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Comparative exposure to antipsychotic medications in immigrant and native-born populations of a Spanish health region

Published online by Cambridge University Press:  15 April 2020

I. Cruz ,
C. Serna ,
M. Rué ,
J. Real ,
L. Galván  and
J. Pifarré
I. Cruz*
Affiliation:
Catalan Health Institute, Primary Care Research Institute IDIAP J Gol, Rambla de Ferran, 44, 3, 25007, Lleida, Spain
C. Serna
Affiliation:
Regional Primary Care Management Office, Catalan Institute of Health, University of Lleida, Rambla de Ferran, 44, 3, 25007, Lleida, Spain
M. Rué
Affiliation:
University of Lleida, Montserrat Roig, 2, 25006, Lleida, Spain
J. Real
Affiliation:
Primary Care Research Institute IDIAP J Gol, Catalan Institute of Health, University of Lleida, Rambla de Ferran, 44, 3, 25007, Lleida, Spain
L. Galván
Affiliation:
Pharmaceutical Sciences, Pharmacy Unit of the Catalan Health Department, Rovira Roure, 2, 25006, Lleida, Spain
J. Pifarré
Affiliation:
Hospital de Santa María, Institut de Recerca Biomèdica de Lleida, Avinguda Alcalde Rovira Roure, 44, 25198Lleida, Spain
*
*Corresponding author. Tel.: +34 973 728 255. E-mail address:icruzesteve@gmail.com(I. Cruz).
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Abstract

Background

Raised rates of psychoses among ethnic minorities have been reported. Exposure to antipsychotic medications can give information on mental illness management and ethnic-related differences.

Objective

To compare exposure to antipsychotic medications in immigrant and native-born populations in Spain.

Method

Descriptive cross-sectional study of the dispensation of antipsychotic medications to the population aged 15 to 64 years, in a Spanish Health Region during 2008.

Results

1.9% of the native-born population was exposed to antipsychotic medications as compared to 0.4% of the immigrant population. Native-born women were exposed from 1.8 to 5.3 times more and native-born men from 3.6 to 6.3 times more than immigrants of the same gender. The least exposed were persons from Eastern Europe and men from sub-Saharan Africa. Active ingredients prescribed were similar between the two groups. Of the immigrant group, 15.7% were admitted to a psychiatric ward as compared to 6.4% of the native-born population. In the former, non-specific diagnoses were predominant.

Conclusions

All immigrant groups had lower exposure to antipsychotic medications, were admitted to inpatient care more often and had less specific diagnoses. Both diagnostic processes and adherence to treatment need improvement in the regional immigrant population.

Keywords

Schizophrenia and psychosisSocial and cross-cultural psychiatryAntipsychotic medications
Type
Original articles
Information
European Psychiatry , Volume 27 , Issue 7 , October 2012 , pp. 477 - 482
Copyright
Copyright © European Psychiatric Association 2012

