TY - JOUR
T1 - A scoping review of cardiovascular risk factor screening rates in general or family practice attendees living with severe mental ill-health
AU - Xue, Yichen
AU - Lewis, Matthew
AU - Furler, John
AU - Waterreus, Anna
AU - Dettmann, Elise
AU - Palmer, Victoria J.
N1 - Funding Information:
We thank National Health and Medical Research Council to fund the Assertive Cardiac Care Trial and we also thank Western Australian Future Health Research and Innovation Fund and China Scholarship Council to support this research.
Funding Information:
This study was internally funded. Victoria Palmer, John Furler and Matthew Lewis are investigators on the Healthy Hearts Study – Assertive Cardiac Care Trial (ANZCTRN12619001112156) funded by the National Health and Medical Research Council ( APP1141344 ).
Funding Information:
Anna Waterreus is supported by the Western Australian Future Health Research and Innovation Fund , which is an initiative of the Western Australia State Government.
Funding Information:
Yichen Xue is funded by the China Scholarship Council .
Publisher Copyright:
© 2023 The Authors
PY - 2023/11
Y1 - 2023/11
N2 - Background: Primary care is essential to address the unmet physical health needs of people with severe mental ill-health. Continued poor cardiovascular health demands improved screening and preventive care. No previous reviews have examined primary care cardiovascular screening rates for people living with severe mental ill-health; termed in the literature “severe mental illness”. Methods: A scoping review following Joanna Briggs Institute methodology was conducted. Cardiovascular risk factor screening rates in adults with severe mental ill-health were examined in general or family practices (as the main delivery sites of primary care). Literature published between 2001 and 2023 was searched using electronic databases including Medline, Embase, Web of Science, PsychINFO and CINAHL. Two reviewers independently screened titles and abstracts and conducted a full-text review. The term “severe mental illness” was applied as the term applied in the literature over the past decades. Study information, participant details and cardiovascular risk factor screening rates for people with ‘severe mental illness’ were extracted and synthesised. Results: Thirteen studies were included. Nine studies were from the United Kingdom and one each from Canada, Spain, New Zealand and the Netherlands. The general and/or family practice cardiovascular disease screening rates varied considerably across studies, ranging from 0 % to 75 % for people grouped within the term “severe mental illness”. Lipids and blood pressure were the most screened risk factors. Conclusions: Cardiovascular disease screening rates in primary care settings for adults living with severe mental ill-health varied considerably. Tailored and targeted cardiovascular risk screening will enable more comprehensive preventive care to improve heart health outcomes and address this urgent health inequity.
AB - Background: Primary care is essential to address the unmet physical health needs of people with severe mental ill-health. Continued poor cardiovascular health demands improved screening and preventive care. No previous reviews have examined primary care cardiovascular screening rates for people living with severe mental ill-health; termed in the literature “severe mental illness”. Methods: A scoping review following Joanna Briggs Institute methodology was conducted. Cardiovascular risk factor screening rates in adults with severe mental ill-health were examined in general or family practices (as the main delivery sites of primary care). Literature published between 2001 and 2023 was searched using electronic databases including Medline, Embase, Web of Science, PsychINFO and CINAHL. Two reviewers independently screened titles and abstracts and conducted a full-text review. The term “severe mental illness” was applied as the term applied in the literature over the past decades. Study information, participant details and cardiovascular risk factor screening rates for people with ‘severe mental illness’ were extracted and synthesised. Results: Thirteen studies were included. Nine studies were from the United Kingdom and one each from Canada, Spain, New Zealand and the Netherlands. The general and/or family practice cardiovascular disease screening rates varied considerably across studies, ranging from 0 % to 75 % for people grouped within the term “severe mental illness”. Lipids and blood pressure were the most screened risk factors. Conclusions: Cardiovascular disease screening rates in primary care settings for adults living with severe mental ill-health varied considerably. Tailored and targeted cardiovascular risk screening will enable more comprehensive preventive care to improve heart health outcomes and address this urgent health inequity.
KW - Cardiovascular disease
KW - General/family practice
KW - Preventive care
KW - Primary care
KW - Screening
KW - Severe mental illness
UR - http://www.scopus.com/inward/record.url?scp=85170249559&partnerID=8YFLogxK
U2 - 10.1016/j.schres.2023.09.007
DO - 10.1016/j.schres.2023.09.007
M3 - Review article
C2 - 37699273
AN - SCOPUS:85170249559
SN - 0920-9964
VL - 261
SP - 47
EP - 59
JO - Schizophrenia Research
JF - Schizophrenia Research
ER -