Awareness of pre-diabetes or diabetes and associated factors in people with psychosis
Date
2016
Authors
Foley, D.
Mackinnon, A.
Morgan, V.
Watts, G.
Castle, D.
Waterreus, A.
Galletly, C.
Editors
Advisors
Journal Title
Journal ISSN
Volume Title
Type:
Journal article
Citation
Schizophrenia Bulletin, 2016; 42(5):1280-1289
Statement of Responsibility
Debra L. Foley, Andrew Mackinnon, Vera A. Morgan, Gerald F. Watts, David J. Castle, Anna Waterreus, Cherrie A. Galletly
Conference Name
Abstract
Objective: To estimate awareness of pre-diabetes or type 2 diabetes and associated factors in people with psychosis, a known high-risk group. Methods: Cross sectional analysis of a national sample with psychosis who were aged 18–64 years, gave a fasting blood sample ( n = 1155), had pre-diabetes or diabetes based on testing ( n = 359) and reported if they knew they had high blood sugar or diabetes at survey ( n = 356). Logistic regression was used to identify factors associated with awareness of pre-diabetes or diabetes prior to testing. Results: The prevalence of pre-diabetes (19.0% 219/1153) or type 2 diabetes (12.1%, 140/1153) was 31.1% (359/1153); 45% (160/356) were known prior to testing. Factors associated with detection were higher fasting blood glucose, older age, a perception of poor health, severe obesity, dyslipidaemia or treatment with a lipid regulating drug, a family history of diabetes, Aboriginal or Torres Strait Islander descent, decreased cognitive functioning, regional economic disadvantage, treatment with an antihypertensive drug, and an elevated 5-year risk for cardiovascular disease. The prevalence of undiagnosed pre-diabetes/diabetes was highest in those aged 25–34 years at 34.2%. Conclusions: Clinical detection of pre-diabetes or diabetes in people with psychosis was strongly dependent on established risk factors for type 2 diabetes in the population but not on current antipsychotic drug treatment or psychiatric case management which should ensure regular screening. Screening must become a clinical priority and should not wait until age 40.
School/Discipline
Dissertation Note
Provenance
Description
Access Status
Rights
© The Author 2016. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center. All rights reserved.