Ethnicity, social inequality, and mental illness

BMJ 1998;316:1763-1770 ( 13 June )

Editorials

Ethnicity, social inequality, and mental illness

In a community setting the picture is complex

The first 150 words of the full text of this article appear below.

The relative prevalence and treatment of mental illness among different ethnic groups in Britain is probably one of the mostcontroversial issues in the field of health variations. The Policy Studies Institute, in a study commissioned by the Department ofHealth, has tackled these complexities and openly addressed thedifficulties in the cross cultural assessment of mental illness.¹

The study is based on a national community survey of 5196 people of Caribbean or Asian origin and 2867 white Britons. Ethnicitywas assigned on the basis of country of family origin, thoughthe limitations of this approach are acknowledged.² In a two stage interviewing process, initial assessment of mental healthrelied on structured questionnaires: a cut down clinical interview schedule³ for neurotic disorders and the psychosis screeningquestionnaire⁴ for psychotic disorders. Second stage interviewingwas conducted by ethnically and linguistically matched interviewersusing the appropriate translation of version 9 of the presentstate examination.⁵ . . . [Full text of this article]

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Undergraduate education must include improving health of minority ethnic communities: Rhian Loudon and Sheila Greenfield
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