Multiple health behaviours and interest in change among people with a mental health condition: A brief report

People with a mental illness experience a disproportionate burden of chronic disease morbidity and mortality; contributed to by a higher prevalence of health risk behaviours that increase the risk of chronic disease development. Amongst this population there is little understanding of multiple risk...

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Published in:Preventive Medicine Reports
Main Authors: Kate Bartlem, Lauren Gibson, Caitlin Fehily, Simone Lodge, John Wiggers, Jenny Bowman
Format: Article
Language:English
Published: Elsevier 2021-06-01
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2211335521000735
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author Kate Bartlem
Lauren Gibson
Caitlin Fehily
Simone Lodge
John Wiggers
Jenny Bowman
author_facet Kate Bartlem
Lauren Gibson
Caitlin Fehily
Simone Lodge
John Wiggers
Jenny Bowman
author_sort Kate Bartlem
collection DOAJ
container_title Preventive Medicine Reports
description People with a mental illness experience a disproportionate burden of chronic disease morbidity and mortality; contributed to by a higher prevalence of health risk behaviours that increase the risk of chronic disease development. Amongst this population there is little understanding of multiple risk behaviour co-occurrence and client interest in improving multiple such risks. A cross-sectional survey was undertaken with a random selection of 557 clients of 12 community mental health services in Australia. Participants reported their engagement in health risk behaviours (tobacco smoking, harmful alcohol consumption, inadequate fruit and/or vegetable consumption, and inadequate physical activity), and those deemed ‘at risk’ reported whether they were seriously considering improving their risk behaviours. Almost all participants engaged in at least one risk behaviour (96.1%), with 78.4% of participants engaging in two or more risk behaviours. Of those with two risks, the most frequently paired behaviours were inadequate fruit and vegetable consumption and inadequate physical activity (39.7%); of those with three risks the most common combination was inadequate fruit and vegetable consumption, tobacco smoking and harmful alcohol consumption (42.5%). Of those at risk for all behaviours, 68.4% were interested in improving multiple behaviours, and 14% were interested in improving all; with these participants being most frequently interested in changing smoking, nutrition, and physical activity (19.3%), followed by all risk behaviours (14.0%). The findings strengthen the evidence that people with a mental illness are interested in improving their health risk behaviours and indicate a need to address the multiple health risks in this population group.
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spelling doaj-art-e429fcf6fcea44dba7b587fdcd10c5e52025-08-19T21:16:18ZengElsevierPreventive Medicine Reports2211-33552021-06-012210138310.1016/j.pmedr.2021.101383Multiple health behaviours and interest in change among people with a mental health condition: A brief reportKate Bartlem0Lauren Gibson1Caitlin Fehily2Simone Lodge3John Wiggers4Jenny Bowman5School of Psychology, University of Newcastle, Callaghan, Australia; Hunter New England Population Health, Wallsend, Australia; Corresponding author at: School of Psychology, University of Newcastle, University Drive, Callaghan, NSW 2308, Australia.School of Psychology, University of Newcastle, Callaghan, AustraliaSchool of Psychology, University of Newcastle, Callaghan, AustraliaSchool of Psychology, University of Newcastle, Callaghan, AustraliaHunter New England Population Health, Wallsend, Australia; School of Medicine and Public Health, University of Newcastle, Callaghan, AustraliaSchool of Psychology, University of Newcastle, Callaghan, AustraliaPeople with a mental illness experience a disproportionate burden of chronic disease morbidity and mortality; contributed to by a higher prevalence of health risk behaviours that increase the risk of chronic disease development. Amongst this population there is little understanding of multiple risk behaviour co-occurrence and client interest in improving multiple such risks. A cross-sectional survey was undertaken with a random selection of 557 clients of 12 community mental health services in Australia. Participants reported their engagement in health risk behaviours (tobacco smoking, harmful alcohol consumption, inadequate fruit and/or vegetable consumption, and inadequate physical activity), and those deemed ‘at risk’ reported whether they were seriously considering improving their risk behaviours. Almost all participants engaged in at least one risk behaviour (96.1%), with 78.4% of participants engaging in two or more risk behaviours. Of those with two risks, the most frequently paired behaviours were inadequate fruit and vegetable consumption and inadequate physical activity (39.7%); of those with three risks the most common combination was inadequate fruit and vegetable consumption, tobacco smoking and harmful alcohol consumption (42.5%). Of those at risk for all behaviours, 68.4% were interested in improving multiple behaviours, and 14% were interested in improving all; with these participants being most frequently interested in changing smoking, nutrition, and physical activity (19.3%), followed by all risk behaviours (14.0%). The findings strengthen the evidence that people with a mental illness are interested in improving their health risk behaviours and indicate a need to address the multiple health risks in this population group.http://www.sciencedirect.com/science/article/pii/S2211335521000735Health behavioursCo-occurrenceChronic diseaseMental healthMental illness
spellingShingle Kate Bartlem
Lauren Gibson
Caitlin Fehily
Simone Lodge
John Wiggers
Jenny Bowman
Multiple health behaviours and interest in change among people with a mental health condition: A brief report
Health behaviours
Co-occurrence
Chronic disease
Mental health
Mental illness
title Multiple health behaviours and interest in change among people with a mental health condition: A brief report
title_full Multiple health behaviours and interest in change among people with a mental health condition: A brief report
title_fullStr Multiple health behaviours and interest in change among people with a mental health condition: A brief report
title_full_unstemmed Multiple health behaviours and interest in change among people with a mental health condition: A brief report
title_short Multiple health behaviours and interest in change among people with a mental health condition: A brief report
title_sort multiple health behaviours and interest in change among people with a mental health condition a brief report
topic Health behaviours
Co-occurrence
Chronic disease
Mental health
Mental illness
url http://www.sciencedirect.com/science/article/pii/S2211335521000735
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