Evidence map›Paper›PMID 39704316›Full record

ArticleBJPsych open2024

Indigenous-non-Indigenous disparities in health and social outcomes 5 years after first episode psychosis: national cohort study.

Ruth Cunningham, Frederieke Petrović-van der Deen, Sheree Gibb, Marie Crowe, Jenni Manuel, Suzanne Pitama, Sue Crengle, Richard Porter, Cameron Lacey

Erratum issuedAbstract read
In one paragraph

Article in BJPsych open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Ruth CunninghamDepartment of Public Health, University of Otago, Wellington, New Zealand.ORCID https://orcid.org/0000-0003-0090-3579
Frederieke Petrović-van der DeenDepartment of Public Health, University of Otago, Wellington, New Zealand.
Sheree GibbDepartment of Public Health, University of Otago, Wellington, New Zealand.
Marie CroweDepartment of Psychological Medicine, University of Otago, Christchurch, New Zealand.
Jenni ManuelDepartment of Psychological Medicine, University of Otago, Christchurch, New Zealand.
Suzanne PitamaDepartment of Public Health, University of Otago, Wellington, New Zealand.
Sue CrengleDepartment of Psychological Medicine, University of Otago, Christchurch, New Zealand.
Richard PorterSpecialist Mental Health Service, Te Whatu Ora, Christchurch, New Zealand.ORCID https://orcid.org/0000-0002-8695-3966
Cameron LaceyDepartment of Psychological Medicine, University of Otago, Christchurch, New Zealand.ORCID https://orcid.org/0000-0001-9898-6784

Funding

Health Research Council of New Zealand 17-707
6 · The paper itself

Abstract

backgroundThere are ethnic differences, including differences related to indigeneity, in the incidence of first episode psychosis (FEP) and pathways into care, but research on ethnic disparities in outcomes following FEP is limited.

aimsIn this study we examined social and health outcomes following FEP diagnosis for a cohort of Māori (Indigenous people of New Zealand) and non-Māori (non-Indigenous) young people. We have focused on understanding the opportunities for better outcomes for Māori by examining the relative advantage of non-Māori with FEP.

methodStatistics New Zealand's Integrated Data Infrastructure was accessed to describe mental health and social service interactions and outcomes for a retrospective FEP cohort comprising 918 young Māori and 1275 non-Māori aged 13 to 25 at diagnosis. Logistic regression models were used to examine whether social outcomes including employment, benefit receipt, education and justice involvement in year 5 differed by indigeneity.

resultsNon-Māori young people were more likely than Māori to have positive outcomes in the fifth year after FEP diagnosis, including higher levels of employment and income, and lower rates of benefit receipt and criminal justice system involvement. These patterns were seen across diagnostic groups, and for both those receiving ongoing mental healthcare and those who were not.

conclusionsNon-Māori experience relative advantage in outcomes 5 years after FEP diagnosis. Indigenous-based social disparities following FEP urgently require a response from the health, education, employment, justice and political systems to avoid perpetuating these inequities, alongside efforts to address the disadvantages faced by all young people with FEP.

Indexed as

big dataethnic disparitiesIndigenous healthPsychotic disorders/schizophreniasocial functioning

Identifiers

PMID39704316
PMCPMC11733454

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.