scholarly journals Social exclusion of people with severe mental illness in Switzerland: results from the Swiss Health Survey

2017 ◽  
Vol 28 (04) ◽  
pp. 427-435 ◽  
Author(s):  
D. Richter ◽  
H. Hoffmann
Keyword(s):  
Mental Illness ◽  
General Population ◽  
Severe Mental Illness ◽  
Social Exclusion ◽  
Health Survey ◽  
Social Situation ◽  
Physical Illness ◽  
Swiss Health Survey ◽  
Swiss Health ◽  
The Social

Aims.People with severe mental illness (SMI) have a high risk of living socially excluded from the mainstream society. Policy initiatives and health systems aim to improve the social situation of people who suffer from mental health disabilities. The aim of this study was to explore the extent of social exclusion (employment and income, social network and social activities, health problems) of people with SMI in Switzerland.Methods.Data from the Swiss Health Survey 2012 were used to compare the social exclusion magnitude of people with SMI with those suffering from severe physical illness, common mental illness and the general population.Results.With the exception of Instrumental Activities of Daily Living, we found a gradient of social exclusion that showed people with SMI to be more excluded than the comparison groups. Loneliness and poverty were widespread among people with SMI. Logistic regression analyses on each individual exclusion indicator revealed that people with SMI and people with severe physical illness were similarly excluded on many indicators, whereas people with common mental illness and the general population were much more socially included.Conclusions.In contrast to political and health system goals, many people with SMI suffer from social exclusion. Social policy and clinical support should increase the efforts to counter exclusionary trends, especially in terms of loneliness and poverty.

Poverty transitions in severe mental illness: longitudinal analysis of social drift in China, 1994–2015

2021 ◽  
pp. 1-9
Author(s):  
Yue-Hui Yu ◽  
Wei Luo ◽  
Bo Liu ◽  
Wei-Hong Kuang ◽  
Larry Davidson ◽  
...  
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Poverty Rate ◽  
International Classification Of Disease ◽  
Fast Change ◽  
The Social ◽  
Poverty Transitions ◽  
Icd 10 ◽  
Persistent Poverty

Abstract Background Although poverty associated with severe mental illness (SMI) has been documented in many studies, little long-term evidence of social drift exists. This study aimed to unravel the poverty transitions among persons with SMI in a fast change community in China. Methods Two mental health surveys, using the International Classification of Disease (ICD-10), were conducted in the same six townships of Xinjin county, Chengdu, China in 1994 and 2015. A total of 308 persons with SMI identified in 1994 were followed up in 2015. The profiles of poverty transitions were identified and regression modelling methods were applied to determine the predictive factors of poverty transitions. Results The poverty rate of persons with SMI increased from 39.9% to 49.4% in 1994 and 2015. A larger proportion of them had fallen into poverty (27.3%) rather than moved out of it (17.8%). Those persons with SMI who had lost work ability, had physical illness and more severe mental disabilities in 1994, as well as those who had experienced negative changes on these factors were more likely to live in persistent poverty or fall into poverty. Higher education level and medical treatment were major protective factors of falling into poverty. Conclusions This study shows long-term evidence on the social drift of persons with SMI during the period of rapid social development in China. Further targeted poverty alleviation interventions should be crucial for improving treatment and mental recovery and alleviating poverty related to SMI.

scholarly journals Oral health inequality in people with severe mental illness: a cross-sectional study using National Health and Nutrition Examination Survey 1999-2016

2021 ◽  
Author(s):  
Jing Kang ◽  
Jianhua Wu ◽  
Vishal Aggarwal ◽  
David Shiers ◽  
Tim Doran ◽  
...  
Keyword(s):  
Risk Factors ◽  
Mental Illness ◽  
Oral Health ◽  
General Population ◽  
Health Outcomes ◽  
Severe Mental Illness ◽  
Tooth Loss ◽  
List Type ◽  
Cross Sectional ◽  
Oral Health Outcomes