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References

Aerny, P.N.Ramasco, G.M.Cruz Macein, J.L.Rodriguez, R.C.Garabato, G.S.Rodriguez, L.A.Health and its determinants in the immigrant population of the region of Madrid. Gac Sanit. 2010; 24: 136–144.Google Scholar
American Psychiatric association. Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Internet 2010 [cited 2010 Jun 30]; Available from: URL: http://www.psych.org/mainmenu/research/dsmiv/dsmivtr.aspxGoogle Scholar
Anglin, D.M.Malaspina, D.Racial and ethnic effects on psychotic psychiatric diagnostic changes from admission to discharge: a retrospective chart review. J Clin Psychiatry. 2008; 69: 464–469.CrossRefGoogle ScholarPubMed
Arranz, M.J.Kapur, S.Pharmacogenetics in psychiatry: are we ready for widespread clinical use?. Schizophr Bull. 2008; 34: 1130–1144.CrossRefGoogle ScholarPubMed
Berra, SElorza Ricart, JMBartomeu, NHausmann, SSerra-Sutton, VRajmil, L. Necessitats en salut i utilització dels serveis sanitaris en la població immigrant a Catalunya.Revisió exhaustiva de la literatura científica. Barcelona: Agència d’Avaluació de Tecnologia i Recerca Mèdiques, CatSalut. Departament de sanitat i seguretat Social. Generalitat de Catalunya. 2004.Google Scholar
Bresnahan, M.Begg, M.D.Brown, A.Schaefer, C.Sohler, N.Insel, B.et al.Race and risk of schizophrenia in a US birth cohort: another example of health disparity?. Int J Epidemiol. 2007; 36: 751–758.CrossRefGoogle Scholar
Cantor-Graae, E.Selten, J.P.Schizophrenia and migration: a meta-analysis and review. Am J Psychiatry. 2005; 162: 12–24.CrossRefGoogle ScholarPubMed
Cantor-Graae, E.Zolkowska, K.McNeil, T.F.Increased risk of psychotic disorder among immigrants in Malmo: a three-year first-contact study. Psychol Med. 2005; 35: 1155–1163.CrossRefGoogle Scholar
Coid, J.W.Kirkbride, J.B.Barker, D.Cowden, F.Stamps, R.Yang, M.et al.Raised incidence rates of all psychoses among migrant groups: findings from the East London first episode psychosis study. Arch Gen Psychiatry. 2008; 65: 1250–1258.CrossRefGoogle ScholarPubMed
Cruz, I.Serna, C.Real, J.Rue, M.Soler, J.Galvan, L.Comparison of the consumption of antidepressants in the immigrant and native populations in a Spanish health region: an observational study. BMC Public Health. 2010; 10: 255.CrossRefGoogle Scholar
Esteban-Vasallo, M.D.Dominguez-Berjon, M.F.Stray-Mochales, J.Genova-Maleras, R.Perez-Sania, A.Sanchez-Perruca, L.et al.Prevalence of diagnosed chronic disorders in the immigrant and native population. Gac Sanit. 2009; 23: 548–552.CrossRefGoogle ScholarPubMed
Gilmer, T.P.Ojeda, V.D.Barrio, C.Fuentes, D.Garcia, P.Lanouette, N.M.et al.Adherence to antipsychotics among Latinos and Asians with schizophrenia and limited English proficiency. Psychiatr Serv. 2009; 60: 175–182.CrossRefGoogle ScholarPubMed
IDESCAT. Internet 2010 February 17 [cited 2010 May 19]; Available from: URL: http://www.idescat.catGoogle Scholar
Kinzie, JD. Immigrants and refugees: the psychiatric perspective. Transcult Psychiatry 2006; 43:577-91.CrossRefGoogle ScholarPubMed
Kirkbride, J.B.Barker, D.Cowden, F.Stamps, R.Yang, M.Jones, P.B.et al.Psychoses, ethnicity and socio-economic status. Br J Psychiatry. 2008; 193: 18–24.CrossRefGoogle ScholarPubMed
Kreyenbuhl, J.Zito, J.M.Buchanan, R.W.Soeken, K.L.Lehman, A.F.Racial disparity in the pharmacological management of schizophrenia. Schizophr Bull. 2003; 29: 183–193.CrossRefGoogle ScholarPubMed
Kuno, E.Rothbard, A.B.Racial disparities in antipsychotic prescription patterns for patients with schizophrenia. Am J Psychiatry. 2002; 159: 567–572.CrossRefGoogle ScholarPubMed
Lindert, J.Schouler-Ocak, M.Heinz, A.Priebe, S.Mental health, health care utilisation of migrants in Europe. Eur Psychiatry. 2008; 23: 14–20.CrossRefGoogle ScholarPubMed
Mallinger, J.B.Fisher, S.G.Brown, T.Lamberti, J.S.Racial disparities in the use of second-generation antipsychotics for the treatment of schizophrenia. Psychiatr Serv. 2006; 57: 133–136.CrossRefGoogle ScholarPubMed
Martinez Moneo, M.Martinez Larrea, A.Patología Psiquiátrica en el inmigrante. Anales Sis San Navarra. 2010; 29: 63–75.Google Scholar
Pascual, J.C.Malagon, A.Corcoles, D.Gines, J.M.Soler, J.Garcia-Ribera, C.et al.Immigrants and borderline personality disorder at a psychiatric emergency service. Br J Psychiatry. 2008; 193: 471–476.CrossRefGoogle Scholar
Qureshi, A.Collazos, F.Ramos, M.Casas, M.Cultural competency training in psychiatry. Eur Psychiatry. 2008; 23: 49–58.CrossRefGoogle ScholarPubMed
Rue, M.Serna, M.C.Soler-Gonzalez, J.Bosch, A.Ruiz-Magaz, M.C.Galvan, L.Differences in pharmaceutical consumption and expenses between immigrant and Spanish-born populations in Lleida (Spain): a six-months prospective observational study. BMC Health Serv Res. 2008; 8: 35.CrossRefGoogle Scholar
Selten, J.P.Veen, N.Feller, W.Blom, J.D.Schols, D.Camoenie, W.et al.Incidence of psychotic disorders in immigrant groups to The Netherlands. Br J Psychiatry. 2001; 178: 367–372.CrossRefGoogle ScholarPubMed
Selten, J.P.Cantor-Graae, E.Kahn, R.S.Migration and schizophrenia. Curr Opin Psychiatry. 2007; 20: 111–115.CrossRefGoogle Scholar
The world Banc. The World Banc. Internet 2010 March 1 Available from: URL: http://web.worldbank.orgGoogle Scholar
Veling, W.Susser, E.Migration and psychotic disorders. Expert Rev Neurother. 2011; 11: 65–76.CrossRefGoogle ScholarPubMed
Veling, W.Selten, J.P.Mackenbach, J.P.Hoek, H.W.Symptoms at first contact for psychotic disorder: comparison between native Dutch and ethnic minorities. Schizophr Res. 2007; 95: 30–38.CrossRefGoogle ScholarPubMed
Weiser, M.Werbeloff, N.Vishna, T.Yoffe, R.Lubin, G.Shmushkevitch, M.et al.Elaboration on immigration and risk for schizophrenia. Psychol Med. 2008; 38: 1113–1119.CrossRefGoogle ScholarPubMed
WHO Collaborating Centre for Drug Statistics Methodology. ATC. Internet 2010 January 28 [cited 2010 May 19]; Available from: URL: http://www.whocc.noGoogle Scholar
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