Preventive Health Care among Canadian Adults with Schizophrenia and Related Disorders
Accessioned
2014-01-07T18:26:24ZAvailable
2014-03-15T07:00:17ZIssued
2014-01-07Submitted
2014Classification
schizophreniacoronary disease
risk factor
metabolic syndrome
preventive health services
hypertension
smoking
cholesterol
Diabetes
Obesity
Epidemiology
Health services
mental disorder
Subject
EpidemiologyMedicine and Surgery
Mental Health
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Abstract
Objective: To characterize cardiovascular disease risk factors (CVD-RFs) and preventive health services of people with schizophrenia and related disorders (SCZ) in a Canadian context. Methods: This cross-sectional survey collected laboratory, physical examination, and interview data from 202 randomly selected Calgary outpatients with SCZ. Results: There were high prevalences of several CVD-RFs. Metabolic syndrome was present in 30.0%. Mean 10-year general CVD risk was 8.8%. Many previously known CVD-RFs were inadequately treated, and several previously undetected CVD-RFs were discovered (e.g. 33.3% of diabetes). There was variable receipt of preventive services, and participants explained non-receipt by “Thought it was unnecessary” or “Didn’t get around to it”. Interpretation: This study found substantial physical morbidity coupled with gaps in prevention, detection, and management, as well as patient factors that might be a target of interventions for improved care. Multifaceted strategies will be needed to make a difference in the health of people with schizophrenia.Citation
Beck, C. A. (2014). Preventive Health Care among Canadian Adults with Schizophrenia and Related Disorders (Unpublished master's thesis). University of Calgary, Calgary, AB. doi:10.11575/PRISM/27428Collections
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