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Table 2 Overview and quality of included primary studies (used in meta-analyses)

From: Ethnic inequalities and pathways to care in psychosis in England: a systematic review and meta-analysis

Study

Ethnicity measure

Ethnicity categories (including n)

Relevant outcomes

Main findings (ethnic minority vs. White ref.)

Quality* (max = 11)

Ajnakina et al. [57]

Census

WB (62), BA (63), BC (50)

CA (civil), police

Higher CA and police in BA and BC

7 (moderate)

Bebbington et al. [24]

N/A

W (190), BC (49)

CA (civil)

Higher CA in BC

4 (moderate)

Banerjee et al. [23]

N/A

WE (804), BC (375), O (50)

CA (forensic)

Higher CA in BC

2 (low)

Bhui et al. [25]

Place of birth, census

W (184), BA (16), BB(12), BC (26), A/0 (18)

CA (forensic)

Higher CA in BA and BB

8 (high)

Bhui et al. [58]

Self-report

W (177), B (160), SA (114), O (29)

GP, CJS, DUP

Higher CJS in BA and BC, non-significant GP and DUP (including SA)

9 (high)

Bhui et al. [59]

Census

WB (23), WO (14), BA (28), BC (31), BO (1), Bd (4), In (4), P (3), O (14)

CJS

Higher CJS in BA and BC

9 (high)

Birchwood et al. [26]

Third party

WB (74), BC (50), A (30), Ir (5), O (10)

CA (civil), police

Non-significant CA and police (BC and A)

5 (moderate)

Brunet [19]

Third party

W (16), B (36), A (28), O (8)

GP, CA (civil), DUP

Shorter DUP, non-significant GP and CA (B and A)

2 (low)

Burnett et al. [27]

Place of birth

W (38), BC (38), A (24)

GP, CA (mixed), police/CJS

Non-significant GP, CA and police/CJS (B and A)

6 (moderate)

Callan [28]

Place of birth

WB (169), BC (200)

GP, CA (civil), police

Higher CA and police in B, non-significant for GP

7 (moderate)

Cole et al. [29]

Self-report, census

W (39), B (38), A/O (16)

GP, CA (civil), police

Non-significant GP, CA and police (B and A/O)

6 (moderate)

Commander et al. 1999 [30]

Self-report, census

W (40), B (40), A (40)

GP, CA (civil), police

Higher CA and police (B and A), GP higher in A, non-significant for B

4 (moderate)

Crowley and Simmons [31]

Third party

W (75), BC (49), A (28)

CA (civil)

Higher CA in BC, non-significant for A

3 (low)

Davies et al. [32]

Place of birth, census

WB (207), WO (36), BA (27), BC (112), O (15)

CA (mixed)

Higher CA (BA and BC), non-significant in WO

8 (high)

Drake et al. [33]

Self-report

W (216), BC (19), O (13)

DUP

Non-significant DUP for BC

6 (moderate)

Gajwani et al. [60]

Self-report

W (437), BA (62), BC (120), Bd (16), In (47), P (125)

CA (mixed)

Non-significant CA in ethnic minority (including Black) groups

9 (high)

Ghali et al. [61]

Census

WB (183), WO (103), BA (136), BB (152), BC (27), SA (80)

GP, CJS, DUP

Higher CJS in BA only, shorter DUP for Black groups and SA, GP non-significant

11 (high)

Goater et al. [34]

Self-report, census

W (68), B (71), O (15)

CA (mixed)

Higher CA in B after 5 years (non-significant after only 1 year)

6 (moderate)

Harrison et al. [35]

N/A

Non-BC (89), BC (42)

GP, CA (civil), police

Higher CA and police in BC, GP non-significant

4 (moderate)

Ineichen et al. [36]

Third party

WB (193), WO (9), BC (43), O (19)

CA (civil)

Higher CA in BC, non-significant for WO

4 (moderate)

Johnson et al. [37]

N/A

W (173), BA (15), BC (70), O (14)

CA (civil)

Higher CA in BC, non-significant for BA

5 (moderate)

Koffman et al. [38]

