BACKGROUND: Studies demonstrate ethnic variations in pathways to care during first @entity716 (FEP). There are no extant studies, however, that have statistically examined the influence of culturally mediated illness attributions on these variations. METHODS: We conducted an observational study of 123 (45 White; 35 Black; 43 Asian) @entity1 recruited over a two-year period from an Early Intervention Service (EIS) in Birmingham, UK. Sociodemographic factors (age; sex; education; country of birth; religious practice; marital status; living alone), duration of untreated @entity716 (DUP), service contacts (general practitioner; emergency services; faith-based; compulsory detention; criminal justice) and illness attributions ("individual;" "natural;" "social;" "supernatural;" "no attribution") were assessed. RESULTS: Ethnic groups did not differ in DUP (p   =   0.86). Asian @entity1 were more likely to report supernatural illness attributions in comparison to White (Odds Ratio: 4.02; 95  % Confidence Intervals: 1.52, 10.62) and Black (OR: 3.48; 95  % CI: 1.25, 9.67) @entity1 . In logistic regressions controlling for confounders and illness attributions, Black (OR: 14.00; 95  % CI: 1.30, 151.11) and Asian (OR: 13.29; 95  % CI: 1.26, 140.47) @entity1 were more likely to consult faith-based institutions than White @entity1 . Black @entity1 were more likely to be compulsorily detained than White @entity1 (OR: 4.56; 95  % CI: 1.40, 14.85). CONCLUSION: Illness attributions and sociodemographic confounders do not fully explain the ethnic tendency to seek out faith-based institutions. While Asian and Black @entity1 are more likely to seek help from faith-based organisations, this does not appear to lead to a delay in contact with mental health services.

Ethnicity and pathways to care during first XXXX : the role of cultural illness attributions.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity716 :: ('MESH:D011605', 'Disease') :: ['psychosis', 'episode psychosis']
@entity716 :: (MESH:D011605,Disease) :: ['episode psychosis']
