People with schizophrenia and bipolar disorder received preventive health screenings at rates similar to or higher than people without mental illnesses, according to a study of more than 800,000 patients published today in the American Journal of Preventive Medicine .
Nearly 10 million people in the United States live with a serious mental health condition, and they have higher early death rates compared to those without these conditions. In fact, one study found that patients with schizophrenia were 3.5 times more likely to die early, compared to the general population.
The disparity is largely due to preventable causes such as high blood pressure, high cholesterol, diabetes and heart disease, and to modifiable risk factors such as poor diet, lack of exercise, smoking and medications that cause weight gain.
Kaiser Permanente patients who were diagnosed with a mental health condition received between 80 and 81 percent of the recommended preventive care, while people with no diagnosis of a mental health condition received about 80 percent of the preventive care recommended for them.
"We were pleased to learn that people with mental health conditions received as many or more preventive services as people without these conditions," said Bobbi Jo Yarborough PsyD, lead author and researcher with the Kaiser Permanente Center for Health Research.
To address this need, Yarborough and her colleagues developed a successful weight loss and diabetes risk reduction program, but she says few health systems implement these types of programs.
For the current study, researchers compared the proportion of recommended preventive screenings received among more than 100,000 adults who had a diagnosis of schizophrenia, bipolar or affective psychosis, or other mental health conditions such as anxiety or major depressive disorder, to the proportion of recommended screenings received among nearly 700,000 adults without a diagnosis of mental illness.
Study subjects were members of the Kaiser Permanente Northwest health system, or patients who received care in clinics that serve low-income individuals and those without health insurance. During 2012-2013, the researchers examined the medical records of these patients to find out if they were eligible for and had received 12 preventive services recommended by the U.S. Preventive Services Task Force.
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The study was funded by a grant (R01 MH096795) from the National Institute of Mental Health. In addition to Yarborough, study authors include: Nancy A. Perrin, PhD, Scott P. Stumbo, MA, and Carla A. Green, PhD, MPH, of the Kaiser Permanente Center for Health Research; and John Muench, MD, MPH, of Oregon Health & Science University.
About the Kaiser Permanente Center for Health Research
The Kaiser Permanente Center for Health Research, founded in 1964, is a nonprofit research institution dedicated to advancing knowledge to improve health. It has research sites in Portland, Oregon, and Honolulu, Hawaii. Visit kpchr.org for more information.
About Kaiser Permanente
Kaiser Permanente is committed to helping shape the future of health care. We are recognized as one of America's leading health care providers and not-for-profit health plans. Founded in 1945, Kaiser Permanente has a mission to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. We currently serve 11.8 million members in eight states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal Permanente Medical Group physicians, specialists and caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education and the support of community health. For more information, go to share.kp.org .
American Journal of Preventive Medicine