AbstractOBJECTIVETo explore whether people with severe mental illness (SMI) experience worse oral health compared to the general population, and the risk factors for poor oral health in people with SMI.METHODThis study used cross-sectional data from the National Health and Nutrition Examination Survey (1999-2016) including on self-rated oral health, ache in mouth, tooth loss, periodontitis stage, and number of decayed, missing, and filled teeth. Candidate risk factors for poor oral health included demographic characteristics, lifestyle factors, physical health comorbidities, and dental hygiene behaviours. The authors used ordinal logistic regression and zero-inflated negative binomial models to explore predictors of oral health outcomes.RESULTS53,348 cases were included in the analysis, including 718 people with SMI. In the fully adjusted model, people with SMI were more likely to suffer from tooth loss (OR 1.40, 95% CI: 1.12-1.75). In people with SMI, the risk factors identified for poor oral health outcomes were older age, white ethnicity, lower income, smoking history, and diabetes. Engaging in physical activity and daily use of dental floss were associated with better oral health outcomes.CONCLUSIONSPeople with SMI experience higher rates of tooth loss than the general population, and certain subgroups are particularly at risk. Having a healthy lifestyle such as performing regular physical exercise and flossing may lower the risk of poor oral health. These findings suggest opportunities for targeted prevention and early intervention strategies to mitigate adverse oral health outcomes.Significant outcomes (x3)People with severe mental illness were at 40% higher risk of tooth loss when compared to the general population.Older adults, smokers and people with diabetes were at particularly high risk of poor oral health.Physical exercise and daily use of dental floss were associated with better oral health outcomes.Limitations (x3)The number of cases with data on periodontal disease was limited.The study was cross-sectional so causation could not be inferred.The analysis used prescriptions of antipsychotic and mood stabilising medication as a proxy measure of severe mental illness, as clinical diagnoses were not available in the dataset.Data availability statementThe NHANES 1999-2016 data is available at CDC website: https://www.cdc.gov/nchs/nhanes/index.htm, and is accessible and free to download for everyone.

Ist die soziale Lage der Menschen mit Behinderung „prekär“? – Theoretische Anregungen für die Teilhabeforschung in Deutschland

2019 ◽  
Vol 68 (5) ◽  
pp. 393-411
Author(s):  
Bernhard Schrauth
Keyword(s):  
Social Exclusion ◽  
Participatory Research ◽  
Social Situation ◽  
Reference Points ◽  
Persons With Disabilities ◽  
Soziale Lage ◽  
Sociological Approach ◽  
Gradual Process ◽  
The Social ◽  
Menschen Mit Behinderung

Zusammenfassung: Die Prekarisierungstheorie ist ein soziologischer Erklärungsansatz zur Genese sozialer Exklusion in modernen Lohnarbeitsgesellschaften und beschreibt die soziale Ausgrenzung als dynamischen und graduellen Prozess. Entscheidend für die Einbindung des Individuums in die Gesellschaft ist die soziale Positionierung auf den Inte­grations­achsen der Erwerbs­arbeit und des sozialen Lebensumfeldes. Im vorliegenden Beitrag werden die Erklärungs­muster der Prekarisierungstheorie auf das Forschungsfeld der Teilhabe­forschung übertragen und auf die soziale Lage der Menschen mit Behinderung in Deutschland bezogen. Darüber hinaus werden Grenzen der Übertragbarkeit aufgezeigt und Bezugs­punkte für die empirische Teilhabeforschung hergestellt. Ziel des Beitrags ist es, die inhaltlichen Grundlagen für die Untersuchung der in verschiedenen Gesellschaftsbereichen oftmals eingeschränkten Teilhabe von Menschen mit Behinderung zu erweitern. Abstract: The social situation of persons with disabilities in the perspective of the theory on precariousness – new ideas for the participatory research in Germany The theory on precariousness is a sociological approach to describe the occurrence of social exclusion in modern industrialized societies. It captures the phenomenon of social exclusion as a dynamic and gradual process. Accordingly, integration into society depends above all on the individuals’ social positioning in the societal areas of employment and one’s social environment. In this article, the explanatory approach will be adapted to the field of participatory research and the social situation of persons with disabilities. Moreover, limitations of the transfer are outlined and reference points for the empirical investigation in the field of participatory research are established. This contribution aims to broaden the theoretical foundation for empirically oriented research of the often limited participation of persons with disabilities in society.

