title: Health inequalities and psychosis: time for action.
abstract: People with psychosis face a life-restricting and life-shortening epidemic of obesity, diabetes and cardiovascular disease. This can be predicted by the associated antecedent risk factors evident from early in psychosis, yet remain largely ignored. Greater coordination between primary care, secondary care and public health to systematically prevent and intervene earlier for these physical illnesses offers a realistic solution to reduce this health inequality.
authors.affiliation: David Shiers, MBChB, MRCGP, MRCP(UK), Honorary Reader in Clinical Health, University of Manchester, and retired general practitioner, North Staffordshire; Tim Bradshaw, RMN, PhD, School of Nursing, Midwifery and Social Work, University of Manchester, Manchester; Jonathan Campion, MBBS, MRCPsych, Consultant Psychiatrist and Director for Public Mental Health, South London and Maudsley NHS Foundation Trust, and Visiting Professor of Population Mental Health, Faculty of Brain Sciences, University College London, London, UK david.shiers@doctors.org.uk.
authors.forename: David
authors.initials: D
authors.lastname: Shiers
authors.affiliation: David Shiers, MBChB, MRCGP, MRCP(UK), Honorary Reader in Clinical Health, University of Manchester, and retired general practitioner, North Staffordshire; Tim Bradshaw, RMN, PhD, School of Nursing, Midwifery and Social Work, University of Manchester, Manchester; Jonathan Campion, MBBS, MRCPsych, Consultant Psychiatrist and Director for Public Mental Health, South London and Maudsley NHS Foundation Trust, and Visiting Professor of Population Mental Health, Faculty of Brain Sciences, University College London, London, UK.
authors.forename: Tim
authors.initials: T
authors.lastname: Bradshaw
authors.affiliation: David Shiers, MBChB, MRCGP, MRCP(UK), Honorary Reader in Clinical Health, University of Manchester, and retired general practitioner, North Staffordshire; Tim Bradshaw, RMN, PhD, School of Nursing, Midwifery and Social Work, University of Manchester, Manchester; Jonathan Campion, MBBS, MRCPsych, Consultant Psychiatrist and Director for Public Mental Health, South London and Maudsley NHS Foundation Trust, and Visiting Professor of Population Mental Health, Faculty of Brain Sciences, University College London, London, UK.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Campion
mesh_terms: D002318:Cardiovascular Diseases / Q000453:epidemiology; D003266:Continuity of Patient Care; D003920:Diabetes Mellitus / Q000453:epidemiology; D054624:Health Status Disparities; D006801:Humans; D009765:Obesity / Q000453:epidemiology; D011320:Primary Health Care / Q000458:organization & administration; D011618:Psychotic Disorders / Q000150:complications* / Q000401:mortality*; D011634:Public Health; D063127:Secondary Health Care / Q000458:organization & administration