Stroke, Kanker Dan Penyakit Kronis Lainnya Lebih Mungkin Bagi Mereka Dengan Kesehatan Mental Miskin

Stroke, Kanker Dan Penyakit Kronis Lainnya Lebih Mungkin Bagi Mereka Dengan Kesehatan Mental MiskinKondisi kronis lebih umum di antara mereka yang menderita depresi dan kecemasan. Jurica Koletić / Unsplash

Empat juta orang Australia, termasuk teman-teman kita, anggota keluarga, rekan kerja dan tetangga, hidup dengan kondisi kesehatan mental, termasuk kecemasan dan depresi.

A laporan baru hari ini dari Kolaborasi Kebijakan Kesehatan Australia telah menemukan empat juta orang Australia ini memiliki risiko yang jauh lebih besar terhadap penyakit fisik kronis dan risiko kematian dini yang jauh lebih besar.

Memiliki kondisi kesehatan mental meningkatkan risiko setiap penyakit kronis utama. Penyakit jantung, tekanan darah tinggi, radang sendi, sakit punggung, diabetes, asma, bronkitis, emfisema dan kanker semuanya lebih mungkin terjadi di antara orang-orang dengan kecemasan dan depresi.

Lebih dari 2.4 juta orang memiliki mental dan setidaknya satu kondisi kesehatan fisik.

Untuk pertama kalinya di Australia, laporan ini mengkuantifikasi sejauh mana masalah ini. Misalnya, orang-orang dengan kondisi kesehatan mental lebih cenderung memiliki penyakit sistem peredaran darah (yaitu, penyakit jantung, tekanan darah tinggi dan stroke). Kemungkinan meningkat sebesar 52% untuk pria, dan 41% untuk wanita.

Stroke, Kanker Dan Penyakit Kronis Lainnya Lebih Mungkin Bagi Mereka Dengan Kesehatan Mental MiskinKolaborasi Kebijakan Kesehatan Australia, penulis tersedia

Lebih dari satu juta orang dipengaruhi oleh penyakit sistem peredaran darah dan kondisi kesehatan mental. Penyakit-penyakit ini adalah pembunuh terbesar Australia.

Untuk kondisi yang menyakitkan dan melemahkan seperti radang sendi dan sakit punggung, jumlahnya bahkan lebih tinggi. Arthritis adalah 66% lebih mungkin untuk pria dengan kondisi kesehatan mental, dan 46% lebih mungkin untuk wanita, dengan orang 959,000 terpengaruh.

Stroke, Kanker Dan Penyakit Kronis Lainnya Lebih Mungkin Bagi Mereka Dengan Kesehatan Mental MiskinKolaborasi Kebijakan Kesehatan Australia, penulis tersedia

Nyeri punggung 74% lebih mungkin untuk pria dengan kondisi kesehatan mental, dan 68% lebih mungkin untuk wanita, dengan lebih dari satu juta terpengaruh.

Stroke, Kanker Dan Penyakit Kronis Lainnya Lebih Mungkin Bagi Mereka Dengan Kesehatan Mental MiskinKolaborasi Kebijakan Kesehatan Australia, penulis tersedia

The gender differences are significant. Women with mental health conditions are much more likely to have asthma than women across Australia as a whole (70% more likely), while men are 49% more likely to have asthma with a mental health condition.

stroke and mental health5 8 9Kolaborasi Kebijakan Kesehatan Australia, penulis tersedia

The biggest gender difference is cancer. Men with mental health conditions are 84% more likely to have cancer than the general population, and for women the figure is 20%.

stroke and mental health6 8 9 Kolaborasi Kebijakan Kesehatan Australia, penulis tersedia

As more women live with mental health conditions than men, overall, women are 23% more likely to be living with both a mental and physical health condition than men.

The report shows having a co-existing mental health condition and chronic physical disease generally results in worse quality of life, greater functional decline, needing to use more health care and higher healthcare costs.

These people require more treatment, use more medications, and have to spend more time, energy and money managing their health. People with a mental health condition are also more likely to be poorer, less likely to work, less likely to receive health screening and, sadly, more likely to receive substandard care for their physical diseases.

On average, people with mental health conditions die younger than the general population, and mostly from preventable conditions. We know from penelitian terdahuluthat people with severe mental illnesses die much earlier than the rest of the population. Our report shows even common mental health conditions such as anxiety and depression contribute to more chronic disease, leading to higher rates of early death.

Mengapa?

We don’t know exactly why people with mental health conditions have poorer physical health. The Academy of Medical Sciences has identified that poor mental health and psychosocial risk factors such as feeling dissatisfied with life, not feeling calm, having sleep problems that affect work, and financial concerns can predict physical disease.

Other factors, such as low socioeconomic status, poor social networks, living in rural areas and smoking are associated with both poor mental health and poor physical health.

We do know people with mental health conditions often don’t receive advice about healthy lifestyles, don’t get common tests for disease, and are less likely to receive treatment for disease. Some of this is due to stigma and discrimination, and sometimes it’s neglect. People with mental health conditions can fall through the gaps between disjointed physical and mental health systems.

Apa boleh buat?

Ada momentum for change among the mental health sector, with dozens of organisations signing up to the Equally Well consensus statement. This aims to improve the quality of life of people living with mental illness by providing equal access to quality health care.

There’s some great work being done around the country, including in the Hunter region, where people with mental health conditions can access tailored help with physical health risk factors such as smoking and diet.

PercakapanPeople using mental health services should have their physical health regularly assessed, and any problems addressed as early as possible. Better coordination of care would preserve healthcare resources and improve quality of life.

Tentang Penulis

Ben Harris, Policy Associate, Australian Health Policy Collaboration, Victoria University

Artikel ini awalnya diterbitkan pada Percakapan. Membaca Artikel asli.

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