Abstract:
BACKGROUND:There is a growing interest in understanding the connection between mental illness (MI) and the onset of new physical illnesses among previously physically healthy individuals. Yet the role of gender is often forgotten in research focused on comorbidity of health problems. The objective of this study was to examine gender differences in the onset of physical illness in a cohort of respondents who met criteria for MI compared with a control cohort without mental health problems. METHODS:This cohort study, conducted in Ontario, Canada, used a unique linked dataset with information from the 2000-2001 Canadian Community Health Survey and medical records (n=15,902). We used adjusted Cox proportional survival analysis to examine risk of onset of four physical health problems (chronic obstructive pulmonary disorder, asthma, hypertension and diabetes) for those with and without baseline MI across a 10-year period (2002-2011) among respondents aged 18-74 years. We controlled for socioeconomic and health indicators associated with health. RESULTS:The incidence of physical illness in the MI cohort was 28.5% among women and 29.9% among men (p=0.85) relative to controls (23.8% and 24%, respectively; p=0.48). Women in the MI cohort developed secondary physical health problems a year earlier than their male counterparts (p=0.002). Findings from the Cox proportional survival regression showed that women were at 14% reduced risk of developing physical illness, meaning that men were more disadvantaged (HR=0.89, CI 0.80 to 0.98). Those in the MI cohort were at 10 times greater risk of developing a secondary physical illness over the 10-year period (HR=1.10, CI 0.98 to 1.21). There was no significant interaction between gender and MI cohort (HR=1.05, CI 0.85 to 1.27). CONCLUSIONS:Policy and clinical practice have to be sensitive to these complex-needs patients. Gender-specific treatment and prevention practices can be developed to target those at higher risk of multiple health conditions.
journal_name
J Epidemiol Community Healthjournal_title
Journal of epidemiology and community healthauthors
Matheson FI,Smith KL,Moineddin R,Dunn JR,Glazier RHdoi
10.1136/jech-2013-202838subject
Has Abstractpub_date
2014-01-01 00:00:00pages
64-70issue
1eissn
0143-005Xissn
1470-2738pii
jech-2013-202838journal_volume
68pub_type
杂志文章abstract:STUDY OBJECTIVES:To assess the incidence of seroconversion and seroreversion in IgG antibodies to Helicobacter pylori within a 11 year observation period using these events as markers for acquisition and loss of the infection, respectively. DESIGN:Population based prospective cohort study. SETTING:Northern part of Co...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.54.6.444
更新日期:2000-06-01 00:00:00
abstract:INTRODUCTION:While many epidemiological studies have shown that low outdoor temperatures are associated with increased rates of hospitalisation and mortality (especially for respiratory or cardiovascular disease), very few studies have looked at the association between indoor temperatures and health. Such studies are c...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,随机对照试验
doi:10.1136/jech-2013-202632
更新日期:2013-11-01 00:00:00
abstract:INTRODUCTION:Health inequalities can be observed in early life as unfavourable birth outcomes. Evidence indicates that neighbourhood socioeconomic circumstances influence health. However, studies looking into temporal trends in inequalities in birth outcomes including neighbourhood socioeconomic conditions are scarce. ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2019-213162
更新日期:2020-03-01 00:00:00
abstract:BACKGROUND:The prevalence of diagnosed diabetes among different ethnic groups and the influence of deprivation on the prevalence of diabetes among Māori and New Zealand Europeans was investigated. METHODS:This was a cross-sectional survey on all patients registered with 10 practices in the Rotorua General Practice Gro...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2008.078873
更新日期:2009-05-01 00:00:00
