Prevalence and patient characteristics associated with cardiovascular disease risk factor screening in UK primary care for people with severe mental illness: an electronic healthcare record study
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 200...
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BMJ Publishing Group
2025-01-01
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| Series: | BMJ Mental Health |
| Online Access: | https://mentalhealth.bmj.com/content/28/1/e301409.full |
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| author | Robert Stewart Ann John Bruce Guthrie Joseph F Hayes David P J Osborn Stewart William Mercer Elvira Bramon Naomi Launders Caroline Anne Jackson Matthew H Iveson |
| author_facet | Robert Stewart Ann John Bruce Guthrie Joseph F Hayes David P J Osborn Stewart William Mercer Elvira Bramon Naomi Launders Caroline Anne Jackson Matthew H Iveson |
| author_sort | Robert Stewart |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-bd503197b4f440f68d77a3c5082da442 |
| institution | Kabale University |
| issn | 2755-9734 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Mental Health |
| spelling | doaj-art-bd503197b4f440f68d77a3c5082da4422025-01-17T19:25:09ZengBMJ Publishing GroupBMJ Mental Health2755-97342025-01-0128110.1136/bmjment-2024-301409Prevalence and patient characteristics associated with cardiovascular disease risk factor screening in UK primary care for people with severe mental illness: an electronic healthcare record studyRobert Stewart0Ann John1Bruce Guthrie2Joseph F Hayes3David P J Osborn4Stewart William Mercer5Elvira Bramon6Naomi Launders7Caroline Anne Jackson8Matthew H Iveson9Institute of Psychiatry, Psychology and Neuroscience, King`s College London, London, UKSwansea University, Swansea, UKThe University of Edinburgh Usher Institute, Edinburgh, UKDivision of Psychiatry, University College London, London, UKDivision of Psychiatry, University College London, London, UKThe University of Edinburgh Usher Institute, Edinburgh, UKDivision of Psychiatry, University College London, London, UKDivision of Psychiatry, University College London, London, UKThe University of Edinburgh Usher Institute, Edinburgh, UKDivision of Psychiatry, The University of Edinburgh Centre for Clinical Brain Sciences, Edinburgh, UKBackground 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.https://mentalhealth.bmj.com/content/28/1/e301409.full |
| spellingShingle | Robert Stewart Ann John Bruce Guthrie Joseph F Hayes David P J Osborn Stewart William Mercer Elvira Bramon Naomi Launders Caroline Anne Jackson Matthew H Iveson Prevalence and patient characteristics associated with cardiovascular disease risk factor screening in UK primary care for people with severe mental illness: an electronic healthcare record study BMJ Mental Health |
| title | Prevalence and patient characteristics associated with cardiovascular disease risk factor screening in UK primary care for people with severe mental illness: an electronic healthcare record study |
| title_full | Prevalence and patient characteristics associated with cardiovascular disease risk factor screening in UK primary care for people with severe mental illness: an electronic healthcare record study |
| title_fullStr | Prevalence and patient characteristics associated with cardiovascular disease risk factor screening in UK primary care for people with severe mental illness: an electronic healthcare record study |
| title_full_unstemmed | Prevalence and patient characteristics associated with cardiovascular disease risk factor screening in UK primary care for people with severe mental illness: an electronic healthcare record study |
| title_short | Prevalence and patient characteristics associated with cardiovascular disease risk factor screening in UK primary care for people with severe mental illness: an electronic healthcare record study |
| title_sort | prevalence and patient characteristics associated with cardiovascular disease risk factor screening in uk primary care for people with severe mental illness an electronic healthcare record study |
| url | https://mentalhealth.bmj.com/content/28/1/e301409.full |
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