Associations between Social Adversities and Chronic Medical Conditions in a Statewide Sample of Individuals in Treatment for Mental Illnesses

Individuals with mental illnesses experience disproportionately high rates of social adversities, chronic medical conditions, and early mortality. We analyzed a large, statewide dataset to explore associations between four social adversities and the presence of one or more, and then two or more, chr...

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Bibliographic Details
Published in:Community mental health journal 2024-02, Vol.60 (2), p.251-258
Main Authors: Compton, Michael T, Frimpong, Eric Y., Ehntholt, Amy, Zhu, Huilin, Chaudhry, Sahil, Ferdousi, Wahida, Rowan, Grace A., Radigan, Marleen, Smith, Thomas E., Rotter, Merrill
Format: Article
Language:English
Subjects:
Adults
Alcohol use
Chronic illnesses
Community and Environmental Psychology
Diabetes
Ethnicity
Gender
Humans
Hypertension
Life expectancy
Medical conditions
Medicine
Medicine & Public Health
Mental disorders
Mental Disorders - epidemiology
Mental Disorders - therapy
Mental health
Mental health services
Mortality
Mortality rates
New York - epidemiology
Original Paper
Psychiatry
Risk Factors
Smoking
Social Alienation
Treatment methods
Variables
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Summary:Individuals with mental illnesses experience disproportionately high rates of social adversities, chronic medical conditions, and early mortality. We analyzed a large, statewide dataset to explore associations between four social adversities and the presence of one or more, and then two or more, chronic medical conditions among individuals in treatment for mental illnesses in New York State. In Poisson regression models adjusting for multiple covariates (e.g., gender, age, smoking status, alcohol use), the presence of one or more adversities was associated with the presence of at least one medical condition (prevalence ratio (PR) = 1.21) or two or more medical conditions (PR = 1.46), and two or more adversities was associated with at least one medical condition (PR = 1.25) or two or more medical conditions (PR = 1.52) (all significant at p 
ISSN:0010-3853
1573-2789
DOI:10.1007/s10597-023-01165-3