| アブストラクト | BACKGROUND: People with severe mental illness (SMI) are at increased risk of cardiovascular disease (CVD), and initiatives for CVD risk factor screening in the UK have not reduced disparities. OBJECTIVES: To describe the annual screening prevalence for CVD risk factors in people with SMI from April 2000 to March 2018, and to identify factors associated with receiving no screening and regular screening. METHODS: We identified adults with a diagnosis of SMI (schizophrenia, bipolar disorder or 'other psychosis') from UK primary care records in Clinical Practice Research Datalink. We calculated the annual prevalence of screening for blood pressure, cholesterol, glucose, body mass index, alcohol consumption and smoking status using multinomial logistic regression to identify factors associated with receiving no screening and complete screening. RESULTS: Of 216 136 patients with SMI, 55% received screening for all six CVD risk factors at least once during follow-up and 35% received all six within a 1-month period. Our findings suggest that patient characteristics and financial incentivisation influence screening prevalence of individual CVD risk factors, the likelihood of receiving screening for all six CVD risk factors annually and risk of receiving no screening. CONCLUSIONS: The low proportion of people with SMI receiving regular comprehensive CVD risk factor screening is concerning. Screening needs to be embedded as part of broad physical health checks to ensure the health needs of people with SMI are being met. If we are to improve cardiovascular health, interventions are needed where risk of receiving no screening or not receiving regular screening is highest. |
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| ジャーナル名 | BMJ mental health |
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| Pubmed追加日 | 2025/1/17 |
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| 投稿者 | Launders, Naomi; Jackson, Caroline Anne; Hayes, Joseph F; John, Ann; Stewart, Robert; Iveson, Matthew H; Bramon, Elvira; Guthrie, Bruce; Mercer, Stewart William; Osborn, David P J |
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| 組織名 | Division of Psychiatry, University College London, London, UK;naomi.launders.19@ucl.ac.uk.;The University of Edinburgh Usher Institute, Edinburgh, UK.;Division of Psychiatry, University College London, London, UK.;Camden and Islington NHS Foundation Trust, London, UK.;Swansea University, Swansea, UK.;Institute of Psychiatry, Psychology and Neuroscience, King's College London,;London, UK.;South London and Maudsley NHS Foundation Trust, London, UK.;Division of Psychiatry, The University of Edinburgh Centre for Clinical Brain;Sciences, Edinburgh, UK. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/39819835/ |
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