Programme no. 453-P
Public Health
Mental health among 30-49 year-olds participating in a preventive health check. A cohort study
Christine Stride Geyti*1, Kaj Sparle Christensen2, Else-Marie Dalsgaard3, Helle Terkildsen Maindal4, Annelli Sandbæk5
1Section for General Practice,Department of Public Health,Aarhus,Denmark, 2Research Unit for General Practice,Department of Public Health,Aarhus,Denmark, 3Section for General Practice,Department of Public Health,Aarhus,Denmark, 4Section for Health Promotion and Health Services,Department of Public Health,Aarhus,Denmark, 5Section for General Practice,Department of Public Health,Aarhus,Denmark
* = Presenting author
Objectives: The aim is to describe clinical and health behavioral associations to poor mental health in Danish 30-49 year-olds participating in the preventive health check “Check Your Health”.
Background: Poor mental health is an increasing public health problem with high human, social and economic costs. The prevalence of poor mental health has previously been shown to be higher among women, heavy smoking men, being single and related to depression and other psychiatric disorders

“Check Your Health” is a community-based preventive health check offered to 30-49 year olds in a Danish municipality. The health checks were performed in the local health center with a subsequent consultation with the individual’s general practitioner.

Results: Among 30-49 year olds 7% men and 11% women reported poor mental health.

Men: The following reported poor mental health: 12% smokers, 14% with alcohol risk-behavior, 4% with blood pressure >140 mmHg, and 6% with cholesterol >6 mmol/L.

Women: The following reported poor mental health: 14% smokers, 11% with alcohol risk-behaviour, 16% with obesity, 9% with blood pressure >140/mmHg, and 22% with cholesterol >6 mmol/L.

Further results will be presented at the Nordic Congress 2015.

Material/Methods: Study design: A cohort-study in 2671 individuals aged 30-49 years participating in “Check Your Health” in 2012-13.

Mental health, smoking, and alcohol risk-behavior (CAGE-C) were collected from questionnaires from the health check. The questionnaire included the 12-Item Short Form Health Survey (SF-12) from which the mental component summary (MCS)-score was obtained. Poor mental health was defined as MCS<35.76.

Body mass index, systolic blood pressure, and cholesterol were collected from the clinical examination at the health check.

Prescriptions of antidepressants, anxiolytics, and antipsychotic drugs, and contacts to psychologist or psychiatrist in the year prior to inclusion were collected from Danish national registers.

The descriptive analyses are categorized into sex.

Conclusion: The prevalence of poor mental health among 30-49 year-old participants in a preventive health check is, as expected, higher for women than for men. Further characteristics of those with poor mental health will add to identify unmet needs for mental health care from the general practitioner.
Points for discussion: This study is the first part of a PhD-project studying mental health in “Check Your Health”. Further studies will evaluate if a focus on mental health in a community-based preventive health check involving the general practitioners can increase the mental health among 30-49 year-olds.

Subgroup analyses on register-data will indicate how non-participants differ from participants in the preventive health check “Check Your Health”.