Associations between mental health disorder and management of physical chronic conditions in China: a pooled cross-sectional analysis

Abstract Physical non-communicable diseases (NCDs) and mental health disorders are a rapidly increasing health burden in low-and middle-income countries. This study aims to examine the relationships between mental health disorders and cascade of care in managing four common physical NCDs (hypertensi...

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Autores principales:	Zheng Zhang, Grace Sum, Vicky Mengqi Qin, Yang Zhao, Tilahun Nigatu Haregu, Brian Oldenburg, John Tayu Lee
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/1ab6f00eac29491d83161d1494663997
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spelling	oai:doaj.org-article:1ab6f00eac29491d83161d14946639972021-12-02T15:53:02ZAssociations between mental health disorder and management of physical chronic conditions in China: a pooled cross-sectional analysis10.1038/s41598-021-85126-42045-2322https://doaj.org/article/1ab6f00eac29491d83161d14946639972021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-85126-4https://doaj.org/toc/2045-2322Abstract Physical non-communicable diseases (NCDs) and mental health disorders are a rapidly increasing health burden in low-and middle-income countries. This study aims to examine the relationships between mental health disorders and cascade of care in managing four common physical NCDs (hypertension, diabetes, dyslipidemia, chronic kidney disease) in China. We utilized two waves of nationally-representative China Health and Retirement Longitudinal Study (CHARLS 2011, 2015) of older adult population aged 45 and above. A series of unadjusted and adjusted mixed-effect logistic regression was applied to evaluate the association between presence of mental health disorder and physical chronic disease awareness, treatment, and control. We found that the odds of dyslipidemia (AOR 1.81, 95% CI 1.36–2.39) and kidney disease awareness (AOR 2.88, 95% CI 2.12–3.92) were higher for individuals with mental chronic conditions, compared to those without mental chronic conditions. The odds of having hypertension treatment was higher for subjects with mental health disorder, compared to those without (AOR 1.32, 95% CI 1.02–1.70). The odds of having physical chronic conditions controlled was not significantly associated with having mental chronic conditions (P > 0.05). These results indicated that adults with mental health disorder have a greater likelihood of awareness of having dyslipidemia and kidney disease, and receiving treatment for hypertension. Strategies to address the growing burden of physical-mental NCDs in China should include efforts to improve management of patients with comorbid health condition and improve access to continual high-quality treatment after the first diagnosis.Zheng ZhangGrace SumVicky Mengqi QinYang ZhaoTilahun Nigatu HareguBrian OldenburgJohn Tayu LeeNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Zheng Zhang Grace Sum Vicky Mengqi Qin Yang Zhao Tilahun Nigatu Haregu Brian Oldenburg John Tayu Lee Associations between mental health disorder and management of physical chronic conditions in China: a pooled cross-sectional analysis
description	Abstract Physical non-communicable diseases (NCDs) and mental health disorders are a rapidly increasing health burden in low-and middle-income countries. This study aims to examine the relationships between mental health disorders and cascade of care in managing four common physical NCDs (hypertension, diabetes, dyslipidemia, chronic kidney disease) in China. We utilized two waves of nationally-representative China Health and Retirement Longitudinal Study (CHARLS 2011, 2015) of older adult population aged 45 and above. A series of unadjusted and adjusted mixed-effect logistic regression was applied to evaluate the association between presence of mental health disorder and physical chronic disease awareness, treatment, and control. We found that the odds of dyslipidemia (AOR 1.81, 95% CI 1.36–2.39) and kidney disease awareness (AOR 2.88, 95% CI 2.12–3.92) were higher for individuals with mental chronic conditions, compared to those without mental chronic conditions. The odds of having hypertension treatment was higher for subjects with mental health disorder, compared to those without (AOR 1.32, 95% CI 1.02–1.70). The odds of having physical chronic conditions controlled was not significantly associated with having mental chronic conditions (P > 0.05). These results indicated that adults with mental health disorder have a greater likelihood of awareness of having dyslipidemia and kidney disease, and receiving treatment for hypertension. Strategies to address the growing burden of physical-mental NCDs in China should include efforts to improve management of patients with comorbid health condition and improve access to continual high-quality treatment after the first diagnosis.
format	article
author	Zheng Zhang Grace Sum Vicky Mengqi Qin Yang Zhao Tilahun Nigatu Haregu Brian Oldenburg John Tayu Lee
author_facet	Zheng Zhang Grace Sum Vicky Mengqi Qin Yang Zhao Tilahun Nigatu Haregu Brian Oldenburg John Tayu Lee
author_sort	Zheng Zhang
title	Associations between mental health disorder and management of physical chronic conditions in China: a pooled cross-sectional analysis
title_short	Associations between mental health disorder and management of physical chronic conditions in China: a pooled cross-sectional analysis
title_full	Associations between mental health disorder and management of physical chronic conditions in China: a pooled cross-sectional analysis
title_fullStr	Associations between mental health disorder and management of physical chronic conditions in China: a pooled cross-sectional analysis
title_full_unstemmed	Associations between mental health disorder and management of physical chronic conditions in China: a pooled cross-sectional analysis
title_sort	associations between mental health disorder and management of physical chronic conditions in china: a pooled cross-sectional analysis
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/1ab6f00eac29491d83161d1494663997
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Associations between mental health disorder and management of physical chronic conditions in China: a pooled cross-sectional analysis

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