Home > Research > Publications & Outputs > Inequalities in physical comorbidity

Associated organisational unit

Electronic data

  • BMJ_Open_2015_Reilly_

    Final published version, 1.36 MB, PDF document

    Available under license: CC BY: Creative Commons Attribution 4.0 International License

Links

Text available via DOI:

View graph of relations

Inequalities in physical comorbidity: a longitudinal comparative cohort study of people with severe mental illness in the UK

Research output: Contribution to journalJournal articlepeer-review

Published

Standard

Inequalities in physical comorbidity : a longitudinal comparative cohort study of people with severe mental illness in the UK. / Reilly, Siobhan; Olier, Ivan; Planner, Claire; Doran, Tim; Reeves, David; Ashcroft, Darren M.; Gask, Linda; Kontopantelis, Evangelos.

In: BMJ Open, Vol. 5, No. 12, e009010, 17.12.2015.

Research output: Contribution to journalJournal articlepeer-review

Harvard

Reilly, S, Olier, I, Planner, C, Doran, T, Reeves, D, Ashcroft, DM, Gask, L & Kontopantelis, E 2015, 'Inequalities in physical comorbidity: a longitudinal comparative cohort study of people with severe mental illness in the UK', BMJ Open, vol. 5, no. 12, e009010. https://doi.org/10.1136/bmjopen-2015-009010

APA

Reilly, S., Olier, I., Planner, C., Doran, T., Reeves, D., Ashcroft, D. M., Gask, L., & Kontopantelis, E. (2015). Inequalities in physical comorbidity: a longitudinal comparative cohort study of people with severe mental illness in the UK. BMJ Open, 5(12), [e009010]. https://doi.org/10.1136/bmjopen-2015-009010

Vancouver

Author

Reilly, Siobhan ; Olier, Ivan ; Planner, Claire ; Doran, Tim ; Reeves, David ; Ashcroft, Darren M. ; Gask, Linda ; Kontopantelis, Evangelos. / Inequalities in physical comorbidity : a longitudinal comparative cohort study of people with severe mental illness in the UK. In: BMJ Open. 2015 ; Vol. 5, No. 12.

Bibtex

@article{6b41e937ee694dcfa271e2a9e7bd7d2d,
title = "Inequalities in physical comorbidity: a longitudinal comparative cohort study of people with severe mental illness in the UK",
abstract = "OBJECTIVES: Little is known about the prevalence of comorbidity rates in people with severe mental illness (SMI) in UK primary care. We calculated the prevalence of SMI by UK country, English region and deprivation quintile, antipsychotic and antidepressant medication prescription rates for people with SMI, and prevalence rates of common comorbidities in people with SMI compared with people without SMI.DESIGN: Retrospective cohort study from 2000 to 2012.SETTING: 627 general practices contributing to the Clinical Practice Research Datalink, a UK primary care database.PARTICIPANTS: Each identified case (346 551) was matched for age, sex and general practice with 5 randomly selected control cases (1 732 755) with no diagnosis of SMI in each yearly time point.OUTCOME MEASURES: Prevalence rates were calculated for 16 conditions.RESULTS: SMI rates were highest in Scotland and in more deprived areas. Rates increased in England, Wales and Northern Ireland over time, with the largest increase in Northern Ireland (0.48% in 2000/2001 to 0.69% in 2011/2012). Annual prevalence rates of all conditions were higher in people with SMI compared with those without SMI. The discrepancy between the prevalence of those with and without SMI increased over time for most conditions. A greater increase in the mean number of additional conditions was observed in the SMI population over the study period (0.6 in 2000/2001 to 1.0 in 2011/2012) compared with those without SMI (0.5 in 2000/2001 to 0.6 in 2011/2012). For both groups, most conditions were more prevalent in more deprived areas, whereas for the SMI group conditions such as hypothyroidism, chronic kidney disease and cancer were more prevalent in more affluent areas.CONCLUSIONS: Our findings highlight the health inequalities faced by people with SMI. The provision of appropriate timely health prevention, promotion and monitoring activities to reduce these health inequalities are needed, especially in deprived areas.",
keywords = "severe men, mental health, physical health, comorbidity, clinical practice research datalinktal illness, mental health, physical health, comorbidity , CPRD, clinical practice research datalink, epidemiology",
author = "Siobhan Reilly and Ivan Olier and Claire Planner and Tim Doran and David Reeves and Ashcroft, {Darren M.} and Linda Gask and Evangelos Kontopantelis",
note = "Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/",
year = "2015",
month = dec,
day = "17",
doi = "10.1136/bmjopen-2015-009010",
language = "English",
volume = "5",
journal = "BMJ Open",
issn = "2044-6055",
publisher = "BMJ Publishing Group Ltd",
number = "12",

}

RIS

TY - JOUR

T1 - Inequalities in physical comorbidity

T2 - a longitudinal comparative cohort study of people with severe mental illness in the UK

AU - Reilly, Siobhan

AU - Olier, Ivan

AU - Planner, Claire

AU - Doran, Tim

AU - Reeves, David

AU - Ashcroft, Darren M.

