Excess physical disease burden associated with selected mental health disorders in Europe
Abstract Introduction People with mental health disorders (MHDs) have worse physical health compared to the general population. To date, no comprehensive epidemiological overview exists and the extent of the excess public health burden is unknown. Our aim was to estimate the prevalence of excess PHC...
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croxfordunivpr:10.1093/eurpub/ckad160.065 2023-12-31T10:08:25+01:00 Excess physical disease burden associated with selected mental health disorders in Europe Wienand, D Wijnen, L I Heilig, D Wippel, C Arango, C Knudsen, G M Goodwin, G M Simon, J 2023 http://dx.doi.org/10.1093/eurpub/ckad160.065 https://academic.oup.com/eurpub/article-pdf/33/Supplement_2/ckad160.065/52415493/ckad160.065.pdf en eng Oxford University Press (OUP) https://creativecommons.org/licenses/by-nc/4.0/ European Journal of Public Health volume 33, issue Supplement_2 ISSN 1101-1262 1464-360X Public Health, Environmental and Occupational Health journal-article 2023 croxfordunivpr https://doi.org/10.1093/eurpub/ckad160.065 2023-12-06T09:10:01Z Abstract Introduction People with mental health disorders (MHDs) have worse physical health compared to the general population. To date, no comprehensive epidemiological overview exists and the extent of the excess public health burden is unknown. Our aim was to estimate the prevalence of excess PHC diagnoses associated with MHDs in the European working-age population. Methods We estimated excess PHC diagnoses associated with depressive disorders (DD), bipolar disorder (BD), schizophrenia (SZ), and alcohol use disorders (AUD) for year 2019. Levels of excess risks for PHCs were identified by a structured literature review and synthesised per MHD and categories of PHCs using random-effects meta-analyses. Estimated relative risks (RRs) were combined with country-level disease prevalence and population data to calculate population attributable fractions (PAFs). Based on obtained PAFs we calculated excess PHC diagnoses due to underlying MHDs for all EU-27 member states, Iceland, Liechtenstein, Norway, Switzerland, and the United Kingdom. Results We identified 72 studies for estimating excess levels of risk for PHCs, focused on DD (n = 29, 40%), SZ (n = 26, 36%), BD (n = 9, 13%), AUD (n = 4, 6%), or multiple MHDs (n = 4, 6%). Estimated RRs ranged from 1.3 to 1.8 (DD), from 1.8 to 15.8 (BD), from 1.5 to 4.0 (SZ), and from 1.9 to 3.3 (AUD). Corresponding excess PHC diagnoses in the total European working-age population (312.5 million) were 24.6 million (AUD), 12.6 million (DD), 6.6 million (BD), and 0.9 million (SZ). Discussion This is the first comprehensive estimation of the public health burden of excess PHCs associated with DD, BD, SZ, and AUD in the European working-age population. Our results unequivocally demonstrate broader population health benefits of investments into integrated mental and physical healthcare. Targeted policies should consider prevention strategies as sustainable and equitable approaches to alleviate substantial physical health disparities in people with MHDs. Key messages • Working-age ... Article in Journal/Newspaper Iceland Oxford University Press (via Crossref) European Journal of Public Health 33 Supplement_2 |
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Oxford University Press (via Crossref) |
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croxfordunivpr |
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English |
topic |
Public Health, Environmental and Occupational Health |
spellingShingle |
Public Health, Environmental and Occupational Health Wienand, D Wijnen, L I Heilig, D Wippel, C Arango, C Knudsen, G M Goodwin, G M Simon, J Excess physical disease burden associated with selected mental health disorders in Europe |
topic_facet |
Public Health, Environmental and Occupational Health |
description |
Abstract Introduction People with mental health disorders (MHDs) have worse physical health compared to the general population. To date, no comprehensive epidemiological overview exists and the extent of the excess public health burden is unknown. Our aim was to estimate the prevalence of excess PHC diagnoses associated with MHDs in the European working-age population. Methods We estimated excess PHC diagnoses associated with depressive disorders (DD), bipolar disorder (BD), schizophrenia (SZ), and alcohol use disorders (AUD) for year 2019. Levels of excess risks for PHCs were identified by a structured literature review and synthesised per MHD and categories of PHCs using random-effects meta-analyses. Estimated relative risks (RRs) were combined with country-level disease prevalence and population data to calculate population attributable fractions (PAFs). Based on obtained PAFs we calculated excess PHC diagnoses due to underlying MHDs for all EU-27 member states, Iceland, Liechtenstein, Norway, Switzerland, and the United Kingdom. Results We identified 72 studies for estimating excess levels of risk for PHCs, focused on DD (n = 29, 40%), SZ (n = 26, 36%), BD (n = 9, 13%), AUD (n = 4, 6%), or multiple MHDs (n = 4, 6%). Estimated RRs ranged from 1.3 to 1.8 (DD), from 1.8 to 15.8 (BD), from 1.5 to 4.0 (SZ), and from 1.9 to 3.3 (AUD). Corresponding excess PHC diagnoses in the total European working-age population (312.5 million) were 24.6 million (AUD), 12.6 million (DD), 6.6 million (BD), and 0.9 million (SZ). Discussion This is the first comprehensive estimation of the public health burden of excess PHCs associated with DD, BD, SZ, and AUD in the European working-age population. Our results unequivocally demonstrate broader population health benefits of investments into integrated mental and physical healthcare. Targeted policies should consider prevention strategies as sustainable and equitable approaches to alleviate substantial physical health disparities in people with MHDs. Key messages • Working-age ... |
format |
Article in Journal/Newspaper |
author |
Wienand, D Wijnen, L I Heilig, D Wippel, C Arango, C Knudsen, G M Goodwin, G M Simon, J |
author_facet |
Wienand, D Wijnen, L I Heilig, D Wippel, C Arango, C Knudsen, G M Goodwin, G M Simon, J |
author_sort |
Wienand, D |
title |
Excess physical disease burden associated with selected mental health disorders in Europe |
title_short |
Excess physical disease burden associated with selected mental health disorders in Europe |
title_full |
Excess physical disease burden associated with selected mental health disorders in Europe |
title_fullStr |
Excess physical disease burden associated with selected mental health disorders in Europe |
title_full_unstemmed |
Excess physical disease burden associated with selected mental health disorders in Europe |
title_sort |
excess physical disease burden associated with selected mental health disorders in europe |
publisher |
Oxford University Press (OUP) |
publishDate |
2023 |
url |
http://dx.doi.org/10.1093/eurpub/ckad160.065 https://academic.oup.com/eurpub/article-pdf/33/Supplement_2/ckad160.065/52415493/ckad160.065.pdf |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
European Journal of Public Health volume 33, issue Supplement_2 ISSN 1101-1262 1464-360X |
op_rights |
https://creativecommons.org/licenses/by-nc/4.0/ |
op_doi |
https://doi.org/10.1093/eurpub/ckad160.065 |
container_title |
European Journal of Public Health |
container_volume |
33 |
container_issue |
Supplement_2 |
_version_ |
1786841132663046144 |