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Using population\u2010level data for people aged 18\u201364 years, we identified a cohort of 5559 people who accessed secondary health services and had a diagnosis of OCD. We explored their characteristics in comparison to people without OCD. The rate of OCD per 10,000 people differed by ethnicity (European, 24.7; M\u0101ori, 13.4; Pacific Peoples, 5.6; Asian, 5.9). We observed variation in OCD rates by the geographic divisions of the public healthcare provider Health NZ which persisted following standardisation for age, sex, ethnicity and urban vs rural residence (Northern, 14.5; 95% confidence interval (CI) 13.7\u201315.2; Te Manawa Taki, 10.9; CI 10.0\u201311.8; Central, 19.7, CI 18.5\u201320.8; Te Waipounamu, 27.4, CI 26.2\u201328.7). These disparities suggest inequity of access to healthcare. Individuals in this cohort typically had at least one co\u2010occurring mental health or related condition (78.8%) and were less likely to have at least level 4 educational qualifications (equivalent to first year of an undergraduate degree) (adjusted rate ratio (ARR) 0.94; CI 0.90\u20130.97), to be employed (ARR 0.69; CI 0.66\u20130.72) and to belong to a higher income bracket ($40,000 or higher, ARR 0.57; CI 0.53\u20130.62). These findings suggest wider support needs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>What we already know<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>Obsessive\u2013compulsive disorder (OCD) is a mental health condition that is characterised by repetitive intrusive thoughts and compulsive behaviours and has a twelve\u2010month prevalence of around 1\u20132% in adults.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>In clinic\u2010based studies, most individuals with OCD have other mental health and related conditions and, to a lesser degree, this is also observed in community surveys.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>OCD is typically first experienced as a child, adolescent or young adult and can severely impact an individual's ability to engage in education and employment.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>What this article adds<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>Using the Integrated Data Infrastructure (IDI), a national collection of linked health and non\u2010health data, we explored the characteristics of working\u2010age adults with OCD who had accessed public secondary health services in Aotearoa | New Zealand (NZ).<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>There were marked differences in the rates of OCD for geographic areas corresponding to the regional divisions of Health NZ | Te Whatu Ora, and, as previously described, by ethnicity. These findings suggest inequity of access to healthcare and merit further investigation.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>In comparison to other working\u2010age adults, people in the study cohort were moderately less likely to have achieved higher level educational qualifications, and they were markedly less likely to be employed and to belong to a higher income bracket.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Accessing public secondary health services is likely to be a proxy for more severe and\/or complex psychological disability and many people in this cohort had other mental health and related conditions. Therefore, the characteristics of this cohort cannot be generalised to the entire group of people who experience OCD in NZ.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1080\/03036758.2024.2406827","type":"journal-article","created":{"date-parts":[[2024,10,6]],"date-time":"2024-10-06T19:53:58Z","timestamp":1728244438000},"page":"1776-1795","update-policy":"https:\/\/doi.org\/10.1080\/tandf_crossmark_01","source":"Crossref","is-referenced-by-count":0,"title":["Sociodemographic, mental health, education, employment and income characteristics of adults with obsessive\u2013compulsive disorder who accessed secondary health services in Aotearoa | New Zealand"],"prefix":"10.1002","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-6286-7514","authenticated-orcid":false,"given":"Keith","family":"McLeod","sequence":"first","affiliation":[{"name":"K\u014dt\u0101t\u0101 Insight Wellington New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4589-9956","authenticated-orcid":false,"given":"Nicholas","family":"Bowden","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health University of Otago Dunedin New Zealand"},{"name":"A Better Start: E Tipu e Rea National Science Challenge Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8755-6217","authenticated-orcid":false,"given":"Hiran","family":"Thabrew","sequence":"additional","affiliation":[{"name":"Te Ara H\u0101ro University of Auckland Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-4630-3853","authenticated-orcid":false,"given":"Kate","family":"Truman","sequence":"additional","affiliation":[{"name":"Fixate Dunedin New Zealand"},{"name":"School of Mathematics and Statistics University of Canterbury Christchurch New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9196-9391","authenticated-orcid":false,"given":"Marion","family":"Maw","sequence":"additional","affiliation":[{"name":"Fixate Dunedin New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,10,6]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/j.1440\u20101614.2006.01764.x"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2015.07.045"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_10_5_1","unstructured":"Asian Family Services New Zealand.2021.New Zealand Asian Wellbeing & Mental Health report 2021.https:\/\/www.asianfamilyservices.nz\/media\/rsmi2s4a\/asian\u2010family\u2010services\u2010new\u2010zealand\u2010asian\u2010wellbeing\u2010mental\u2010health\u2010report\u20102021\u2010trace\u2010research.pdf."},{"key":"e_1_2_10_6_1","volume-title":"NZDep2018 index of deprivation, final research report","author":"Atkinson J","year":"2020"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthpol.2018.10.011"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2022.152315"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1017\/S109285292100081X"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001885"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1017\/prp.2016.5"},{"key":"e_1_2_10_12_1","unstructured":"Best Practice Advocacy Centre New Zealand.2023.Recognising and managing OCD in primary care \u2013 bpacnz. 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