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Abstract
Health Care Sciences & Services Health Policy & Services Life Sciences & Biomedicine Public, Environmental & Occupational Health Science & Technology mental health mental illness physical health social determinants of health
BackgroundPeople diagnosed with mental illness have shorter lives and poorer physical health, compared to the general population. These health inequities are usually viewed at an individual and clinical level, yet there is little research on the views of mental health consumers on clinical factors in broader contexts.
ObjectiveTo elicit the views of consumers of mental health services regarding their physical health and experiences of accessing physical health-care services.
DesignQualitative exploratory design involving focus groups.
Setting and participantsThe research was conducted in the Australian Capital Territory. Participants were consumers of mental health services.
Main outcome measuresThe Commission on Social Determinants of Health Framework was drawn on to lead deductive analysis of focus group interview transcripts.
ResultsIssues impacting consumers included poverty, the neglect of public services and being treated as second-class citizens because of diagnosis of mental illness and/or experiencing a psychosocial disability. These factors were connected with significant barriers in accessing physical health care, including the quality and relevance of health provider communication, especially when the broader contexts of mental health consumer's lives are not well understood.
Discussion and conclusionsThese findings suggest the Commission on Social Determinants of Health Framework could be utilized in research and policy, and may provide an effective platform for exploring better health communication with mental health consumers regarding this neglected health inequity.
Details
Title
Social and material aspects of life and their impact on the physical health of people diagnosed with mental illness
Creators
Stephanie B. Ewart - University of Canberra
Brenda Happell - University of Canberra
Julia Bocking - University of Canberra
Chris Platania-Phung - University of Canberra
Robert Stanton - Central Queensland University
Brett Scholz - University of Canberra
Publication Details
Health expectations : an international journal of public participation in health care and health policy, Vol.20(5), pp.984-991
Publisher
Wiley
Number of pages
8
Identifiers
991013035779102368
Copyright
This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium,
provided the original work is properly cited.