatry. 2023 Jun;31(3):349-352. doi: 10.1177/10398562231157246. Epub 2023 Feb 20.
To report rates of Compulsory Community Treatment Order (CTO) use by District Health Boards (DHBs) in New Zealand and analyse whether socio-demographic factors explain any variability.
The annualised rate of CTO use per 100,000 population was calculated for the years 2009-2018 using national databases. Rates were adjusted for age, gender, ethnicity, and deprivation and are reported according to DHBs to allow comparisons between regions.
The annualised rate of CTO use for New Zealand was 95.5 per 100,000 population. CTO use varied between DHBs from 53 to 184 per 100,000 population. Standardising for demographic variables and deprivation made little difference to this variation. CTO use was higher in males and young adults. Rates for Māori were more than three times that of Caucasian people. CTO use increased as deprivation became more severe.
CTO use increases with Maori ethnicity, young adulthood, and deprivation. Adjusting for socio-demographic factors does not explain the wide variation in CTO use between DHBs in New Zealand. Other regional factors appear to be the major driver of variation in CTO use.
报告新西兰地区卫生局（DHBs）使用强制性社区治疗令（CTO）的比率，并分析社会人口因素是否可以解释任何差异。
使用国家数据库计算了 2009 年至 2018 年期间每 10 万人中 CTO 使用的年化率。根据 DHBs 对年龄、性别、族裔和贫困程度进行了调整，以便对各地区进行比较。
新西兰 CTO 使用的年化率为每 10 万人 95.5 例。各 DHBs 的 CTO 使用情况在每 10 万人 53 至 184 例之间有所不同。对人口统计学变量和贫困程度进行标准化处理对这种差异影响不大。CTO 在男性和年轻成年人中的使用频率更高。毛利人的 CTO 使用比率是白种人三倍多。CTO 使用随着贫困程度的加剧而增加。
CTO 使用随着毛利族裔、年轻成年期和贫困程度的增加而增加。调整社会人口因素并不能解释新西兰 DHBs 之间 CTO 使用情况的广泛差异。其他地区因素似乎是 CTO 使用差异的主要驱动因素。