abstract::Recent authors have suggested that cross-sectional studies of adverse outcome of pregnancy are misleading, and that the only valid method of analysis controls for eventual number of pregnancies. The present study shows, by simple examples, that such a method produces results that cannot be interpreted in the way claim...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.37.1.78
更新日期:1983-03-01 00:00:00
abstract:BACKGROUND:This paper aims to assess whether 7-year-olds' physical activity is associated with family and area-level measures of the physical and socioeconomic environments. METHODS:We analysed the association of environments with physical activity in 6497 singleton children from the UK Millennium Cohort Study with re...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2014-204287
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Mortality, incidence of most diseases, and prevalence of adverse health behaviours follow an inverse gradient with social class. Many proxies for socioeconomic status (SES) exist; however, each bears a different relation to health outcomes, probably following a different aetiological pathway. Additionally, d...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2008.084723
更新日期:2011-03-01 00:00:00
abstract::An ecological perspective on health emphasises both individual and contextual systems and the interdependent relations between the two. Origins of this approach have emanated from multiple disciplines over the past century or more. This article provides a glossary of perspectives, processes, and settings that pertain ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2003.018044
更新日期:2005-01-01 00:00:00
abstract:BACKGROUND:Evidence on the role of cannabis as a gateway drug is inconsistent. We characterise patterns of cannabis use among UK teenagers aged 13-18 years, and assess their influence on problematic substance use at age 21 years. METHODS:We used longitudinal latent class analysis to derive trajectories of cannabis use...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2016-208503
更新日期:2017-08-01 00:00:00
abstract:BACKGROUND:Low socioeconomic status (SES) has been linked to increased risk of hypertension, a known risk factor for cardiovascular disease. How the risk is altered by intergenerational social mobility is not well known. The aim of this study is to investigate parental SES, adult SES and the intergenerational social mo...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
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更新日期:2012-06-01 00:00:00
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journal_title:Journal of epidemiology and community health
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doi:10.1136/jech.44.2.130
更新日期:1990-06-01 00:00:00
abstract:STUDY OBJECTIVE:The aim was to compare the Office of Population Censuses and Surveys (OPCS) notification system for congenital malformation surveillance and the Liverpool Congenital Malformations Registry (LCMR) with respect to efficiency and uniformity of ascertainment, diagnostic accuracy, and overreporting of minor ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.45.4.294
更新日期:1991-12-01 00:00:00
abstract::Records in the obstetric wards and nurseries of 18 hospitals were reviewed and studied epidemiologically, covering about 210,000 deliveries and 1000 cases of neural tube defects (NTD). All live and still births occurred in the period 1970-84. Following the NTD classification used by Koch (1984), our case series consis...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.41.3.259
更新日期:1987-09-01 00:00:00
abstract::The feasibility of conducting postmarketing drug surveillance by record linkage in Tayside was assessed. The key feature of the method is that all hospital discharge data are already computerised by the area health board and may be accessed through the unique community health number (CHNo) which has been allocated to ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.38.3.226
更新日期:1984-09-01 00:00:00
abstract:BACKGROUND:An association between socioeconomic status (SES) and the incidence of type 2 diabetes mellitus (T2DM) has been found for younger and middle-aged individuals, but studies of this relationship in elderly populations are rare. METHODS:In a population-based cohort in southern Germany (KORA S4/F4: 1223 subjects...
