Health risk behaviours among people with severe mental ill health during the COVID-19 pandemic: Analysis of linked cohort data.
Health risk behaviours among people with severe mental ill health during the COVID-19 pandemic: Analysis of linked cohort data.
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DOI：
10.1371/journal.pone.0258349
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Gilbody S
中科院分区：
文献类型：
--
作者：
Peckham E;Allgar V;Crosland S;Heron P;Johnston G;Newbronner E;Spanakis P;Wadman R;Walker L;Gilbody S
患有严重精神疾病（SMI）的人经历了15-20年的死亡率差距。COVID-19扩大了人口健康不平等，人们担心重度精神障碍患者将受到不成比例的影响。了解健康风险行为在大流行期间如何变化，对于制定战略以减轻未来健康不平等的增加至关重要。我们从现有的SMI人群中取样。研究人员通过电话或邮件联系参与者，邀请他们参加一项关于大流行如何影响他们的调查。我们询问了人们的健康风险行为，以及这些行为在大流行期间发生了什么变化。我们创建了一个改变行为的指数，包括饮食因素，吸烟，缺乏锻炼和饮酒模式。通过建立数据联系，我们将他们在大流行限制期间的反应与他们在大流行之前的反应进行了比较。367人提供了健康风险数据。参与者的平均年龄为50.5岁（范围= 20至86岁，SD ± 15.69），其中51.0%为男性，77.4%为白色英国人。47.5%的参与者报告在大流行期间减少了身体活动，而在吸烟者中，54.5%的人报告吸烟量增加。自我报告的身体健康恶化与健康风险行为的增加显著相关（身体健康的调整OR为1.59，95%CI 1.22-2.07;年龄的调整OR为0.99，95%CI 0.98-1.00）。COVID-19可能会扩大SMI患者的健康不平等。卫生服务应针对重度精神障碍患者的健康风险行为，以减轻COVID-19大流行的即时和长期影响。
People with severe mental ill health (SMI) experience a mortality gap of 15–20 years. COVID-19 has amplified population health inequalities, and there is concern that people with SMI will be disproportionately affected. Understanding how health risk behaviours have changed during the pandemic is important when developing strategies to mitigate future increases in health inequalities. We sampled from an existing cohort of people with SMI. Researchers contacted participants by phone or post to invite them to take part in a survey about how the pandemic had affected them. We asked people about their health risk behaviours and how these had changed during the pandemic. We created an index of changed behaviours, comprising dietary factors, smoking, lack of exercise, and drinking patterns. By creating data linkages, we compared their responses during pandemic restrictions to responses they gave prior to the pandemic. 367 people provided health risk data. The mean age of the participants was 50.5 (range = 20 to 86, SD ± 15.69) with 51.0% male and 77.4% white British. 47.5% of participants reported taking less physical activity during the pandemic and of those who smoke 54.5% reported smoking more heavily. Self-reported deterioration in physical health was significantly associated with an increase in health risk behaviours (adjusted OR for physical health 1.59, 95%CI 1.22–2.07; adjusted OR for Age 0.99, 95%CI 0.98–1.00). COVID-19 is likely to amplify health inequalities for people with SMI. Health services should target health risk behaviours for people with SMI to mitigate the immediate and long lasting impacts of the COVID-19 pandemic.
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影响因子：
4.7
作者：
Lopez-Bueno, Ruben;Calatayud, Joaquin;Lopez-Sanchez, Guillermo F.
通讯作者：
Lopez-Sanchez, Guillermo F.
DOI：
10.1152/ajpendo.00124.2020
发表时间：
2020-05-01
影响因子：
5.1
作者：
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通讯作者：
Gubbi, Sriram
影响因子：
50
作者：
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通讯作者：
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影响因子：
3.5
作者：
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通讯作者：
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影响因子：
10
作者：
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通讯作者：
Falchi, Mario