Health risks and changes in self-efficacy following community health screening of adults with serious mental illnesses

Judith A. Cook, Lisa A. Razzano, Margaret A. Swarbrick, Jessica A. Jonikas, Chantelle Yost, Larisa Burke, Pamela J. Steigman, Alberto Santos

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Physical health screenings were conducted by researchers and peer wellness specialists for adults attending publicly-funded community mental health programs. A total of 457 adults with serious mental illnesses attended health fairs in 4 U.S. states and were screened for 8 common medical co-morbidities and health risk factors. Also assessed were self-reported health competencies, medical conditions, and health service utilization. Compared to non-institutionalized U.S. adults, markedly higher proportions screened positive for obesity (60%), hypertension (32%), diabetes (14%), smoking (44%), nicotine dependence (62%), alcohol abuse (17%), drug abuse (11%), and coronary heart disease (10%). A lower proportion screened positive for hyperlipidemia (7%). Multivariable random regression analysis found significant pre- to post-screening increases in participants' self-rated abilities for health practices, competence for health maintenance, and health locus of control. Screening identified 82 instances of undiagnosed diabetes, hypertension or hyperlipidemia, and 76 instances where these disorders were treated but uncontrolled. These results are discussed in the context of how this global public health approach holds promise for furthering the goal of integrating health and mental health care.

Original languageEnglish (US)
Article numbere0123552
JournalPloS one
Volume10
Issue number4
DOIs
StatePublished - Apr 13 2015

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community health
self-efficacy
behavior disorders
Health risks
Self Efficacy
Screening
mental health
Health
hyperlipidemia
screening
health services
hypertension
diabetes
drug abuse
nicotine
peers
alcohol abuse
Hyperlipidemias
public health
obesity

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)
  • Agricultural and Biological Sciences(all)

Cite this

Cook, J. A., Razzano, L. A., Swarbrick, M. A., Jonikas, J. A., Yost, C., Burke, L., ... Santos, A. (2015). Health risks and changes in self-efficacy following community health screening of adults with serious mental illnesses. PloS one, 10(4), [e0123552]. https://doi.org/10.1371/journal.pone.0123552

Health risks and changes in self-efficacy following community health screening of adults with serious mental illnesses. / Cook, Judith A.; Razzano, Lisa A.; Swarbrick, Margaret A.; Jonikas, Jessica A.; Yost, Chantelle; Burke, Larisa; Steigman, Pamela J.; Santos, Alberto.

In: PloS one, Vol. 10, No. 4, e0123552, 13.04.2015.

Research output: Contribution to journalArticle

Cook, JA, Razzano, LA, Swarbrick, MA, Jonikas, JA, Yost, C, Burke, L, Steigman, PJ & Santos, A 2015, 'Health risks and changes in self-efficacy following community health screening of adults with serious mental illnesses', PloS one, vol. 10, no. 4, e0123552. https://doi.org/10.1371/journal.pone.0123552
Cook, Judith A. ; Razzano, Lisa A. ; Swarbrick, Margaret A. ; Jonikas, Jessica A. ; Yost, Chantelle ; Burke, Larisa ; Steigman, Pamela J. ; Santos, Alberto. / Health risks and changes in self-efficacy following community health screening of adults with serious mental illnesses. In: PloS one. 2015 ; Vol. 10, No. 4.
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