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Diabetes, cardiovascular disease, and health care use in people with and without schizophrenia

TitleDiabetes, cardiovascular disease, and health care use in people with and without schizophrenia
Year of Publication2010
AuthorsBresee, L. C., Majumdar S. R., Patten S. B., and Johnson J. A.
JournalEuropean Psychiatry
Abstract

Purpose To compare the prevalence of previous termcardiovascularnext term risk factors (CV-RF) and previous termdiseasenext term (CV-D) and previous termhealth care use in people with and without schizophrenia.next term Subjects/materials and methods Data from the Canadian Community previous termHealthnext term Survey (CCHS), cycle 3.1, were used. Prevalence of CV-RF, CV-D, and previous termhealth care usenext term were compared previous termin those with and without schizophrenianext term using logistic regression analysis. Sampling weights and bootstrap variance estimates were used to account for survey design. Results A total of 399 (0.3%) previous termpeople with schizophrenianext term were identified and compared to 120,044 (97.7%) previous termpeople without.next term Individuals with previous termschizophrenianext term were significantly more likely to be obese (34.8% vs. 15.6%) and report previous termdiabetesnext term (11.9% vs. 5.3%). After accounting for sociodemographic variables, previous termschizophrenianext term was not independently associated with previous termdiabetesnext term (adjusted odds ratio [aOR]: 0.86; 0.49-1.51). Individuals with previous termschizophrenianext term were more likely to be hospitalized (21.9% vs. 8.0%; aOR: 2.37; 95% CI: 1.51-3.74) but no more likely to visit their physician (86.7% vs. 85.7%; aOR: 1.23; 95% CI: 0.65-2.35). Discussion/conclusion Our findings suggest that previous termpeople with schizophrenianext term access the primary previous termhealth carenext term system at least as frequently as someone previous termwithout schizophrenia,next term and the opportunity for management of modifiable CV-RF exists previous terminnext term this vulnerable population.

URLhttp://www.ncbi.nlm.nih.gov/pubmed/20634043
Document URLhttp://www.sciencedirect.com/science/article/pii/s0924933810001355