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Health Risks and Changes in Self-Efficacy Following Community Health Screening of Adults with Serious Mental Illnesses

Physical health screenings were conducted by researchers and peer wellness specialists for adults attending publicly-funded community mental health programs. A total of 457 adults with serious mental illnesses attended health fairs in 4 U.S. states and were screened for 8 common medical co-morbiditi...

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Autores principales: Cook, Judith A., Razzano, Lisa A., Swarbrick, Margaret A., Jonikas, Jessica A., Yost, Chantelle, Burke, Larisa, Steigman, Pamela J., Santos, Alberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4395322/
https://www.ncbi.nlm.nih.gov/pubmed/25875181
http://dx.doi.org/10.1371/journal.pone.0123552
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author Cook, Judith A.
Razzano, Lisa A.
Swarbrick, Margaret A.
Jonikas, Jessica A.
Yost, Chantelle
Burke, Larisa
Steigman, Pamela J.
Santos, Alberto
author_facet Cook, Judith A.
Razzano, Lisa A.
Swarbrick, Margaret A.
Jonikas, Jessica A.
Yost, Chantelle
Burke, Larisa
Steigman, Pamela J.
Santos, Alberto
author_sort Cook, Judith A.
collection PubMed
description Physical health screenings were conducted by researchers and peer wellness specialists for adults attending publicly-funded community mental health programs. A total of 457 adults with serious mental illnesses attended health fairs in 4 U.S. states and were screened for 8 common medical co-morbidities and health risk factors. Also assessed were self-reported health competencies, medical conditions, and health service utilization. Compared to non-institutionalized U.S. adults, markedly higher proportions screened positive for obesity (60%), hypertension (32%), diabetes (14%), smoking (44%), nicotine dependence (62%), alcohol abuse (17%), drug abuse (11%), and coronary heart disease (10%). A lower proportion screened positive for hyperlipidemia (7%). Multivariable random regression analysis found significant pre- to post-screening increases in participants’ self-rated abilities for health practices, competence for health maintenance, and health locus of control. Screening identified 82 instances of undiagnosed diabetes, hypertension or hyperlipidemia, and 76 instances where these disorders were treated but uncontrolled. These results are discussed in the context of how this global public health approach holds promise for furthering the goal of integrating health and mental health care.
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spelling pubmed-43953222015-04-21 Health Risks and Changes in Self-Efficacy Following Community Health Screening of Adults with Serious Mental Illnesses Cook, Judith A. Razzano, Lisa A. Swarbrick, Margaret A. Jonikas, Jessica A. Yost, Chantelle Burke, Larisa Steigman, Pamela J. Santos, Alberto PLoS One Research Article Physical health screenings were conducted by researchers and peer wellness specialists for adults attending publicly-funded community mental health programs. A total of 457 adults with serious mental illnesses attended health fairs in 4 U.S. states and were screened for 8 common medical co-morbidities and health risk factors. Also assessed were self-reported health competencies, medical conditions, and health service utilization. Compared to non-institutionalized U.S. adults, markedly higher proportions screened positive for obesity (60%), hypertension (32%), diabetes (14%), smoking (44%), nicotine dependence (62%), alcohol abuse (17%), drug abuse (11%), and coronary heart disease (10%). A lower proportion screened positive for hyperlipidemia (7%). Multivariable random regression analysis found significant pre- to post-screening increases in participants’ self-rated abilities for health practices, competence for health maintenance, and health locus of control. Screening identified 82 instances of undiagnosed diabetes, hypertension or hyperlipidemia, and 76 instances where these disorders were treated but uncontrolled. These results are discussed in the context of how this global public health approach holds promise for furthering the goal of integrating health and mental health care. Public Library of Science 2015-04-13 /pmc/articles/PMC4395322/ /pubmed/25875181 http://dx.doi.org/10.1371/journal.pone.0123552 Text en © 2015 Cook et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Cook, Judith A.
Razzano, Lisa A.
Swarbrick, Margaret A.
Jonikas, Jessica A.
Yost, Chantelle
Burke, Larisa
Steigman, Pamela J.
Santos, Alberto
Health Risks and Changes in Self-Efficacy Following Community Health Screening of Adults with Serious Mental Illnesses
title Health Risks and Changes in Self-Efficacy Following Community Health Screening of Adults with Serious Mental Illnesses
title_full Health Risks and Changes in Self-Efficacy Following Community Health Screening of Adults with Serious Mental Illnesses
title_fullStr Health Risks and Changes in Self-Efficacy Following Community Health Screening of Adults with Serious Mental Illnesses
title_full_unstemmed Health Risks and Changes in Self-Efficacy Following Community Health Screening of Adults with Serious Mental Illnesses
title_short Health Risks and Changes in Self-Efficacy Following Community Health Screening of Adults with Serious Mental Illnesses
title_sort health risks and changes in self-efficacy following community health screening of adults with serious mental illnesses
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4395322/
https://www.ncbi.nlm.nih.gov/pubmed/25875181
http://dx.doi.org/10.1371/journal.pone.0123552
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