Ethnicity and cardiovascular health inequalities in people with severe mental illnesses: protocol for the E-CHASM study

Jayati Das-Munshi; Mark Ashworth; Fiona Patricia Gaughran; Sally Hull; Craig Morgan; James Nazroo; Angus Roberts; Diana Susan Rose; Peter Schofield; Robert James Stewart; Graham J Thornicroft; Martin James Prince

doi:10.1007/s00127-016-1185-8

Ethnicity and cardiovascular health inequalities in people with severe mental illnesses: protocol for the E-CHASM study

Jayati Das-Munshi, Mark Ashworth, Fiona Patricia Gaughran, Sally Hull, Craig Morgan, James Nazroo, Angus Roberts, Diana Susan Rose, Peter Schofield, Robert James Stewart, Graham J Thornicroft, Martin James Prince

University of Sheffield

Research output: Contribution to journal › Article › peer-review

13 Citations (Scopus)

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Abstract

Purpose

People with severe mental illnesses (SMI) experience a 17- to 20-year reduction in life expectancy. One-third of deaths are due to cardiovascular disease. This study will establish the relationship of SMI with cardiovascular disease in ethnic minority groups (Indian, Pakistani, Bangladeshi, black Caribbean, black African and Irish), in the UK.
Methods

E-CHASM is a mixed methods study utilising data from 1.25 million electronic patient records. Secondary analysis of routine patient records will establish if differences in cause-specific mortality, cardiovascular disease prevalence and disparities in accessing healthcare for ethnic minority people living with SMI exist. A nested qualitative study will be used to assess barriers to accessing healthcare, both from the perspectives of service users and providers.
Results

In primary care, 993,116 individuals, aged 18+, provided data from 186/189 (98 %) practices in four inner-city boroughs (local government areas) in London. Prevalence of SMI according to primary care records, ranged from 1.3–1.7 %, across boroughs. The primary care sample included Bangladeshi [n = 94,643 (10 %)], Indian [n = 6086 (6 %)], Pakistani [n = 35,596 (4 %)], black Caribbean [n = 45,013 (5 %)], black African [n = 75,454 (8 %)] and Irish people [n = 13,745 (1 %)]. In the secondary care database, 12,432 individuals with SMI over 2007–2013 contributed information; prevalent diagnoses were schizophrenia [n = 6805 (55 %)], schizoaffective disorders [n = 1438 (12 %)] and bipolar affective disorder [n = 4112 (33 %)]. Largest ethnic minority groups in this sample were black Caribbean [1432 (12 %)] and black African (1393 (11 %)).
Conclusions

There is a dearth of research examining cardiovascular disease in minority ethnic groups with severe mental illnesses. The E-CHASM study will address this knowledge gap.

Original language	English
Number of pages	12
Journal	Social Psychiatry and Psychiatric Epidemiology
DOIs	https://doi.org/10.1007/s00127-016-1185-8
Publication status	Published - 4 Feb 2016

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Das-Munshi, J., Ashworth, M., Gaughran, F. P., Hull, S., Morgan, C., Nazroo, J., Roberts, A., Rose, D. S., Schofield, P., Stewart, R. J., Thornicroft, G. J., & Prince, M. J. (2016). Ethnicity and cardiovascular health inequalities in people with severe mental illnesses: protocol for the E-CHASM study. Social Psychiatry and Psychiatric Epidemiology. https://doi.org/10.1007/s00127-016-1185-8

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title = "Ethnicity and cardiovascular health inequalities in people with severe mental illnesses: protocol for the E-CHASM study",

abstract = "PurposePeople with severe mental illnesses (SMI) experience a 17- to 20-year reduction in life expectancy. One-third of deaths are due to cardiovascular disease. This study will establish the relationship of SMI with cardiovascular disease in ethnic minority groups (Indian, Pakistani, Bangladeshi, black Caribbean, black African and Irish), in the UK.MethodsE-CHASM is a mixed methods study utilising data from 1.25 million electronic patient records. Secondary analysis of routine patient records will establish if differences in cause-specific mortality, cardiovascular disease prevalence and disparities in accessing healthcare for ethnic minority people living with SMI exist. A nested qualitative study will be used to assess barriers to accessing healthcare, both from the perspectives of service users and providers.ResultsIn primary care, 993,116 individuals, aged 18+, provided data from 186/189 (98 %) practices in four inner-city boroughs (local government areas) in London. Prevalence of SMI according to primary care records, ranged from 1.3–1.7 %, across boroughs. The primary care sample included Bangladeshi [n = 94,643 (10 %)], Indian [n = 6086 (6 %)], Pakistani [n = 35,596 (4 %)], black Caribbean [n = 45,013 (5 %)], black African [n = 75,454 (8 %)] and Irish people [n = 13,745 (1 %)]. In the secondary care database, 12,432 individuals with SMI over 2007–2013 contributed information; prevalent diagnoses were schizophrenia [n = 6805 (55 %)], schizoaffective disorders [n = 1438 (12 %)] and bipolar affective disorder [n = 4112 (33 %)]. Largest ethnic minority groups in this sample were black Caribbean [1432 (12 %)] and black African (1393 (11 %)).ConclusionsThere is a dearth of research examining cardiovascular disease in minority ethnic groups with severe mental illnesses. The E-CHASM study will address this knowledge gap.",

author = "Jayati Das-Munshi and Mark Ashworth and Gaughran, {Fiona Patricia} and Sally Hull and Craig Morgan and James Nazroo and Angus Roberts and Rose, {Diana Susan} and Peter Schofield and Stewart, {Robert James} and Thornicroft, {Graham J} and Prince, {Martin James}",