journal_title:Journal of epidemiology and community health
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doi:10.1136/jech.2009.094086
更新日期:2011-07-01 00:00:00
abstract:STUDY OBJECTIVE:To determine the validity of a self administered physical activity questionnaire to be used as part of a screening device for postmenopausal osteopaenia (with additional questions on medical history and calcium intake). DESIGN:A questionnaire was posted to 86 perimenopausal women to enquire about weekl...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.51.4.365
更新日期:1997-08-01 00:00:00
abstract:BACKGROUND:Reliable data on clinical biomarkers are necessary in order to assess the health risks of populations and especially in assessing long-term trends related to disease incidence. METHODS:Ten European laboratories participated in a two-phase quality control exercise of total cholesterol (TC) and high-density l...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2018-210763
更新日期:2018-07-01 00:00:00
abstract:BACKGROUND:Although long working hours have been shown to be associated with the onset of cardiometabolic diseases, the clinical risk factor profile associated with long working hours remains unclear. We compared the clinical risk profile between people who worked long hours and those who reported being never exposed t...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2018-210943
更新日期:2019-02-01 00:00:00
abstract:BACKGROUND:Observational studies have linked work-family issues with cigarette consumption. This study examined the 6-month effects on cigarette consumption of a work-family supportive organisational intervention among nursing home workers. METHODS:Group randomised controlled trial where 30 nursing homes across New En...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2015-206953
更新日期:2016-12-01 00:00:00
abstract:OBJECTIVES:(1) To assess the association between birth weight and coronary heart disease (CHD) risk in a cohort of post-menopausal women, (2) to determine the combined effects of birth weight and adult body mass index on CHD, (3) to assess the role of insulin resistance as a mediating factor in the associations. DESIG...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.58.2.120
更新日期:2004-02-01 00:00:00
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journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2012-201065
更新日期:2012-10-01 00:00:00
abstract:BACKGROUND:Although exposure to peer and family violence is a documented risk factor for adolescent dating violence, less is known about the relationship between violent crime exposure and dating violence victimisation. METHODS:Participants in the National Longitudinal Study of Adolescent Health (n = 4794) aged 13-17 ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2008.078592
更新日期:2009-09-01 00:00:00
abstract:BACKGROUND:A large proportion of the population of England live in substandard housing. Previous research has suggested that poor-quality housing, particularly in terms of cold temperatures, mould, and damp, poses a health risk, particularly for older people. The present study aimed to examine the association between h...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2012-201458
更新日期:2013-03-01 00:00:00
abstract:BACKGROUND:China has been facing nationwide air pollution at unprecedented high levels primarily from fossil-fuel combustion in the past decade. However, few studies have been conducted on the adverse effect of severe air pollution on lung development in school-age children. METHODS:Using wellness check and air pollut...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2020-214283
更新日期:2020-10-01 00:00:00
abstract:OBJECTIVE:To examine the relative influence of area of residence on mortality risk along the life course in different age groups and to see if this differs for causes known to be related differently to various models of the life course. METHODS:Individual data from the Censuses in 1960, 1970, 1980 and 1990 from Oslo, ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2006.048090
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:There is a growing body of evidence showing that early life events are associated with increased risk of cardiovascular and metabolic diseases later in adult life. However, there is a paucity of data in this field from Asian populations. In this study, we examined the association of birth order with obesity ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2019-213572
更新日期:2020-11-04 00:00:00
abstract:STUDY OBJECTIVES:To estimate ethnic and socioeconomic differences in breast cancer incidence and survival between South Asians and non-South Asians in England and Wales, and to provide a baseline for surveillance of cancer survival in South Asians, the largest ethnic minority. SETTING:115 712 women diagnosed with firs...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2004.030965
更新日期:2005-05-01 00:00:00
abstract::This essay examines the implications of the COVID-19 pandemic for health inequalities. It outlines historical and contemporary evidence of inequalities in pandemics-drawing on international research into the Spanish influenza pandemic of 1918, the H1N1 outbreak of 2009 and the emerging international estimates of socio...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2020-214401
更新日期:2020-11-01 00:00:00
abstract:OBJECTIVES:To investigate associations between measures of neighbourhood social and material environment and self rated health. DESIGN:New contextual measures added to cross sectional study of a sample of people from the Health Survey for England and the Scottish Health Survey to provide multilevel data. PARTICIPANTS...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2003.016147
更新日期:2005-03-01 00:00:00
abstract::From 1969 to the end of 1983 in Norway, dementia was coded as the underlying cause of death from 2058 death certificates, and as a contributory cause from 19,459. This is 3.56% of the total number of deaths. It seems that a considerable proportion of dementia cases are noted on death certificates in Norway. Death rate...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.43.3.285
更新日期:1989-09-01 00:00:00