Clustering of chronic disease risks among people accessing community mental health services

Regan, Casey; Fehily, Caitlin; Campbell, Elizabeth; Bowman, Jenny; Faulkner, Jack; Oldmeadow, Christopher; Bartlem, Kate

doi:10.1016/j.pmedr.2022.101870

Cited by 4 publications

(5 citation statements)

References 80 publications

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“…Similar to other surveys of CMHS clients (Bartlem et al, 2015;Regan et al, 2022), this study showed substantial proportions of clients at risk for each SNAPW variable. Direct comparisons with risk levels in prior studies should be seen in light of differences in services, data collection tools and reporting of risks.…”

Section: Discussionsupporting

confidence: 85%

“…Bartlem et al's (2015) study showed higher alcohol risk than the present study (43.2% vs 25.9%) and lower physical activity (46.8% vs 86.6%) risk. Regan et al (2022) showed high levels of individual risks.…”

Section: Discussionmentioning

confidence: 99%

“…These factors are more common among people with mental health conditions than those without (Bartlem et al, 2015;Lawrence et al, 2013), with the largest and most consistent difference being for smoking (Drope et al, 2018;Richardson et al, 2019;Stockings et al, 2013). People with a mental health condition are also more likely to have multiple risk factors (Bartlem et al, 2015;Champion et al, 2018;Regan et al, 2022;Stanley and Laugharne, 2014).…”

Section: Introductionmentioning

confidence: 99%

“…Two previous studies examined the prevalence of multiple SNAPW risks in clients of Australian CMHS (Bartlem et al, 2015;Regan et al, 2022). Bartlem et al's (2015) survey of 558 participants from 12 CMHS within one health district in New South Wales (NSW), Australia, reported prevalence of SNAP risks against Australian guidelines, ranging from 43.2% (alcohol over-consumption) to 86.7% (insufficient fruit/vegetable consumption).…”

Section: Introductionmentioning

confidence: 99%

“…78.4% of participants were at risk for two or more factors, with 10.2% at risk for all. More recently, Regan et al (2022) surveyed 567 participants from 2 CMHS from the same NSW health district. The proportions with SNAPW risks were again high, ranging from 20% (chronic alcohol risk) to 82% (strength training).…”

Section: Introductionmentioning

confidence: 99%

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Risk prevalence, readiness and confidence to change lifestyle risk factors among clients of community mental health services

Stettaford,

Fehily,

Campbell

et al. 2024

Aust N Z J Psychiatry

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Objective: People with mental health conditions have high rates of chronic physical diseases, partially attributable to lifestyle risks factors. This study examined risk prevalence among community mental health service clients, their readiness and confidence to change, and associations with participant characteristics. Methods: Cross-sectional survey of adult clients from 12 community mental health services across 3 local health districts in New South Wales, Australia, collected from 2021 to 2022. Participants ( n = 486) completed a telephone interview determining five risk factors, and readiness and confidence to change these. Multiple binary logistic regression models determined associations between readiness and confidence (for each risk), and participant characteristics (demographics and diagnosis). Results: Participants most commonly reported a diagnosis of schizophrenia (36.7%) or depression (21.1%). Risk factors were prevalent: ranging from 26% (harmful alcohol use) to 97% (poor nutrition). High readiness was greatest for smoking (68%), weight (66%) and physical inactivity (63%), while confidence was highest for changing alcohol use (67%). Two significant associations were identified; females were more likely than males to have high readiness to change nutrition (odds ratio = 1.14, confidence interval = [1.13, 2.34], p = 0.0092), with males more likely to have high confidence to change physical activity (odds ratio = 0.91, confidence interval = [0.45, 0.99], p = 0.0109). Conclusions: Many participants were ready and confident to change risk factors. Gender influenced readiness to change nutrition and physical activity confidence. Training to upskill mental health clinicians in provision of preventive care that builds confidence and readiness levels may aid in supporting positive behaviour change.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Risk prevalence, readiness and confidence to change lifestyle risk factors among clients of community mental health services

Stettaford,

Fehily,

Campbell

et al. 2024

Aust N Z J Psychiatry

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Current status of the novel food ingredient safety evaluation system

Heo

Lee

et al. 2023

Food Sci Biotechnol

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Patterns of Health-Risk Behaviours and Their Associations With Anxiety and Depression Among Chinese Young Adults by Gender: A Latent Class Analysis

Dong,

Chen,

et al. 2024

Psychol Rep

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This study investigated gender differences in health-risk behaviour patterns among young adults and assessed the associations of anxiety and depression with these patterns. A cross-sectional survey was conducted with 1740 young Chinese adults aged 18–24 years. Latent class analysis (LCA) and multinomial logistic regression were conducted to identify the clusters of health-risk behaviours and their associations with anxiety and depression. Three common patterns were found for both genders: physical inactivity, substance use, and insufficient fruit intake (5.7% for males [M] and 11.6% for females [F]); a sedentary lifestyle only (48.4% for M and 48.9% for F); and a sedentary lifestyle, substance use, and an unhealthy diet (7.6% for M and 20.0% for F). Additionally, two additional unique patterns were found: physical inactivity and unhealthy diet in males (38.3%) and physical inactivity and insufficient fruit intake in females (19.6%). Sociodemographic variables exert different effects on health-risk behaviour patterns as a function of gender. Lower anxiety levels (odds ratio [OR]: 0.892; 95% confidence interval [CI]: 0.823–0.966) and greater depression levels (OR: 1.074; 95% CI: 1.008–1.143) were associated with a sedentary lifestyle, substance use, and unhealthy diet class only in female young adults compared with a sedentary-only class. These findings underscore the need for the implementation of targeted interventions based on gender differences.

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Clustering of chronic disease risks among people accessing community mental health services

Cited by 4 publications

References 80 publications

Risk prevalence, readiness and confidence to change lifestyle risk factors among clients of community mental health services

Risk prevalence, readiness and confidence to change lifestyle risk factors among clients of community mental health services

Current status of the novel food ingredient safety evaluation system

Patterns of Health-Risk Behaviours and Their Associations With Anxiety and Depression Among Chinese Young Adults by Gender: A Latent Class Analysis

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