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doi = "10.1007/s00127-016-1185-8",

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T1 - Ethnicity and cardiovascular health inequalities in people with severe mental illnesses: protocol for the E-CHASM study

AU - Das-Munshi, Jayati

AU - Ashworth, Mark

AU - Gaughran, Fiona Patricia

AU - Hull, Sally

AU - Morgan, Craig

AU - Nazroo, James

AU - Roberts, Angus

AU - Rose, Diana Susan

AU - Schofield, Peter

AU - Stewart, Robert James

AU - Thornicroft, Graham J

AU - Prince, Martin James

PY - 2016/2/4

Y1 - 2016/2/4

N2 - PurposePeople with severe mental illnesses (SMI) experience a 17- to 20-year reduction in life expectancy. One-third of deaths are due to cardiovascular disease. This study will establish the relationship of SMI with cardiovascular disease in ethnic minority groups (Indian, Pakistani, Bangladeshi, black Caribbean, black African and Irish), in the UK.MethodsE-CHASM is a mixed methods study utilising data from 1.25 million electronic patient records. Secondary analysis of routine patient records will establish if differences in cause-specific mortality, cardiovascular disease prevalence and disparities in accessing healthcare for ethnic minority people living with SMI exist. A nested qualitative study will be used to assess barriers to accessing healthcare, both from the perspectives of service users and providers.ResultsIn primary care, 993,116 individuals, aged 18+, provided data from 186/189 (98 %) practices in four inner-city boroughs (local government areas) in London. Prevalence of SMI according to primary care records, ranged from 1.3–1.7 %, across boroughs. The primary care sample included Bangladeshi [n = 94,643 (10 %)], Indian [n = 6086 (6 %)], Pakistani [n = 35,596 (4 %)], black Caribbean [n = 45,013 (5 %)], black African [n = 75,454 (8 %)] and Irish people [n = 13,745 (1 %)]. In the secondary care database, 12,432 individuals with SMI over 2007–2013 contributed information; prevalent diagnoses were schizophrenia [n = 6805 (55 %)], schizoaffective disorders [n = 1438 (12 %)] and bipolar affective disorder [n = 4112 (33 %)]. Largest ethnic minority groups in this sample were black Caribbean [1432 (12 %)] and black African (1393 (11 %)).ConclusionsThere is a dearth of research examining cardiovascular disease in minority ethnic groups with severe mental illnesses. The E-CHASM study will address this knowledge gap.

AB - PurposePeople with severe mental illnesses (SMI) experience a 17- to 20-year reduction in life expectancy. One-third of deaths are due to cardiovascular disease. This study will establish the relationship of SMI with cardiovascular disease in ethnic minority groups (Indian, Pakistani, Bangladeshi, black Caribbean, black African and Irish), in the UK.MethodsE-CHASM is a mixed methods study utilising data from 1.25 million electronic patient records. Secondary analysis of routine patient records will establish if differences in cause-specific mortality, cardiovascular disease prevalence and disparities in accessing healthcare for ethnic minority people living with SMI exist. A nested qualitative study will be used to assess barriers to accessing healthcare, both from the perspectives of service users and providers.ResultsIn primary care, 993,116 individuals, aged 18+, provided data from 186/189 (98 %) practices in four inner-city boroughs (local government areas) in London. Prevalence of SMI according to primary care records, ranged from 1.3–1.7 %, across boroughs. The primary care sample included Bangladeshi [n = 94,643 (10 %)], Indian [n = 6086 (6 %)], Pakistani [n = 35,596 (4 %)], black Caribbean [n = 45,013 (5 %)], black African [n = 75,454 (8 %)] and Irish people [n = 13,745 (1 %)]. In the secondary care database, 12,432 individuals with SMI over 2007–2013 contributed information; prevalent diagnoses were schizophrenia [n = 6805 (55 %)], schizoaffective disorders [n = 1438 (12 %)] and bipolar affective disorder [n = 4112 (33 %)]. Largest ethnic minority groups in this sample were black Caribbean [1432 (12 %)] and black African (1393 (11 %)).ConclusionsThere is a dearth of research examining cardiovascular disease in minority ethnic groups with severe mental illnesses. The E-CHASM study will address this knowledge gap.

U2 - 10.1007/s00127-016-1185-8

DO - 10.1007/s00127-016-1185-8

M3 - Article

SN - 0933-7954

JO - Social Psychiatry and Psychiatric Epidemiology

JF - Social Psychiatry and Psychiatric Epidemiology

ER -

Ethnicity and cardiovascular health inequalities in people with severe mental illnesses: protocol for the E-CHASM study

Abstract

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