ArticleDiabetic medicine : a journal of the British Diabetic Association2017
Type 2 diabetes mellitus in people with severe mental illness: inequalities by ethnicity and age. Cross-sectional analysis of 588 408 records from the UK.
Article in Diabetic medicine : a journal of the British Diabetic Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.
- Improving oral health in people with severe mental illness (SMI): A systematic review.PloS one · 2021Pooled it
- Prevalence and Risk Factors of Comorbid Type 2 Diabetes Mellitus in Adults With Severe Mental Disorders: A Retrospective Study.Alpha psychiatry · 2025Article
- Exploring the Glycemic Control of Pay-for-Performance Program for Psychiatric Patients With Diabetes in Real World: A Retrospective Quasiexperimental Study.Journal of diabetes research · 2025Article
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- The PARCS Pilot Study Randomized Controlled Trial: Feasibility and Acceptability of a Park-Based Exercise Program Led by Peer Specialists for Peers with Serious Mental Illness.Journal of healthy eating and active living · 2025Article
- Experiences of physical healthcare services in Māori and non-Māori with mental health and substance use conditions.The Australian and New Zealand journal of psychiatry · 2024Article
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- Socioeconomic and ethnic inequalities increase the risk of type 2 diabetes: an analysis of NHS health check attendees in Birmingham.Frontiers in public health · 2024Article
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- Ethnic inequality, multimorbidity and psychosis: can a syndemic framework resolve disputed evidence?Schizophrenia (Heidelberg, Germany) · 2023Review
- Mental health, cancer risk, and the mediating role of lifestyle factors in the CARTaGENE cohort study.PloS one · 2023Article
- Eliciting the mechanisms of action of care navigators in the management of type 2 diabetes in people with severe mental illness: A qualitative study.Diabetic medicine : a journal of the British Diabetic Association · 2022Article
- Familial aggregation and shared genetic loading for major psychiatric disorders and type 2 diabetes.Diabetologia · 2022Article
- Observational
- Raising ethnicity recording in NHS Lothian from 3% to 90% in 3 years: processes and analysis of data from Accidents and Emergencies.Journal of public health (Oxford, England) · 2021Article
- How do ethnicity and deprivation impact on life expectancy at birth in people with serious mental illness? Observational study in the UK.Psychological medicine · 2021Observational
- Inequalities in glycemic management in people living with type 2 diabetes mellitus and severe mental illnesses: cohort study from the UK over 10 years.BMJ open diabetes research & care · 2021Article
- Inequalities in Psychiatric Service Use and Mortality by Migrant Status Following a First Diagnosis of Psychotic Disorder: A Swedish Cohort Study of 1.3M People.Schizophrenia bulletin open · 2021Article
- Self-management interventions for Type 2 Diabetes: systematic review protocol focusing on patient workload and capacity support.Wellcome open research · 2021Article
- Impact of pharmacists on outcomes for patients with psychiatric or neurologic disorders.The mental health clinician · 2020Article
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Authors and funding
12 authors at 6 institutions in 2 countries.
Funding
Abstract
aimsTo investigate whether the association of severe mental illness with Type 2 diabetes varies by ethnicity and age.
methodsWe conducted a cross-sectional analysis of data from an ethnically diverse sample of 588 408 individuals aged ≥18 years, registered to 98% of general practices (primary care) in London, UK. The outcome of interest was prevalent Type 2 diabetes.
resultsRelative to people without severe mental illness, the relative risk of Type 2 diabetes in people with severe mental illness was greatest in the youngest age groups. In the white British group the relative risks were 9.99 (95% CI 5.34, 18.69) in those aged 18-34 years, 2.89 (95% CI 2.43, 3.45) in those aged 35-54 years and 1.16 (95% CI 1.04, 1.30) in those aged ≥55 years, with similar trends across all ethnic minority groups. Additional adjustment for anti-psychotic prescriptions only marginally attenuated the associations. Assessment of estimated prevalence of Type 2 diabetes in severe mental illness by ethnicity (absolute measures of effect) indicated that the association between severe mental illness and Type 2 diabetes was more marked in ethnic minorities than in the white British group with severe mental illness, especially for Indian, Pakistani and Bangladeshi individuals with severe mental illness.
conclusionsThe relative risk of Type 2 diabetes is elevated in younger populations. Most associations persisted despite adjustment for anti-psychotic prescriptions. Ethnic minority groups had a higher prevalence of Type 2 diabetes in the presence of severe mental illness. Future research and policy, particularly with respect to screening and clinical care for Type 2 diabetes in populations with severe mental illness, should take these findings into account.
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