Skip to main content
×
×
Home

Reviving the ‘double jeopardy’ hypothesis: Physical health inequalities, ethnicity and severe mental illness

  • Jayati Das-Munshi (a1), Robert Stewart (a1), Craig Morgan (a1), James Nazroo (a2), Graham Thornicroft (a1) and Martin Prince (a1)...
Summary

People with severe mental illness (SMI) experience a reduction in life expectancy of 15–20 years. Physical health and mortality experience may be even worse for ethnic minority groups with SMI, but evidence is limited. We suggest clinical, policy and research recommendations to address this inequality.

    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Reviving the ‘double jeopardy’ hypothesis: Physical health inequalities, ethnicity and severe mental illness
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Reviving the ‘double jeopardy’ hypothesis: Physical health inequalities, ethnicity and severe mental illness
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Reviving the ‘double jeopardy’ hypothesis: Physical health inequalities, ethnicity and severe mental illness
      Available formats
      ×
Copyright
Corresponding author
Jayati Das-Munshi, Department of Health Services and Population Research, De Crespigny Park, London SE5 8AF, UK. Email: jayati.das-munshi@kcl.ac.uk
Footnotes
Hide All

Declaration of interest

None.

Footnotes
References
Hide All
1 Chang, C-K, Hayes, RD, Perera, G, Broadbent, MTM, Fernandes, AC, Lee, WE, et al. Life Expectancy at birth for people with serious mental illness and other major disorders from a secondary mental health care case register in London. PLoS One 2011; 6: e19590.
2 Walker, E, McGee, RE, Druss, BG. Mortality in mental disorders and global disease burden implications: a systematic review and meta-analysis. JAMA Psychiatry 2015; 72: 334–41.
3 Grollman, EA. Multiple disadvantaged statuses and health: the role of multiple forms of discrimination. J Health Soc Behav 2014; 55: 319.
4 Nazroo, J, Jackson, J, Karlsen, S, Torres, M. The Black diaspora and health inequalities in the US and England: does where you go and how you get there make a difference? Soc Health Illn 2007; 29: 811–30.
5 Bourque, F, van der Ven, E, Malla, A. A meta-analysis of the risk for psychotic disorders among first- and second-generation immigrants. Psychol Med 2011; 41: 897910.
6 Carliner, H, Collins, PY, Cabassa, LJ, McNallen, A, Joestl, SS, Lewis-Fernández, R. Prevalence of cardiovascular risk factors among racial and ethnic minorities with schizophrenia spectrum and bipolar disorders: a critical literature review. Compr Psychiatry 2014; 55: 233–47.
7 Ward, M, Druss, B. The epidemiology of diabetes in psychotic disorders. Lancet Psychiatry 2015; 2: 431–51.
8 Mathur, R, Hull, SA, Boomla, K, Robson, J. Ethnic differences in primary care management of diabetes and cardiovascular disease in people with serious mental illness. Br J Gen Pract 2012; 62: e5828.
9 Chang, C-K, Hayes, R, Broadbent, M, Fernandes, A, Lee, W, Hotopf, M, et al. All-cause mortality among people with serious mental illness (SMI), substance use disorders, and depressive disorders in southeast London: a cohort study. BMC Psychiatry 2010; 10: 77.
10 Marmot, M, Allen, J, Goldblatt, P, Boyce, T, McNeish, D, Grady, M, et al. Fair Society, Healthy Lives: The Marmot Review. The Marmot Review, 2010.
11 Osborn, DJ, Hardoon, S, Omar, RZ, Holt, RI, King, M, Larsen, J, et al. Cardiovascular risk prediction models for people with severe mental illness: Results from the prediction and management of cardiovascular risk in people with severe mental illnesses (primrose) research program. JAMA Psychiatry 2015; 72: 143–51.
12 Li, J-L, Canham, RM, Vongpatanasin, W, Leonard, D, Auchus, RJ, Victor, RG. Do allelic variants in $2a and $2c adrenergic receptors predispose to hypertension in Blacks? Hypertension 2006; 47: 1140–6.
13 Thornicroft, G, Brohan, E, Rose, D, Sartorius, N, Leese, M. Global pattern of experienced and anticipated discrimination against people with schizophrenia: a cross-sectional survey. Lancet 2009; 373: 408–15.
14 Bhui, K, Stansfeld, S, Hull, S, Priebe, S, Mole, F, Feder, G. Ethnic variations in pathways to and use of specialist mental health services in the UK: systematic review. Br J Psychiatry 2003; 182: 105–16.
15 Gilvarry, CM, Walsh, E, Samele, C, Hutchinson, G, Mallett, R, Rabe-Hesketh, S, et al. Life events, ethnicity and perceptions of discrimination in patients with severe mental illness. Soc Psychiatry Psychiatr Epidemiol 1999; 34: 600–8.
16 Pascoe, EA, Smart Richman, L. Perceived discrimination and health: a meta-analytic review. Psychol Bull 2009; 135: 531–54.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 52 *
Loading metrics...

Abstract views

Total abstract views: 114 *
Loading metrics...

* Views captured on Cambridge Core between 2nd January 2018 - 25th May 2018. This data will be updated every 24 hours.

Reviving the ‘double jeopardy’ hypothesis: Physical health inequalities, ethnicity and severe mental illness

  • Jayati Das-Munshi (a1), Robert Stewart (a1), Craig Morgan (a1), James Nazroo (a2), Graham Thornicroft (a1) and Martin Prince (a1)...
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *