Mark Ashworth, May ‘12

Mark Ashworth, May ‘12

• Relative risk

• Mortality rates

• Years of life lost

The most disadvantaged will, on average, die 7 years earlier than people living in the richest areas 1

1. Marmot M, Fair society healthy lives, 2010

Years of life lost:

• Smoking: 7.6 yrs in men; 6.7 yrs in women

• DM: 1.3 yrs in men; 2.0 yrs in women

• BMI 40-45: 10 yrs

Years of life lost:

• any SMI: 12.9 yrs in men; 11.8 yrs in women 1

1. Chang C-K, et al. PLoS One 2011, 6, e19590

• CVD risk factors: smoking, obesity, poor diet, physical inactivity

• illicit drug use

• suicide

• anti-psychotic medication

• reduced access to healthcare

• alcohol• BMI• BP• cholesterol:HDL• glucose• cervical smear• on lithium: creatinine, TSH, lithium levels.

• your physical health targets • our physical health targets

• 12 year life expectancy reduction in SMI

• physical health in SMI firmly on the agenda

• need for evidence based interventions

• sharing the physical health care