Table 1.
Previous meta-analyses on pathways to mental health care in the UK
| Study | Ethnicity categories | GP, n, odds ratio (OR), 95% CI |
Civil/forensic detention, n, odds ratio (OR), 95% CI | Police or CJS, n, odds ratio (OR), 95% CI |
DUP | AMSTAR quality (max = 11) |
|---|---|---|---|---|---|---|
| Anderson et al. 2014 [6] | White (reference) | – | – | Total = 7 (Medium quality) |
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| Black Groups | N = 5 studies, OR = 0.66 (95% CI = 0.53 to 0.82) |
Police/CJS: N = 5 studies, OR = 2.14 (95% CI = 1.66 to 2.76) |
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| Asian Groups | N = 3 studies, OR = 1.24 (95% CI = 0.81 to 1.91) |
Police/CJS: N = 3 studies, OR = 0.73 (95% CI = 0.34 to 1.57) |
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| Bhui et al. 2003 [3] | White (reference) | – | Total = 9 (High quality) |
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| Black | Civil: N = 12 studies, OR = 4.31 (95% CI = 3.33 to 5.58) |
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| Singh et al. 2007 [5] | White (reference) | – | Total = 6 (Medium quality) |
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| Black | Civil: N = 15 studies, OR = 4.48 (95% CI = 3.71 to 5.41) |
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| Forensic: N = 2 studies, OR = 2.45 (95% CI = 1.57 to 3.82) | ||||||
| Asian | Civil: N = 4 studies, OR = 3.42 (95% CI = 2.31 to 5.07) |
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| Singh et al. 2013 [4] | Black vs. Non-Black | N = 4 studies, OR = 0.50 (95% CI = 0.35 to 0.71) |
Civil: N = 6 studies, OR = 2.33 (95% CI = 1.85 to 2.93) |
Police/CJS: N = 4 studies, OR = 2.25 (95% CI = 1.74 to 2.92) |
Total = 5 (Medium quality) |
|
| Black Caribbean vs. White British | Civil: N = 2 studies, OR = 2.88 (95% CI = 1.84 to 4.51) |
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| Asian vs. broadly defined White | Civil: N = 2 studies, OR = 0.59 (95% CI = 0.25 to 1.39) |