Health Disparities Among People With Serious Mental Illness
People with serious mental illness face glaring health disparities, with mortality rates 2–3 times higher than those of the general population. This disparity translates to life expectancies shortened by 10–28.5 years. Cardiometabolic factors, including diabetes, hypertension, hyperlipidemia, and cardiovascular disease, are major drivers of this early mortality. These illnesses are both caused and compounded by smoking, lack of physical activity, poor nutrition, and social determinants that negatively affect the health of people with serious mental illness.
This collection begins with articles describing factors that affect the health and well-being of people with serious mental illness, including the prevalence of diabetes and obesity, high rates of smoking, and delays in seeking medical care. Subsequent articles highlight low rates of screening for cardiometabolic factors, communicable disease, and cancer among people with serious mental illness. Interventions to address these issues are highlighted, including smoking cessation efforts, involving peers to support patients with self-management in the Health and Recovery Peer Program (HARP), and group-based medical illness self-management with the Living Well initiative. The collection concludes with policy considerations to improve outcomes for people with serious mental illness, including a compelling argument for recognition of serious mental illness as a disparities category.
Lisa B. Dixon, M.D., M.P.H.
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Key Contributors
Judith A. Cook, Ph.D., Lisa Razzano, Ph.D., C.P.R.P., Jessica A. Jonikas, M.A., Margaret A. Swarbrick, Ph.D., Pamela J. Steigman, M.A., Marie M. Hamilton, L.C.S.W., M.P.H., Tina M. Carter, B.A., Alberto B. Santos, M.D.
2016, Volume 67, Issue 11, pp. 1269–1271
Faith Dickerson, Ph.D., M.P.H., Jennifer Schroeder, Ph.D., Emily Katsafanas, B.S., Sunil Khushalani, M.D., Andrea E. Origoni, B.A., Christina Savage, M.A., Lucy Schweinfurth, B.A., Catherine R. Stallings, R.N.C., M.A., Kevin Sweeney, B.S., Robert H. Yolken, M.D.
2018, Volume 69, Issue 2, pp. 147–153
Stanislav Spivak, M.D., Bernadette A. Cullen, M.B.B.Ch., B.A.O., William Eaton, Ph.D., Katie L. Nugent, Ph.D., Katrina Rodriguez, M.S., Ramin Mojtabai, M.D., Ph.D.
2018, Volume 69, Issue 4, pp. 479–482
Screening
Osnat C. Melamed, M.D., M.Sc., Erin N. Wong, B.Sc., Laura R. LaChance, M.D., Sarah Kanji, B.Sc., M.Sc., Valerie H. Taylor, M.D., Ph.D.
2019, Volume 70, Issue 12, pp. 1138–1156
Christina Mangurian, M.D., M.A.S., Francine Cournos, M.D., Dean Schillinger, M.D., Eric Vittinghoff, Ph.D., Jennifer M. Creasman, M.S.P.H., Bernard Lee, M.P.H., Penelope Knapp, M.D., Elena Fuentes-Afflick, M.D., M.P.H., James W. Dilley, M.D.
2017, Volume 68, Issue 5, pp. 443–448
Monique James, M.D., Melanie Thomas, M.D., M.S., Latoya Frolov, M.D., M.P.H., Nicholas S. Riano, B.A., Eric Vittinghoff, Ph.D., Dean Schillinger, M.D., John W. Newcomer, M.D., Christina Mangurian, M.D., M.A.S.
2017, Volume 68, Issue 8, pp. 839–842
Interventions
Rachel M. Arnold, B.A., Hana Machover, B.S., Megan E. Wall, B.S., Ida Ahmadizadeh, B.S., Wendy Potts, M.S., Seth Himelhoch, M.D., M.P.H.
2018, Volume 69, Issue 11, pp. 1188–1190
Ramin Mojtabai, M.D., Ph.D., and Mark Olfson, M.D., M.P.H.
2018, Volume 69, Issue 4, pp. 410–423
Li-Shiun Chen, M.D., Sc.D., Timothy B. Baker, Ph.D., Jeanette M. Korpecki, R.Ph., Kelly E. Johnson, M.D., Jaime P. Hook, M.D., Ross C. Brownson, Ph.D., Laura J. Bierut, M.D.
2018, Volume 69, Issue 8, pp. 849–851
Benjamin G. Druss, M.D., M.P.H., Manasvini Singh, M.S.P.H., Silke A. von Esenwein, Ph.D., Gretl E. Glick, M.P.H., Stephanie Tapscott, M.S.W., Sherry Jenkins Tucker, M.A., Cathy A. Lally, M.S.P.H., Evelina W. Sterling, Ph.D.
2018, Volume 69, Issue 5, pp. 529–535
Also featured in Peer Support collection.
Karen L. Whiteman, Ph.D., John A. Naslund, M.P.H., Elizabeth A. DiNapoli, Ph.D., Martha L. Bruce, Ph.D., M.P.H., Stephen J. Bartels, M.D., M.S.
2016, Volume 67, Issue 11, pp. 1213–1225
Stephen J. Bartels, M.D. M.S., Kelly A. Aschbrenner, Ph.D., Sarah I. Pratt, Ph.D., John A. Naslund, Ph.D., Emily A. Scherer, Ph.D., Lisa Zubkoff, Ph.D., Michael J. Cohen, M.A., Gail E. Williams, B.A., Rosemarie S. Wolfe, M.S., Kenneth Jue, M.S.S.A., Mary F. Brunette, M.D.
2018, Volume 69, Issue 6, pp. 664–670
Ellen E. Bouchery, M.S., Allison Wishon Siegwarth, M.H.S., Brenda Natzke, M.P.P., Jennifer Lyons, A.M., Rachel Miller, M.P.A., Henry T. Ireys, Ph.D., Jonathan D. Brown, Ph.D., Elena Argomaniz, M.A., Rochelle Doan, M.S.
2018, Volume 69, Issue 10, pp. 1075–1080
Anjana Muralidharan, Ph.D., Clayton H. Brown, M.S., Ph.D., Jason E. Peer, Ph.D., Elizabeth A. Klingaman, Ph.D., Samantha M. Hack, Ph.D., Lan Li, M.S., Mary Brighid Walsh, M.A., Richard W. Goldberg, Ph.D.
2019, Volume 70, Issue 1, pp. 19–25
Policy Considerations
Matthew L. Goldman, M.D., M.S., Brigitta Spaeth-Rublee, M.A., Harold Alan Pincus, M.D.
2018, Volume 69, Issue 6, pp. 726–728
Andrew W. Mulcahy, Ph.D., M.P.P., Sharon-Lise Normand, Ph.D., John W. Newcomer, M.D., Benjamin Colaiaco, M.Phil., Julie M. Donohue, Ph.D., Judith R. Lave, Ph.D., Emmett Keeler, Ph.D., Mark J. Sorbero, M.S., Marcela Horvitz-Lennon, M.D., M.P.H.
2017, Volume 68, Issue 12, pp. 1280–1287
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