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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:
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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