scholarly journals COVID ‐19 vaccination uptake in people with severe mental illness: a UK ‐based cohort study

2022 ◽  
Vol 21 (1) ◽  
pp. 153-154
Author(s):  
Lamiece Hassan ◽  
Chelsea Sawyer ◽  
Niels Peek ◽  
Karina Lovell ◽  
Andre F. Carvalho ◽  
...  
Keyword(s):  
Mental Illness ◽  
Cohort Study ◽  
Severe Mental Illness ◽  
Vaccination Uptake

scholarly journals The influence of maternal mental illness on vaccination uptake in children: a UK population-based cohort study

2020 ◽  
Vol 35 (9) ◽  
pp. 879-889
Author(s):  
Cemre Su Osam ◽  
Matthias Pierce ◽  
Holly Hope ◽  
Darren M. Ashcroft ◽  
Kathryn M. Abel
Keyword(s):  
Mental Illness ◽  
Cohort Study ◽  
Substance Misuse ◽  
Childhood Vaccination ◽  
Health Concern ◽  
Practice Research ◽  
Clinical Practice Research Datalink ◽  
Vaccination Uptake ◽  
Maternal Alcohol ◽  
Maternal Mental Illness

Abstract Reduced vaccination uptake is a growing and global public health concern. There is limited knowledge about the effect of maternal mental illness (MMI) on rates of childhood vaccination. This retrospective cohort study examined 479,949 mother-baby pairs born between 1993 and 2015 in the Clinical Practice Research Datalink (CPRD GOLD), a UK-based, primary health-care database. The influence of MMI on children’s vaccination status at two and five years of age was investigated using logistic regression adjusting for sex of the child, child ethnicity, delivery year, maternal age, practice level deprivation quintile and region. The vaccinations were: 5-in-1 (DTaP/IPV/Hib) and first dose MMR by the age of two; and all three doses of 5-in-1, first and second dose of MMR vaccines by the age of five. Exposure to MMI was defined using recorded clinical events for: depression, anxiety, psychosis, eating disorder, personality disorder and alcohol and substance misuse disorders. The likelihood that a child completed their recommended vaccinations by the age of two and five was significantly lower among children with MMI compared to children with mothers without mental illness [adjusted odds ratio (aOR) 0.86, 95% CI 0.84–0.88, p < 0.001]. The strongest effect was observed for children exposed to maternal alcohol or substance misuse (at two years aOR 0.50, 95% CI 0.44–0.58, p < 0.001). In the UK, an estimated five thousand more children per year would be vaccinated if children with MMI had the same vaccination rates as children with well mothers. Maternal mental illness is a hitherto largely unrecognised reason that children may be missing vital vaccinations at two and five years of age. This risk is highest for those children living with maternal alcohol or substance misuse.

scholarly journals Mammography Among Women With Severe Mental Illness: Exploring Disparities Through a Large Retrospective Cohort Study

2018 ◽  
Vol 69 (1) ◽  
pp. 48-54 ◽  
Author(s):  
Melanie Thomas ◽  
Monique James ◽  
Eric Vittinghoff ◽  
Jennifer M. Creasman ◽  
Dean Schillinger ◽  
...  
Keyword(s):  
Mental Illness ◽  
Cohort Study ◽  
Severe Mental Illness ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort

scholarly journals Characteristics of trafficked adults and children with severe mental illness: a historical cohort study

2015 ◽  
Vol 2 (12) ◽  
pp. 1084-1091 ◽  
Author(s):  
Siân Oram ◽  
Mizanur Khondoker ◽  
Melanie Abas ◽  
Matthew Broadbent ◽  
Louise M Howard
Keyword(s):  
Mental Illness ◽  
Cohort Study ◽  
Severe Mental Illness ◽  
Historical Cohort ◽  
Historical Cohort Study ◽  
Adults And Children

scholarly journals Ethnicity and excess mortality in severe mental illness: a cohort study

2017 ◽  
Vol 4 (5) ◽  
pp. 389-399 ◽  
Author(s):  
Jayati Das-Munshi ◽  
Chin-Kuo Chang ◽  
Rina Dutta ◽  
Craig Morgan ◽  
James Nazroo ◽  
...  
Keyword(s):  
Mental Illness ◽  
Cohort Study ◽  
Severe Mental Illness ◽  
Excess Mortality

scholarly journals Association of severe mental illness with stroke outcomes and process-of-care quality indicators: nationwide cohort study

2021 ◽  
pp. 1-8
Author(s):  
Kelly Fleetwood ◽  
Sarah H. Wild ◽  
Daniel J. Smith ◽  
Stewart W. Mercer ◽  
Kirsty Licence ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Mental Illness ◽  
Cohort Study ◽  
Major Depression ◽  
Severe Mental Illness ◽  
Quality Indicators ◽  
Care Quality ◽  
Process Of Care ◽  
Vascular Events ◽  
Stroke Outcomes

