Ethnic differences in primary care management of diabetes and cardiovascular disease in people with serious mental illness
British Journal of General Practice, 08/01/2012
Mathur R et al. – Risk factor management for those with serious mental illness (SMI) shows better control of blood pressure and glycosylated haemoglobin than the general population. However, smoking and obesity rates remain high and should be the target of public health programmes. Ethnic differences in management mirror those in the general population. Ethnic monitoring for vulnerable groups provides evidence to support schemes to reduce health inequalities.Methods
- Coded demographic and clinical data were obtained from GP electronic health records using EMIS Web.
- The sample used was the GP registered population on diabetes or cardiovascular disease (CVD) registers (52 620); of these, 1223 also had SMI.
- The population prevalence of CVD and diabetes is 7.2%; this rises to 18% among those with SMI.
- People with SMI and CVD or diabetes were found to be as likely to achieve clinical targets as those without SMI.
- Blood pressure control was significantly better in people with SMI; however, they were more likely to smoke and have a body mass index above 30 kg/m2.
- Ethnic differences in care were identified, with south Asian individuals achieving better cholesterol control and black African or Caribbean groups achieving poorer blood pressure control.