Differences in the primary care management of patients with psychosis from two ethnic groups: a population-based cross-sectional study

Fam Pract. 2010 Aug;27(4):439-46. doi: 10.1093/fampra/cmq014. Epub 2010 Mar 22.


Background: Ethnicity is an important dimension in many aspects of psychosis.

Objective: To investigate ethnic differences in the primary care management of patients with psychosis.

Methods: Data were obtained from Lambeth DataNet, a database of computerized general practice case records derived from practices in an inner city London borough. We undertook a cross-sectional survey of patients with psychosis.

Outcome measures: health screening, chronic disease management and prescribing data and differences between ethnic groups were expressed as odds ratios (ORs).

Results: One thousand six hundred and ninety-four of 165,911 (1.02%) registered patients had a diagnosis of psychosis; 1090 (64%) had ethnicity recorded; 501 were White and 403 were Black or Black British. There were no significant ethnic differences for blood pressure, cholesterol or HbA1c monitoring or control; cervical or mammography screening; treatment with hypotensives, statins, antidepressants, lithium, antipsychotics or atypical antipsychotics. Depot injectable antipsychotics were more likely to be prescribed to Black patients than other delivery modes: OR 2.10 (95% CI: 1.20-3.67).

Conclusions: Measurable aspects of physical health care of patients with psychosis were similar, regardless of ethnicity. Increased use of the depot antipsychotic medication in black patients needs further exploration.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Antipsychotic Agents / therapeutic use
  • Black People / statistics & numerical data*
  • Chronic Disease / epidemiology
  • Comorbidity
  • Cross-Sectional Studies
  • Databases, Factual
  • Diagnostic Tests, Routine / statistics & numerical data*
  • Female
  • Healthcare Disparities / ethnology
  • Humans
  • London / epidemiology
  • Male
  • Middle Aged
  • Odds Ratio
  • Practice Patterns, Physicians'
  • Primary Health Care / statistics & numerical data*
  • Psychotic Disorders / complications
  • Psychotic Disorders / drug therapy
  • Psychotic Disorders / ethnology*
  • White People / statistics & numerical data*
  • Young Adult


  • Antipsychotic Agents