Third party

W (2,978), B (631), A (160)

CA (civil)

Higher CA in B and A

5 (moderate)

Lawlor et al. [62]

Census

WB (146), WO (45), BA (41), BC (26), BO (29)

GP, CA (civil), police/CJS

Higher CA and police/CJS (Black groups and WO), lower GP (Black groups) non-significant GP (WO)

10 (high)

Lloyd and Moodley [39]

Third party

W (101), B (37)

CA (civil)

Higher CA in B

5 (moderate)

Mann et al. [63]

Self-report, census

WB (158), WO (93), BA (188), BB (55), BC (78), mixed B/W (36), SA (37), A (O)(29)

GP, CA (civil), CJS

Particularly high point estimate for CA in BA, less marked for other groups and outcomes, or non-significant

9 (high)

McKenzie et al. [40]

Place of birth

WB (58), BC (53)

CA (civil), CJS

Higher CA and CJS in BC

8 (high)

Moodley and Perkins [41]

N/A

W (25), BC (22)

CA (civil)

Higher CA in BC

2 (low)

Moodley and Thornicroft [42]

Third party

W (295), BC (47)

CA (civil), police

Higher CA and police in BC

3 (low)

Morgan et al. [43]

Self-report

WB (237), WO (33), BA (64), BC (128)

GP, CA (civil), CJS

Higher CA, CJS, lower GP (BA and BC), non-significant CA, CJS and GP (WO vs. WB)

9 (high)

Morgan et al. [44]

Self-report

WB (217), BC (129), BA (68)

DUP

Shorter (BA) and non-significant (BC) DUP

8 (high)

Morgan et al. 2017 [64]

Self-report, census

WB (159), BA (44), BC (107)

CA (civil), police

Higher CA and police (BA and BC)

8 (high)

Owens et al. [45]

Third party

Non-BC (155), BC (120)

CA (civil), police

Higher CA and police in BC

4 (moderate)

Parkman et al. [46]

Place of birth, census

WB (94), WO (17), BC (42)

CA (mixed)

Higher CA in BC, non-significant in WO vs. WB

7 (moderate)

Patrick et al. [47]

N/A

W (34), B (26)

CA (civil)

Higher CA in B

3 (low)

Singh et al. [48]

Third party, census

W (352), BC (44)

CA (civil)

Higher CA in BC

8 (high)

Singh et al. [66]

Third party

W (2,587), B (811), A (430), O (359)

CA (civil)

Higher CA in B, non-significant for A

7 (moderate)

Singh et al. [65]

Self-report, census

W (45), B (35), A (43)

CA (civil), CJS, GP, DUP

Higher CA and CJS (B), non-significant GP and DUP (B), non-significant CA, CJS, DUP (A)

7 (moderate)

Takei et al. [49]

N/A

W (49), BC (32)

CA (civil)

Higher CA in B

5 (moderate)

Thomas et al. [50]

Third party

W (1,265), BC (193), A (76)

CA (civil), police

Higher CA (BC and A), higher police (BC), non-significant police (A)

3 (low)

Weich et al. [67]

N/A

W (997,169), B (39,249), A (46,544), mixed (13,781), O (22,053)

CA (civil)

Higher CA in B and A

2 (low)

  1. Ethnicity categories: W White, WB White British, WO White Other, Ir Irish, B Black, BA Black African, BB Black British, BC Black Caribbean, BO Black Other, A Asian, SA South Asian, Bd Bangladeshi, In Indian, P Pakistani, O Other
  2. Relevant outcomes: CA compulsory admission (for civil, forensic or mixed (civil and forensic) detentions), CJS criminal justice system involvement, GP general practitioner involvement, DUP duration of untreated psychosis
  3. *The scoring system used to rate primary studies is replicated from Bhui et al. [3]. From a maximum of 11 points, primary studies that received a total of 0–3 points were ranked as ‘low’ quality, 4–7 points ‘moderate’ quality and 8–11 points ‘high’ quality. See Additional file 4 for the full breakdown of the score of each item of the quality assessment system for the respective studies