Prevalence of physical health conditions and health risk behaviours in people with severe mental illness in South Asia: multi-country cross-sectional survey.
Prevalence of physical health conditions and health risk behaviours in people with severe mental illness in South Asia: multi-country cross-sectional survey.
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DOI：
10.1192/bjo.2023.12
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发表时间：
2023-02-23
期刊：
影响因子：
5.4
通讯作者：
Boehnke, Jan R.
中科院分区：
文献类型：
--
作者：
Zavala, Gerardo A.;Haidar-Chowdhury, Asiful;Prasad-Muliyala, Krishna;Appuhamy, Kavindu;Aslam, Faiza;Huque, Rumana;Khalid, Humaira;Murthy, Pratima;Nizami, Asad T.;Rajan, Sukanya;Shiers, David;Siddiqi, Najma;Siddiqi, Kamran;Boehnke, Jan R.
患有严重精神疾病 (SMI) 的人比一般人群早死，主要是因为身体疾病。我们估计了孟加拉国、印度和巴基斯坦 SMI 患者的身体健康状况、健康风险行为、获得医疗保健的机会和健康风险调整建议的患病率，并将结果与一般人群进行了比较。我们对孟加拉国、印度和巴基斯坦精神病院的 SMI 成年人进行了一项横断面调查。收集的数据涉及非传染性疾病、其风险因素、健康风险行为、治疗、健康风险降低建议、常见精神障碍、与健康相关的生活质量和传染病。我们进行了描述性分析，并将我们的发现与世界卫生组织 (WHO)“非传染性疾病监测逐步方法”报告中的一般人群进行了比较。我们招募了 3989 名 SMI 参与者，其中 11% 患有糖尿病，23.3% 患有高血压或高血压，46.3% 患有超重或肥胖。我们发现，70.8% 患有糖尿病、高血压和高胆固醇血症的参与者之前并未得到诊断；在确诊的人中，只有大约一半正在接受治疗。共有 47% 的男性和 14% 的女性使用烟草；分别有 45.6% 和 89.1% 的参与者未达到世卫组织关于体力活动和水果和蔬菜摄入量的建议。与一般人群相比，患有 SMI 的人更有可能患有糖尿病、高胆固醇血症和超重或肥胖，并且不太可能接受戒烟和体重管理建议。我们发现 SMI 患者在非传染性疾病及其危险因素的检测、预防和治疗方面存在巨大差距。
People with severe mental illness (SMI) die earlier than the general population, primarily because of physical disorders. We estimated the prevalence of physical health conditions, health risk behaviours, access to healthcare and health risk modification advice in people with SMI in Bangladesh, India and Pakistan, and compared results with the general population. We conducted a cross-sectional survey in adults with SMI attending mental hospitals in Bangladesh, India and Pakistan. Data were collected on non-communicable diseases, their risk factors, health risk behaviours, treatments, health risk modification advice, common mental disorders, health-related quality of life and infectious diseases. We performed a descriptive analysis and compared our findings with the general population in the World Health Organization (WHO) ‘STEPwise Approach to Surveillance of NCDs’ reports. We recruited 3989 participants with SMI, of which 11% had diabetes, 23.3% had hypertension or high blood pressure and 46.3% had overweight or obesity. We found that 70.8% of participants with diabetes, high blood pressure and hypercholesterolemia were previously undiagnosed; of those diagnosed, only around half were receiving treatment. A total of 47% of men and 14% of women used tobacco; 45.6% and 89.1% of participants did not meet WHO recommendations for physical activity and fruit and vegetable intake, respectively. Compared with the general population, people with SMI were more likely to have diabetes, hypercholesterolemia and overweight or obesity, and less likely to receive tobacco cessation and weight management advice. We found significant gaps in detection, prevention and treatment of non-communicable diseases and their risk factors in people with SMI.
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影响因子：
4.5
作者：
Kerr S;Woods C;Knussen C;Watson H;Hunter R
通讯作者：
Hunter R
影响因子：
6.6
作者：
Fond G;Pauly V;Leone M;Llorca PM;Orleans V;Loundou A;Lancon C;Auquier P;Baumstarck K;Boyer L
通讯作者：
Boyer L
影响因子：
8.4
作者：
Ali, Syed Asad;Donahue, Rafe M. J.;Qureshi, Huma;Vermund, Sten H.
通讯作者：
Vermund, Sten H.
影响因子：
11.3
作者：
Kasckow, JW;Twamley, E;Jeste, DV
通讯作者：
Jeste, DV
影响因子：
4.7
作者：
Rogers，Erin S.;Gillespie，Colleen;Sherman，Scott E.
通讯作者：
Sherman，Scott E.