TY - JOUR
PY - 2014//
TI - Are there mental health differences between Francophone and non-Francophone populations in Manitoba?
JO - Canadian journal of psychiatry, The
A1 - Chartier, Mariette Jeanne
A1 - Finlayson, Gregory
A1 - Prior, Heather
A1 - Mcgowan, Kari-Lynne
A1 - Chen, Hui
A1 - Walld, Randy
A1 - De Rocquigny, Janelle
SP - 366
EP - 375
VL - 59
IS - 7
N2 - OBJECTIVE: Francophones may experience poorer health due to social status, cultural differences in lifestyle and attitudes, and language barriers to health care. Our study sought to compare mental health indicators between Francophones and non-Francophones living in the province of Manitoba.
METHODS: Two populations were used: one from administrative datasets housed at the Manitoba Centre for Health Policy and the other from representative survey samples. The administrative datasets contained data from physician billings, hospitalizations, prescription drug use, education, and social services use, and surveys included indicators on language variables and on self-rated health.
RESULTS: Outside urban areas, Francophones had lower rates of diagnosed substance use disorder (rate ratio [RR] = 0.80; 95% CI 0.68 to 0.95) and of suicide and suicide attempts (RR = 0.59; 95% CI 0.43 to 0.79), compared with non-Francophones, but no differences were found between the groups across the province in rates of diagnosed mood disorders, anxiety disorders, dementia, or any mental disorders after adjusting for age, sex, and geographic area. When surveyed, Francophones were less likely than non-Francophones to report that their mental health was excellent, very good, or good (66.9%, compared with 74.2%).
CONCLUSIONS: The discrepancy in how Francophones view their mental health and their rates of diagnosed mental disorders may be related to health seeking behaviours in the Francophone population. Community and government agencies should try to improve the mental health of this population through mental health promotion and by addressing language and cultural barriers to health services.
Language: en
LA - en SN - 0706-7437 UR - http://dx.doi.org/ ID - ref1 ER -