Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Study reveals treatment and screening inequalities for patients with mental health problems

07.12.2005


Patients with mental health problems may not be receiving the appropriate screening or treatments for illnesses including heart disease and stroke, a report from The University of Nottingham has shown.



The research, led by Professor Julia Hippisley-Cox in the University’s Division of General Practice and commissioned by the Disability Rights Commission, found some evidence that patients with mental health problems, such as schizophrenia, were also more likely to suffer from conditions like high blood pressure and epilepsy and may not always be given adequate access to preventative health care.

The research was an analysis of the clinical records of 1.7 million people registered with 242 general practices contributing to the QRESEARCH database. This database is based on the EMIS clinical system, the system of choice for more than half of general practitioners in the NHS. The database enables researchers to quickly detect regional and national trends of disease and illnesses.


The study found that patients with mental health problems are more likely to have higher levels of risk factors that could increase their chances of suffering from illnesses such as heart disease than other patients without mental health problems. For example, obesity was present in one-third of those with schizophrenia, compared to 21 per cent of the remaining population and 61 per cent of people with schizophrenia were smokers, compared to 33 per cent of people without mental health problems.

The study also found:

  • Ischaemic heart disease is more common in people with schizophrenia (four per cent) and manic depression (five per cent) compared to the remaining population (three per cent)
  • Stroke is more common in people with schizophrenia (two per cent) and manic depression (1.5 per cent) compared to the remaining population (one per cent)
  • High blood pressure is more common in people with schizophrenia (12 per cent) and manic depression (15 per cent) compared to the remaining population (10 per cent)
  • Epilepsy is more common in people with schizophrenia (0.7 per cent) and manic depression (0.7 per cent) compared to the remaining population
  • Diabetes is more common in people with schizophrenia (six per cent) and manic depression (four per cent) compared to the remaining population (two per cent)

In addition, the research also found some inequalities in preventative health care. For example:

  • Women with schizophrenia were less likely to have had a cervical smear test in the previous five years (63 per cent) compared to the remaining population (73 per cent), although this did not apply to those with manic depressive disorder
  • 86 per cent of patients with schizophrenia and ischaemic heart disease had a blood pressure reading recorded compared with 92 per cent of the remaining population with ischaemic heart disease
  • 67.7 per cent of patients with schizophrenia and ischaemic heart disease had a recent cholesterol test, compared to 79.9 per cent of the remaining population
  • Only 48 per cent of stroke patients with schizophrenia had a cholesterol test in the last 15 months, compared with 63 per cent of the remaining population
  • 63 per cent of stroke patients with schizophrenia were on aspirin (either prescribed or over-the-counter) in the last 15 months compared with 68 per cent of general stroke patients

The researchers said: “Equitable access to health care is about patients receiving the level of care appropriate to their level of need rather than a ’one size, fits all’ approach. For example, patients with higher levels of need and greater risk of adverse outcomes may need more energetic screening and management. We have found no evidence of this.”

The report also revealed some encouraging trends. More of those with severe mental illness had been recorded as receiving smoking advice and more had been prescribed smoking cessation medication compared to smokers without any mental health problems. More of those with severe mental illness (60 per cent of those with schizophrenia) had also had their blood pressure recorded in the past year compared to the remaining population (44 per cent) and those with schizophrenia were more likely to have a normal blood pressure reading (82 per cent versus 77 per cent).

Professor Julia Hippisley-Cox | alfa
Further information:
http://www.nottingham.ac.uk/public-affairs/press-releases/index.phtml?menu=pressreleases&code=NOT-184/05&create_date=06-dec-2005
http://www.drc.org.uk
http://www.qresearch.org

More articles from Studies and Analyses:

nachricht New study: How does Europe become a leading player for software and IT services?
03.04.2017 | Fraunhofer-Institut für System- und Innovationsforschung (ISI)

nachricht Reusable carbon nanotubes could be the water filter of the future, says RIT study
30.03.2017 | Rochester Institute of Technology

All articles from Studies and Analyses >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: A quantum walk of photons

Physicists from the University of Würzburg are capable of generating identical looking single light particles at the push of a button. Two new studies now demonstrate the potential this method holds.

The quantum computer has fuelled the imagination of scientists for decades: It is based on fundamentally different phenomena than a conventional computer....

Im Focus: Turmoil in sluggish electrons’ existence

An international team of physicists has monitored the scattering behaviour of electrons in a non-conducting material in real-time. Their insights could be beneficial for radiotherapy.

We can refer to electrons in non-conducting materials as ‘sluggish’. Typically, they remain fixed in a location, deep inside an atomic composite. It is hence...

Im Focus: Wafer-thin Magnetic Materials Developed for Future Quantum Technologies

Two-dimensional magnetic structures are regarded as a promising material for new types of data storage, since the magnetic properties of individual molecular building blocks can be investigated and modified. For the first time, researchers have now produced a wafer-thin ferrimagnet, in which molecules with different magnetic centers arrange themselves on a gold surface to form a checkerboard pattern. Scientists at the Swiss Nanoscience Institute at the University of Basel and the Paul Scherrer Institute published their findings in the journal Nature Communications.

Ferrimagnets are composed of two centers which are magnetized at different strengths and point in opposing directions. Two-dimensional, quasi-flat ferrimagnets...

Im Focus: World's thinnest hologram paves path to new 3-D world

Nano-hologram paves way for integration of 3-D holography into everyday electronics

An Australian-Chinese research team has created the world's thinnest hologram, paving the way towards the integration of 3D holography into everyday...

Im Focus: Using graphene to create quantum bits

In the race to produce a quantum computer, a number of projects are seeking a way to create quantum bits -- or qubits -- that are stable, meaning they are not much affected by changes in their environment. This normally needs highly nonlinear non-dissipative elements capable of functioning at very low temperatures.

In pursuit of this goal, researchers at EPFL's Laboratory of Photonics and Quantum Measurements LPQM (STI/SB), have investigated a nonlinear graphene-based...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

Marine Conservation: IASS Contributes to UN Ocean Conference in New York on 5-9 June

24.05.2017 | Event News

AWK Aachen Machine Tool Colloquium 2017: Internet of Production for Agile Enterprises

23.05.2017 | Event News

Dortmund MST Conference presents Individualized Healthcare Solutions with micro and nanotechnology

22.05.2017 | Event News

 
Latest News

Physicists discover mechanism behind granular capillary effect

24.05.2017 | Physics and Astronomy

Measured for the first time: Direction of light waves changed by quantum effect

24.05.2017 | Physics and Astronomy

Marine Conservation: IASS Contributes to UN Ocean Conference in New York on 5-9 June

24.05.2017 | Event News

VideoLinks
B2B-VideoLinks
More VideoLinks >>>