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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...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2015
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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. |
format | Online Article Text |
id | pubmed-4395322 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
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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