Excess physical disease burden associated with selected mental health disorders in Europe
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 diagnos...
Published in: | European Journal of Public Health |
---|---|
Main Authors: | , , , , , , , |
Format: | Text |
Language: | English |
Published: |
Oxford University Press
2023
|
Subjects: | |
Online Access: | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10595113/ https://doi.org/10.1093/eurpub/ckad160.065 |
id |
ftpubmed:oai:pubmedcentral.nih.gov:10595113 |
---|---|
record_format |
openpolar |
spelling |
ftpubmed:oai:pubmedcentral.nih.gov:10595113 2023-11-12T04:19:34+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 2023-10-24 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10595113/ https://doi.org/10.1093/eurpub/ckad160.065 en eng Oxford University Press http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10595113/ http://dx.doi.org/10.1093/eurpub/ckad160.065 © The Author(s) 2023. Published by Oxford University Press on behalf of the European Public Health Association. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com Eur J Public Health Parallel Programme Text 2023 ftpubmed https://doi.org/10.1093/eurpub/ckad160.065 2023-10-29T00:54:08Z 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 ... Text Iceland PubMed Central (PMC) European Journal of Public Health 33 Supplement_2 |
institution |
Open Polar |
collection |
PubMed Central (PMC) |
op_collection_id |
ftpubmed |
language |
English |
topic |
Parallel Programme |
spellingShingle |
Parallel Programme 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 |
Parallel Programme |
description |
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 |
Text |
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 |
publishDate |
2023 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10595113/ https://doi.org/10.1093/eurpub/ckad160.065 |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
Eur J Public Health |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10595113/ http://dx.doi.org/10.1093/eurpub/ckad160.065 |
op_rights |
© The Author(s) 2023. Published by Oxford University Press on behalf of the European Public Health Association. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
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_ |
1782335958341910528 |