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Diabetes, cardiovascular disease, and health care use in people with and without schizophrenia

Published online by Cambridge University Press:  16 April 2020

L.C. Bresee ,
S.R. Majumdar ,
S.B. Patten  and
J.A. Johnson
L.C. Bresee
Affiliation:
School of Public Health, University of Alberta, Edmonton, Alberta, Canada Institute of Health Economics, Edmonton, Alberta, Canada
S.R. Majumdar
Affiliation:
School of Public Health, University of Alberta, Edmonton, Alberta, Canada Institute of Health Economics, Edmonton, Alberta, Canada Department of Medicine, University of Alberta, Edmonton, Alberta, Canada
S.B. Patten
Affiliation:
Department of Psychiatry, University of Calgary, Calgary, Alberta, Canada Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada
J.A. Johnson*
Affiliation:
School of Public Health, University of Alberta, Edmonton, Alberta, Canada Institute of Health Economics, Edmonton, Alberta, Canada
*
*Corresponding author. Tel.: +1 780 248 1010; fax: +1 780 492 7455. E-mail address: jeff.johnson@ualberta.ca (J.A. Johnson).
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Abstract

Purpose

To compare the prevalence of cardiovascular risk factors (CV-RF) and disease (CV-D) and health care use in people with and without schizophrenia.

Subjects/materials and methods

Data from the Canadian Community Health Survey (CCHS), cycle 3.1, were used. Prevalence of CV-RF, CV-D, and health care use were compared in those with and without schizophrenia using logistic regression analysis. Sampling weights and bootstrap variance estimates were used to account for survey design.

Results

A total of 399 (0.3%) people with schizophrenia were identified and compared to 120,044 (97.7%) people without. Individuals with schizophrenia were significantly more likely to be obese (34.8% vs. 15.6%) and report diabetes (11.9% vs. 5.3%). After accounting for sociodemographic variables, schizophrenia was not independently associated with diabetes (adjusted odds ratio [aOR]: 0.86; 0.49–1.51). Individuals with schizophrenia were more likely to be hospitalized (21.9% vs. 8.0%; aOR: 2.37; 95% CI: 1.51–3.74) but no more likely to visit their physician (86.7% vs. 85.7%; aOR: 1.23; 95% CI: 0.65–2.35).

Discussion/conclusion

Our findings suggest that people with schizophrenia access the primary health care system at least as frequently as someone without schizophrenia, and the opportunity for management of modifiable CV-RF exists in this vulnerable population.

Keywords

SchizophreniaEpidemiologyQuality of careMiscellaneous
Type
Original article
Information
European Psychiatry , Volume 26 , Issue 5 , August 2011 , pp. 327 - 332
Copyright
Copyright © Elsevier Masson SAS 2011

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Footnotes

1

2-040 Health Research Innovation Facility, University of Alberta, Edmonton, Alberta, Canada T6G 1K4.

2

2F1.24 WMC – 8440 112 Street, University of Alberta, Edmonton, Alberta, Canada T6G 2B7.

3

3330 Hospital Drive NW, University of Calgary, Calgary, Alberta, Canada T2N 4N1.

4

2-040 Health Research Innovation Facility, University of Alberta, Edmonton, Alberta, Canada T6G 1K4.

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