30-year Cardiovascular Disease Risk for Young Adults with Serious Mental Illness.
Gen Hosp Psychiatry
; 85: 139-147, 2023.
Article
in En
| MEDLINE
| ID: mdl-38487652
ABSTRACT
Objective:
To estimate 30-year CVD risk and modifiable risk factors in young adults with serious mental illness (SMI) versus those without, and assess variations in CVD risk by race, ethnicity, and sex.Method:
In this cross-sectional study, we estimated and compared the Framingham 30-year CVD risk score and individual modifiable CVD risk factors in young adult (20-39 years) primary care patients with and without SMI at two US healthcare systems (January 2016-Septemeber 2018). Interaction terms assessed whether the SMI-risk association differed across demographic groups.Results:
Covariate-adjusted 30-year CVD risk was significantly higher for those with (n=4228) versus those without (n=155,363) SMI (RR 1.28, 95% CI [1.26, 1.30]). Patients with SMI had higher rates of hypertension (OR 2.02 [1.7, 2.39]), diabetes (OR 3.14 [2.59, 3.82]), obesity (OR 1.93 [1.8, 2.07]), and smoking (OR 4.94 [4.6, 5.36]). The increased 30-year CVD risk associated with SMI varied significantly by race and sex there was an 8% higher risk in Black compared to White patients (RR 1.08, [1.04, 1.12]) and a 9% lower risk in men compared to women (RR 0.91 [0.88, 0.94]).Conclusions:
Young adults with SMI are at increased 30-year risk of CVD, and further disparities exist for Black individuals and women.Key words
Full text:
1
Database:
MEDLINE
Main subject:
Cardiovascular Diseases
/
Hypertension
/
Mental Disorders
Limits:
Adult
/
Female
/
Humans
/
Male
Language:
En
Year:
2023
Type:
Article