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Comparison of Immigrant and Native-Born Population Adherence to Antipsychotic Treatment in a Spanish Health Region

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An Erratum to this article was published on 09 December 2012

Abstract

Previous studies report that immigrants underuse psychiatric hospitalization services and are less exposed to antipsychotic medication. The objective of this study is to determine whether immigrant and Spanish native groups with psychotic disorder adhere differently to antipsychotic drugs. Retrospective study including two matched samples of 47 immigrants and 47 native-born patients with psychotic disorder admitted to a psychiatric Unit (2006–2007). Adherence was measured after one-year follow-up. Only 30 % of patients adhered to treatment (40.4 % of native-born, and 19.1 % of immigrants). The lowest rate of adherence was found in sub-Saharans. Fifty per cent of non-adherents were readmitted after 12 months, compared with 21.4 % of adherents, the effect was observed in both native and immigrants. This alarmingly poor adherence in immigrant patients with psychosis underlines the need for preventive strategies to minimize the negative clinical, social and economic outcomes.

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Acknowledgments

This study was funded by the Primary Care Research Institute IDIAP J Gol, predoctoral grant 2010. Some of the authors belong to the Research group GREDELL on Health Inequalities (IDIAP J Gol).

Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Psychiatry Unit, Hospital de Santa Maria, Avinguda Alcalde Rovira Roure, 44, 25198, Lleida, Spain

    Irene Forcada & Vanessa Pera

  2. Institut Català de la Salut, Unitat de Suport a la Recerca Lleida-Pirineus, Institut Universitari d’Investigació en Atenció Primària Jordi Gol, Barcelona, Spain

    Inés Cruz

  3. Hospital de Santa Maria, Institut de Recerca Biomèdica de Lleida, Avinguda Alcalde Rovira Roure, 44, 25198, Lleida, Spain

    Pifarré Josep

  4. Regional Primary Care Management Office, Institut Català de la Salut, University of Lleida, Rambla de Ferran 44, 3º, 25007, Lleida, Spain

    Catalina Serna

  5. University of Lleida, Montserrat Roig, 2, 25006, Lleida, Spain

    Montserrat Rué

  6. Pharmaceutical Sciences, Pharmacy Unit of the Catalan Health Department, Rovira Roure, 2, 25006, Lleida, Spain

    Leonardo Galván

  7. Rambla de Ferran, 44, 38, 25007, Lleida, Spain

    Inés Cruz

Authors
  1. Irene Forcada
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  2. Vanessa Pera
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  3. Inés Cruz
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  4. Pifarré Josep
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  5. Catalina Serna
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  6. Montserrat Rué
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  7. Leonardo Galván
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Corresponding author

Correspondence to Inés Cruz.

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Forcada, I., Pera, V., Cruz, I. et al. Comparison of Immigrant and Native-Born Population Adherence to Antipsychotic Treatment in a Spanish Health Region. Community Ment Health J 49, 199–205 (2013). https://doi.org/10.1007/s10597-012-9551-9

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  • DOI: https://doi.org/10.1007/s10597-012-9551-9

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