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dc.contributor.authorPeckham, Emily
dc.contributor.authorLorimer, Ben
dc.contributor.authorSpanakis, Panagiotis
dc.contributor.authorHeron, Paul
dc.contributor.authorCrosland, Suzanne
dc.contributor.authorWalker, Lauren
dc.contributor.authorGilbody, Simon
dc.date.accessioned2023-07-21T12:15:01Z
dc.date.available2023-07-21T12:15:01Z
dc.date.issued2023-04-30
dc.identifier.citationPeckham , E , Lorimer , B , Spanakis , P , Heron , P , Crosland , S , Walker , L & Gilbody , S 2023 , ' Health-risk behaviours among people with severe mental ill health: understanding modifiable risk in the Closing the Gap Health Study ' , British Journal of Psychiatry , vol. 222 , no. 4 , pp. 160-166 . https://doi.org/10.1192/bjp.2022.143
dc.identifier.issn0007-1250
dc.identifier.otherPURE: 43628748
dc.identifier.otherPURE UUID: e2150902-7346-464f-8958-206e8fdee1a6
dc.identifier.otherPubMed: 36650735
dc.identifier.otherScopus: 85149631935
dc.identifier.otherORCID: /0000-0003-2459-7860/work/139115115
dc.identifier.urihttp://hdl.handle.net/2299/26538
dc.description© 2023 The Author(s). This is an open access article distributed under the terms of the Creative Commons Attribution License (CC BY), https://creativecommons.org/licenses/by/4.0/
dc.description.abstractBACKGROUND: People with severe mental ill health (SMI) experience some of the largest health inequalities of any sector within society. For these inequalities to be reduced, an understanding of the behavioural determinants of health in this population is needed. AIMS: Utilising data from the Closing the Gap Health Study, we aimed to assess the extent to which people with SMI report health-risk factors and behaviours, their interest in modifying them, and the factors associated with being motivated to modify these behaviours. METHOD: Adult (≥18 years old) participants were recruited via primary and secondary care in the English National Health Service. To be eligible, participants needed to have a documented diagnosis of schizophrenia, psychotic disorders or bipolar disorder. Data were collected by survey on demographics, general physical health, diet, physical activity, alcohol, smoking and body mass index. RESULTS: Between April 2016 and March 2020, n = 9914 participants were recruited. Among people with SMI, high rates of obesity (37.5%), infrequent physical activity (62.0%), not meeting current guidelines (≥5) for the consumption of fruit and vegetables (85.0%) and smoking (42.2%) were observed. However, most participants were motivated to reduce health-risk behaviours. Perceiving the importance of health-promoting behaviours, being of poorer general health and being female were significantly associated with being motivated to modify health-risk behaviours. CONCLUSIONS: Despite experiencing poor physical and mental health outcomes compared with the general population, and contrary to popular misconceptions, people with SMI perceive health as important and are motivated to make behavioural changes to improve health.en
dc.format.extent7
dc.language.isoeng
dc.relation.ispartofBritish Journal of Psychiatry
dc.subjectAdult
dc.subjectHumans
dc.subjectFemale
dc.subjectAdolescent
dc.subjectMale
dc.subjectState Medicine
dc.subjectMental Health
dc.subjectPsychotic Disorders/epidemiology
dc.subjectBipolar Disorder
dc.subjectRisk-Taking
dc.subjectMental Disorders/epidemiology
dc.subjecthealth risk behaviours
dc.subjectschizophrenia
dc.subjectpsychosis
dc.subjectbipolar disorder
dc.subjectSevere mental ill health
dc.subjectPsychiatry and Mental health
dc.titleHealth-risk behaviours among people with severe mental ill health: understanding modifiable risk in the Closing the Gap Health Studyen
dc.contributor.institutionCentre for Research in Public Health and Community Care
dc.contributor.institutionSchool of Health and Social Work
dc.description.statusPeer reviewed
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85149631935&partnerID=8YFLogxK
rioxxterms.versionVoR
rioxxterms.versionofrecordhttps://doi.org/10.1192/bjp.2022.143
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue


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