Background
Methods
Measures
Socio-demographic characteristics
Physical health conditions
Health risk factors
Statistical analyses
Ethical approval
Results
Socio-demographic characteristics
Non-SMI (16+ yrs) n = 304,297 | SMI (16+ yrs) n = 4,346 | Adjusted OR1
| |||
---|---|---|---|---|---|
n
| % |
n
| % | (95% CI) | |
Age group (years)
| |||||
16-24 | 34718 | 11.4 | 146 | 3.4 | 1.00 |
25-34 | 94479 | 31.1 | 717 | 16.5 | 1.98 (1.63 - 2.41)***
|
35-44 | 72060 | 23.7 | 976 | 22.5 | 3.57 (2.94 - 4.32)***
|
45-54 | 49334 | 16.2 | 1118 | 25.7 | 5.63 (4.65 – 6.81)***
|
55-64 | 26419 | 8.7 | 679 | 15.6 | 6.65 (5.45 - 8.10)***
|
65+ | 27287 | 9.0 | 710 | 16.3 | 5.95 (4.88 - 7.24)***
|
Sex
| |||||
Female | 148778 | 48.9 | 1914 | 44.0 | 1.00 |
Male | 155500 | 51.1 | 2432 | 56.0 | 1.31 (1.23 - 1.40)***
|
Ethnicity (w/data)
| |||||
British/mixed British | 86815 | 35.2 | 1292 | 33.5 | 1.00 |
Black African | 27429 | 11.1 | 514 | 13.3 | 1.19 (1.07 - 1.32)**
|
Black Caribbean | 21206 | 8.6 | 789 | 20.4 | 2.11 (1.93 - 2.32)***
|
Asian/Asian British | 18968 | 7.7 | 261 | 6.8 | 1.00 (0.87 - 1.14) |
Mixed | 11050 | 4.5 | 232 | 6.0 | 1.61 (1.40 - 1.86)***
|
Other White | 65017 | 26.4 | 549 | 14.2 | 0.61 (0.55 - 0.68)***
|
Other Black | 7275 | 3.0 | 167 | 4.3 | 1.60 (1.36 - 1.89)***
|
Other | 8806 | 3.6 | 59 | 1.5 | 0.47 (0.36 - 0.61)***
|
IMD quintile (in Lambeth)
| |||||
1st (least deprived) | 61365 | 20.2 | 609 | 14.0 | 1.00 |
2nd
| 61316 | 20.2 | 806 | 18.6 | 1.39 (1.24 - 1.56)***
|
3rd
| 28723 | 9.4 | 449 | 10.3 | 1.60 (1.40 - 1.83)***
|
4th
| 59354 | 19.5 | 920 | 21.2 | 1.55 (1.39 - 1.74)***
|
5th (most deprived) | 93539 | 30.7 | 1562 | 35.9 | 1.62 (1.46 - 1.79)***
|
Health risk factors and behaviours
Non-SMI (16+ yrs) n = 304,297 | SMI (16+ yrs) n = 4,346 | Unadjusted OR (95% CI) | Adjusted OR1(95% CI) | |||
---|---|---|---|---|---|---|
N
| % |
n
| % | |||
BMI group
| ||||||
Underweight | 8118 | 3.5 | 113 | 2.8 | 1.22 (1.01 - 1.47)*
| 1.29 (1.05 - 1.58)*
|
Desirable | 116991 | 50.2 | 1337 | 33.3 | 1.00 | 1.00 |
Overweight | 68312 | 29.3 | 1292 | 32.2 | 1.65 (1.50 - 1.83)***
| 1.31 (1.18 - 1.45)***
|
Obese | 35465 | 15.2 | 1105 | 27.5 | 2.73 (2.47 – 3.01)***
| 1.95 (1.78 - 2.14)***
|
Morbidly obese | 4260 | 1.8 | 171 | 4.3 | 3.51 (2.98 - 4.14)***
| 2.63 (2.23 - 3.09)***
|
Smoking
| ||||||
Smoker | 68188 | 24.1 | 1883 | 43.7 | 2.79 (2.51 – 3.10)***
| 3.19 (2.86 - 3.55)***
|
Non-smoker | 170365 | 60.1 | 1685 | 39.1 | 1.00 | 1.00 |
Ex-smoker | 44942 | 15.9 | 737 | 17.1 | 1.66 (1.50 - 1.84)***
| 1.55 (1.38 - 1.75)***
|
Patterns of co/multi-morbid health problems
Non-SMI | SMI | |