scholarly journals The Social–Environmental Context of Violent Behavior in Persons Treated for Severe Mental Illness

2002 ◽  
Vol 92 (9) ◽  
pp. 1523-1531 ◽  
Author(s):  
Jeffrey W. Swanson ◽  
Marvin S. Swartz ◽  
Susan M. Essock ◽  
Fred C. Osher ◽  
H. Ryan Wagner ◽  
...  
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Violent Behavior ◽  
Environmental Context ◽  
The Social ◽  
Social Environmental

scholarly journals Usage of Complementary Medicine in Switzerland: Results of the Swiss Health Survey 2012 and Development Since 2007

PLoS ONE ◽  
2015 ◽  
Vol 10 (10) ◽  
pp. e0141985 ◽  
Author(s):  
Sabine D. Klein ◽  
Loredana Torchetti ◽  
Martin Frei-Erb ◽  
Ursula Wolf
Keyword(s):  
Complementary Medicine ◽  
Health Survey ◽  
Swiss Health Survey ◽  
Swiss Health

Police Violence among Adults Diagnosed with Mental Disorders

2020 ◽  
Vol 45 (2) ◽  
pp. 81-89
Author(s):  
Hyun-Jin Jun ◽  
Jordan E DeVylder ◽  
Lisa Fedina
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
General Population ◽  
Mental Disorders ◽  
Severe Mental Illness ◽  
Violence Exposure ◽  
Health Conditions ◽  
Psychotic Symptoms ◽  
Police Violence ◽  
Mental Health Conditions

Abstract Police violence is reportedly common among those diagnosed with mental disorders characterized by the presence of psychotic symptoms or pronounced emotional lability. Despite the perception that people with mental illness are disproportionately mistreated by the police, there is relatively little empirical research on this topic. A cross-sectional general population survey was administered online in 2017 to 1,000 adults in two eastern U.S. cities to examine the relationship between police violence exposure, mental disorders, and crime involvement. Results from hierarchical logistic regression and mediation analyses revealed that a range of mental health conditions are broadly associated with elevated risk for police violence exposure. Individuals with severe mental illness are more likely than the general population to be physically victimized by police, regardless of their involvement in criminal activities. Most of the excess risk of police violence exposure related to common psychiatric diagnoses was explained by confounding factors including crime involvement. However, crime involvement may necessitate more police contact, but does not necessarily justify victimization or excessive force (particularly sexual and psychological violence). Findings support the need for adequate training for police officers on how to safely interact with people with mental health conditions, particularly severe mental illness.

Physical disorders associated with mental illness. A register investigation

1990 ◽  
Vol 20 (4) ◽  
pp. 829-834 ◽  
Author(s):  
Per Fink
Keyword(s):  
Mental Illness ◽  
General Population ◽  
Mental Disorders ◽  
Psychiatric Patients ◽  
Physical Illness ◽  
Illness Behaviour ◽  
Chronic Physical Illness ◽  
Physical Disorders ◽  
High Utilization ◽  
Psychiatric Department

SynopsisOn the basis of nationwide patient register data the diagnostic pattern of the medical admissions of a general population (17–49 year-olds; N = 30427) during an 8-year period was studied by comparing those individuals who had been admitted to the psychiatric department (i.e. psychiatric patients) with those individuals who had not. The results suggest that the high utilization of medical admissions by psychiatric patients could not be explained simply by coincident chronic physical illness or particular types of physical disease including the somatic complications of mental disorders. It is more likely to be attributable to other factors such as an increased general susceptibility to physical illness, different forms of illness behaviour, and the process of somatization.

Sign in / Sign up

Export Citation Format

Share Document