Background Severe mental illness (SMI) is associated with increased stroke risk, but little is known about how SMI relates to stroke prognosis and receipt of acute care. Aims To determine the association between SMI and stroke outcomes and receipt of process-of-care quality indicators (such as timely admission to stroke unit). Method We conducted a cohort study using routinely collected linked data-sets, including adults with a first hospital admission for stroke in Scotland during 1991–2014, with process-of-care quality indicator data available from 2010. We identified pre-existing schizophrenia, bipolar disorder and major depression from hospital records. We used logistic regression to evaluate 30-day, 1-year and 5-year mortality and receipt of process-of-care quality indicators by pre-existing SMI, adjusting for sociodemographic and clinical factors. We used Cox regression to evaluate further stroke and vascular events (stroke and myocardial infarction). Results Among 228 699 patients who had had a stroke, 1186 (0.5%), 859 (0.4%), 7308 (3.2%) had schizophrenia, bipolar disorder and major depression, respectively. Overall, median follow-up was 2.6 years. Compared with adults without a record of mental illness, 30-day mortality was higher for schizophrenia (adjusted odds ratio (aOR) = 1.33, 95% CI 1.16–1.52), bipolar disorder (aOR = 1.37, 95% CI 1.18–1.60) and major depression (aOR = 1.11, 95% CI 1.05–1.18). Each disorder was also associated with marked increased risk of 1-year and 5-year mortality and further stroke and vascular events. There were no clear differences in receipt of process-of-care quality indicators. Conclusions Pre-existing SMI was associated with higher risks of mortality and further vascular events. Urgent action is needed to better understand and address the reasons for these disparities.

scholarly journals Disparities in Intensive Care Unit Admission and Mortality Among Patients With Schizophrenia and COVID-19: A National Cohort Study

2020 ◽  
Author(s):  
Guillaume Fond ◽  
Vanessa Pauly ◽  
Marc Leone ◽  
Pierre-Michel Llorca ◽  
Veronica Orleans ◽  
...  
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Mental Illness ◽  
Cohort Study ◽  
Intensive Care ◽  
Hospital Mortality ◽  
Severe Mental Illness ◽  
Vulnerable Population ◽  
Icu Admission ◽  
Risk Of Death

Abstract Patients with schizophrenia (SCZ) represent a vulnerable population who have been understudied in COVID-19 research. We aimed to establish whether health outcomes and care differed between patients with SCZ and patients without a diagnosis of severe mental illness. We conducted a population-based cohort study of all patients with identified COVID-19 and respiratory symptoms who were hospitalized in France between February and June 2020. Cases were patients who had a diagnosis of SCZ. Controls were patients who did not have a diagnosis of severe mental illness. The outcomes were in-hospital mortality and intensive care unit (ICU) admission. A total of 50 750 patients were included, of whom 823 were SCZ patients (1.6%). The SCZ patients had an increased in-hospital mortality (25.6% vs 21.7%; adjusted OR 1.30 [95% CI, 1.08–1.56], P = .0093) and a decreased ICU admission rate (23.7% vs 28.4%; adjusted OR, 0.75 [95% CI, 0.62–0.91], P = .0062) compared with controls. Significant interactions between SCZ and age for mortality and ICU admission were observed (P = .0006 and P &lt; .0001). SCZ patients between 65 and 80 years had a significantly higher risk of death than controls of the same age (+7.89%). SCZ patients younger than 55 years had more ICU admissions (+13.93%) and SCZ patients between 65 and 80 years and older than 80 years had less ICU admissions than controls of the same age (−15.44% and −5.93%, respectively). Our findings report the existence of disparities in health and health care between SCZ patients and patients without a diagnosis of severe mental illness. These disparities differed according to the age and clinical profile of SCZ patients, suggesting the importance of personalized COVID-19 clinical management and health care strategies before, during, and after hospitalization for reducing health disparities in this vulnerable population.

scholarly journals Thirty-Day Mortality After Infection Among Persons With Severe Mental Illness: A Population-Based Cohort Study in Denmark

2015 ◽  
Vol 172 (8) ◽  
pp. 776-783 ◽  
Author(s):  
Anette Riisgaard Ribe ◽  
Mogens Vestergaard ◽  
Wayne Katon ◽  
Morten Charles ◽  
Michael Eriksen Benros ◽  
...  
Keyword(s):  
Mental Illness ◽  
Cohort Study ◽  
Severe Mental Illness ◽  
Population Based

scholarly journals Higher mortality after myocardial infarction in patients with severe mental illness: a nationwide cohort study

2014 ◽  
Vol 277 (6) ◽  
pp. 727-736 ◽  
Author(s):  
R. Bodén ◽  
E. Molin ◽  
T. Jernberg ◽  
H. Kieler ◽  
B. Lindahl ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Mental Illness ◽  
Cohort Study ◽  
Severe Mental Illness
Sign in / Sign up

Export Citation Format

Share Document