Ethnic differences in mental health and lifestyle issues: results from multi-item general practice screening

Aim To determine ethnic differences in response, acceptance and desire to address problems identified by the multi-item screening tool (MIST). Methods Patients were assessed using the MIST in urban Auckland. Fifty consecutive adult patients from 20 randomly selected practices completed the MIST and evaluation sheet before their consultation. All patients and general practitioners (GPs) completed feedback forms. Analysis adjusted for the clustered nature of the data. Results Participants were 1000 patients and 20 urban GPs. The participation rate was 87% of GPs and 97.75% of patients. Compared with New Zealand Europeans, Pacific Island people were significantly more likely to be concerned about abuse and anger control. Maori were significantly more likely to want help with cutting down their alcohol use. The screening tool was accepted by all patients (<1% objection rate) regardless of ethnicity. Discussion This is the first study to examine possible ethnic differences between primary care patients' response to screening on lifestyle behaviours and mental health issues.