ArticleJournal of epidemiology and community health2014
Mental health status and gender as risk factors for onset of physical illness over 10 years.
Article in Journal of epidemiology and community health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 17 citations in OpenAlex.
- Depression as a Risk Factor for Physical Illness and Multimorbidity in a Cohort with No Prior Comorbidity.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2021Article
- Suicidal behaviors and suicide risk among Bangladeshi people during the COVID-19 pandemic: An online cross-sectional survey.Heliyon · 2021Article
- Financial and Mental Health Concerns of Impoverished Urban-Dwelling Bangladeshi People During COVID-19.Frontiers in psychology · 2021Article
- Delivery of community-centred public mental health interventions in diverse areas in England: a mapping study protocol.BMJ open · 2020Article
- Examples of sex/gender sensitivity in epidemiological research: results of an evaluation of original articles published in JECH 2006-2014.Health research policy and systems · 2017Review
- 'Big data' in mental health research: current status and emerging possibilities.Social psychiatry and psychiatric epidemiology · 2016Review
- Risk Factors for Inpatient Psychiatric Readmission: Are There Gender Differences?Community mental health journal · 2016Article
- Examination of the Comorbidity of Mental Illness and Somatic Conditions in Hospitalized Children in the United States Using the Kids' Inpatient Database, 2009.Hospital pediatrics · 2016Article
- Patterns of Chronic Conditions and Their Associations With Behaviors and Quality of Life, 2010.Preventing chronic disease · 2015Article
- Physical health and gender as risk factors for usage of services for mental illness.Journal of epidemiology and community health · 2014Article
- Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is a growing interest in understanding the connection between mental illness (MI) and the onset of new physical illnesses among previously physically healthy individuals. Yet the role of gender is often forgotten in research focused on comorbidity of health problems. The objective of this study was to examine gender differences in the onset of physical illness in a cohort of respondents who met criteria for MI compared with a control cohort without mental health problems.
methodsThis cohort study, conducted in Ontario, Canada, used a unique linked dataset with information from the 2000-2001 Canadian Community Health Survey and medical records (n=15,902). We used adjusted Cox proportional survival analysis to examine risk of onset of four physical health problems (chronic obstructive pulmonary disorder, asthma, hypertension and diabetes) for those with and without baseline MI across a 10-year period (2002-2011) among respondents aged 18-74 years. We controlled for socioeconomic and health indicators associated with health.
resultsThe incidence of physical illness in the MI cohort was 28.5% among women and 29.9% among men (p=0.85) relative to controls (23.8% and 24%, respectively; p=0.48). Women in the MI cohort developed secondary physical health problems a year earlier than their male counterparts (p=0.002). Findings from the Cox proportional survival regression showed that women were at 14% reduced risk of developing physical illness, meaning that men were more disadvantaged (HR=0.89, CI 0.80 to 0.98). Those in the MI cohort were at 10 times greater risk of developing a secondary physical illness over the 10-year period (HR=1.10, CI 0.98 to 1.21). There was no significant interaction between gender and MI cohort (HR=1.05, CI 0.85 to 1.27).
conclusionsPolicy and clinical practice have to be sensitive to these complex-needs patients. Gender-specific treatment and prevention practices can be developed to target those at higher risk of multiple health conditions.
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