关键词: Adolescents Culture Engagement Ethnic groups Health care utilization Racism

Mesh : Humans Adolescent United States Psychotic Disorders / therapy Ethnicity

来  源:   DOI:10.1176/appi.ps.20220121   PDF(Pubmed)

Abstract:
The authors of this systematic review examined service utilization and outcomes among youths from ethnoracially minoritized groups after the youths initiated treatment for a psychotic disorder-that is, the youths\' \"pathway through care.\" Also examined were potential moderating variables in pathways through care for these youths at the clinic, family, and cultural levels. The goal was to describe methodologies, summarize relevant findings, highlight knowledge gaps, and propose future research on pathways through care for young persons from ethnoracially minoritized groups who experience early psychosis.
The PubMed, PsycInfo, and Web of Science literature databases were systematically searched for studies published between January 1, 2010, and June 1, 2021. Included articles were from the United States and focused on young people after they initiated treatment for early psychosis. Eighteen studies met inclusion criteria.
Sixteen of the 18 studies were published in the past 5 years, and 11 had an explicit focus on race and ethnicity as defined by the studies\' authors. Studies varied in terminology, outcomes measures, methodologies, and depth of analysis. Being an individual from an ethnoracially minoritized group appeared to affect care utilization and outcomes. Insufficient research was found about potential moderating variables at the clinic, family, and cultural levels.
Studies of pathways through care for persons from minoritized groups warrant further funding and attention.
摘要:
UNASSIGNED:本系统评价的作者研究了在年轻人开始治疗精神病后,来自北美少数民族群体的年轻人的服务利用和结果-即年轻人通过护理的途径。“还检查了通过诊所照顾这些年轻人的途径中的潜在调节变量,家庭,文化层面。目标是描述方法论,总结相关发现,突出知识差距,并提出未来的研究,通过照顾来自患有早期精神病的少数民族群体的年轻人。
未经授权:PubMed,PsycInfo,对2010年1月1日至2021年6月1日之间发表的研究进行了系统搜索和WebofScience文献数据库。其中的文章来自美国,重点是年轻人开始治疗早期精神病。18项研究符合纳入标准。
未经评估:18项研究中有16项是在过去5年中发表的,根据研究作者的定义,11人明确关注种族和民族。研究的术语各不相同,成果衡量标准,方法论,分析的深度。作为一个种族多样化群体的个体,似乎会影响护理利用和结果。在诊所发现关于潜在调节变量的研究不足,家庭,文化层面。
UNASSIGNED:通过对少数群体人群的护理途径的研究需要进一步的资助和关注。
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