---|---|---|
1 | Hypertension | Hypertension |
2 | Asthma | Diabetes Mellitus |
3 | Hypertension + Diabetes Mellitus | Hypertension + Diabetes Mellitus |
4 | Diabetes Mellitus | Asthma |
5 | Hypothyroidism | Hypothyroidism |
6 | Cancer | Chronic kidney disease |
7 | Hypertension + Chronic Kidney Disease | Hypertension + Chronic kidney disease + Diabetes Mellitus |
8 | Hypertension + asthma | Chronic obstructive pulmonary disease |
9 | Hypertension + Coronary heart disease | Hypertension + Chronic kidney disease |
10 | Chronic obstructive pulmonary disease | Epilepsy |
Association between SMI status and physical health
Non-SMI (16+ yrs) n = 304,297 | SMI (16+ yrs) n = 4,346 | Unadjusted OR | Adjusted OR1
| Adjusted OR2
| |||
---|---|---|---|---|---|---|---|
N
| % |
n
| % | (95% CI) | (95% CI) | (95% CI) | |
No. health conditions
| |||||||
0 | 249177 | 81.9 | 2744 | 63.8 | 1.00 | 1.00 | 1.00 |
1 | 35161 | 11.6 | 897 | 20.6 | 2.29 (2.07 - 2.54)***
| 1.34 (1.21 - 1.49)***
| 1.13 (1.02 - 1.25)*
|
2 | 12173 | 4.0 | 405 | 9.3 | 2.99 (2.59 - 3.45)***
| 1.27 (1.11 - 1.47)**
| 1.06 (0.92 - 1.22) |
3+ | 7786 | 2.6 | 270 | 6.2 | 3.11 (2.60 - 3.74)***
| 1.06 (0.90 - 1.25) | 0.93 (0.78 - 1.10) |
Individual conditions
Non-SMI (n = 304,297) | SMI (n = 4,346) | Unadjusted OR (95% CI) | Adjusted OR1(95% CI) | Adjusted OR2(95% CI) | |||
---|---|---|---|---|---|---|---|
n
| % |
n
| % | ||||
BP | 30977 | 10.2 | 829 | 19.1 | 2.08 (1.93 - 2.25)***
| 0.99 (0.88 - 1.12) | 0.85 (0.77 - 0.95) |
DM | 12321 | 4.1 | 560 | 12.9 | 3.51 (3.20 - 3.84)***
| 2.04 (1.79 - 2.32)***
| 1.77 (1.56 – 2.01)***
|
Asthma | 13049 | 4.3 | 270 | 6.2 | 1.48 (1.31 - 1.67)***
| 1.11 (0.96 - 1.29) | 0.96 (0.82 - 1.11) |
CKD | 5487 | 1.8 | 212 | 4.9 | 2.79 (2.43 - 3.21)***
| 1.57 (1.31 - 1.88)***
| 1.55 (1.29 - 1.86)***
|
Thyroid | 5393 | 1.8 | 182 | 4.2 | 2.42 (2.08 - 2.82)***
| 1.73 (1.43 - 2.09)***
| 1.60 (1.32 - 1.95)***
|
COPD | 3243 | 1.1 | 126 | 2.9 | 2.77 (2.31 - 3.32)***
| 1.71 (1.35 - 2.15)***
| 1.27 (1.01 - 1.60)*
|
Stroke | 3146 | 1.0 | 118 | 2.7 | 2.67 (2.22 - 3.22)***
| 1.48 (1.17 - 1.87)**
| 1.44 (1.13 - 1.85)**
|
CHD | 4927 | 1.6 | 112 | 2.6 | 1.61 (1.33 - 1.94)***
| 0.94 (0.76 - 1.16) | 0.85 (0.70 - 1.05) |
Cancer | 3867 | 1.3 | 76 | 1.8 | 1.38 (1.10 - 1.74)**
| 0.82 (0.65 - 1.03) | 0.82 (0.65 - 1.04) |
Epilepsy | 1359 | 0.5 | 74 | 1.7 | 3.86 (3.05 - 4.89)***
| 2.90 (2.30 - 3.66)***
| 2.72 (2.12 - 3.51)***
|
HF | 1427 | 0.5 | 53 | 1.2 | 2.62 (1.99 - 3.45)***
| 1.54 (1.18 - 2.02)**
| 1.47 (1.09 - 1.97)*
|
AF | 2065 | 0.7 | 41 | 0.9 | 1.39 (1.02 - 1.90)*
| 0.80 (0.56 - 1.15) | 0.74 (0.49 - 1.13) |