AU - Gask, Linda

AU - Kontopantelis, Evangelos

N1 - Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

PY - 2015/12/17

Y1 - 2015/12/17

N2 - OBJECTIVES: Little is known about the prevalence of comorbidity rates in people with severe mental illness (SMI) in UK primary care. We calculated the prevalence of SMI by UK country, English region and deprivation quintile, antipsychotic and antidepressant medication prescription rates for people with SMI, and prevalence rates of common comorbidities in people with SMI compared with people without SMI.DESIGN: Retrospective cohort study from 2000 to 2012.SETTING: 627 general practices contributing to the Clinical Practice Research Datalink, a UK primary care database.PARTICIPANTS: Each identified case (346 551) was matched for age, sex and general practice with 5 randomly selected control cases (1 732 755) with no diagnosis of SMI in each yearly time point.OUTCOME MEASURES: Prevalence rates were calculated for 16 conditions.RESULTS: SMI rates were highest in Scotland and in more deprived areas. Rates increased in England, Wales and Northern Ireland over time, with the largest increase in Northern Ireland (0.48% in 2000/2001 to 0.69% in 2011/2012). Annual prevalence rates of all conditions were higher in people with SMI compared with those without SMI. The discrepancy between the prevalence of those with and without SMI increased over time for most conditions. A greater increase in the mean number of additional conditions was observed in the SMI population over the study period (0.6 in 2000/2001 to 1.0 in 2011/2012) compared with those without SMI (0.5 in 2000/2001 to 0.6 in 2011/2012). For both groups, most conditions were more prevalent in more deprived areas, whereas for the SMI group conditions such as hypothyroidism, chronic kidney disease and cancer were more prevalent in more affluent areas.CONCLUSIONS: Our findings highlight the health inequalities faced by people with SMI. The provision of appropriate timely health prevention, promotion and monitoring activities to reduce these health inequalities are needed, especially in deprived areas.

AB - OBJECTIVES: Little is known about the prevalence of comorbidity rates in people with severe mental illness (SMI) in UK primary care. We calculated the prevalence of SMI by UK country, English region and deprivation quintile, antipsychotic and antidepressant medication prescription rates for people with SMI, and prevalence rates of common comorbidities in people with SMI compared with people without SMI.DESIGN: Retrospective cohort study from 2000 to 2012.SETTING: 627 general practices contributing to the Clinical Practice Research Datalink, a UK primary care database.PARTICIPANTS: Each identified case (346 551) was matched for age, sex and general practice with 5 randomly selected control cases (1 732 755) with no diagnosis of SMI in each yearly time point.OUTCOME MEASURES: Prevalence rates were calculated for 16 conditions.RESULTS: SMI rates were highest in Scotland and in more deprived areas. Rates increased in England, Wales and Northern Ireland over time, with the largest increase in Northern Ireland (0.48% in 2000/2001 to 0.69% in 2011/2012). Annual prevalence rates of all conditions were higher in people with SMI compared with those without SMI. The discrepancy between the prevalence of those with and without SMI increased over time for most conditions. A greater increase in the mean number of additional conditions was observed in the SMI population over the study period (0.6 in 2000/2001 to 1.0 in 2011/2012) compared with those without SMI (0.5 in 2000/2001 to 0.6 in 2011/2012). For both groups, most conditions were more prevalent in more deprived areas, whereas for the SMI group conditions such as hypothyroidism, chronic kidney disease and cancer were more prevalent in more affluent areas.CONCLUSIONS: Our findings highlight the health inequalities faced by people with SMI. The provision of appropriate timely health prevention, promotion and monitoring activities to reduce these health inequalities are needed, especially in deprived areas.

KW - severe men, mental health, physical health, comorbidity, clinical practice research datalinktal illness

KW - mental health

KW - physical health

KW - comorbidity

KW - CPRD

KW - clinical practice research datalink

KW - epidemiology

U2 - 10.1136/bmjopen-2015-009010

DO - 10.1136/bmjopen-2015-009010

M3 - Journal article

C2 - 26671955

VL - 5

JO - BMJ Open

JF - BMJ Open

SN - 2044-6055

IS - 12

M1 - e009010

ER -