Publications by authors named "J S Munshi"

Introduction: Mental health problems are the most significant cause of disability and have high annual economic costs; hence, they are a priority for the government, service providers and policymakers. Consisting of largely coastal and rural communities, the populations of Norfolk and Suffolk, UK, have elevated burdens of mental health problems, areas with high levels of deprivation and an increasing migrant population. However, these communities are underserved by research and areas with the greatest mental health needs are not represented or engaged in research.

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  • A systematic review and meta-analysis examined the mortality risk from infectious diseases (excluding COVID-19) in individuals with severe mental illness (SMI) like schizophrenia and bipolar disorder.
  • The analysis included 29 studies, revealing that those with SMI are more than twice as likely to die from any infectious disease and over three times more likely to die from respiratory infections compared to the general population.
  • Variations in findings were influenced by factors such as the specific SMI diagnosis, gender, and the type of infection studied.
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  • The COVID-19 pandemic has significantly impacted women's mental health, leading to greater declines in life satisfaction compared to men.
  • Women initially reported higher life satisfaction levels before the pandemic but experienced a faster decline once it began, which time-use differences could not explain.
  • This study highlights the need for further research to understand and address gender inequalities in mental health outcomes emerging from the pandemic.
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Background: The association of social and clinical indicators with employment, disability, and health outcomes among individuals with severe mental illnesses (SMI) remains unclear. Existing evidence primarily comes from smaller cohort studies limited by shorter follow-up and high attrition, or registry-based research, which lacks information on important social determinants.

Study Design: We utilized a novel data linkage consisting of clinical records of individuals diagnosed with schizophrenia-spectrum or bipolar disorders from the South London and Maudsley Mental Health Trust, linked at the individual-level to the 2011 UK Census, a rich source for sociodemographic information.

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Aims: The associations of prior homelessness with current health are unknown. Using nationally representative data collected in private households in England, this study aimed to examine Common Mental Disorders (CMDs), physical health, alcohol/substance dependence, and multimorbidities in people who formerly experienced homelessness compared to people who never experienced homelessness.

Methods: This cross-sectional study utilised data from the 2007 and 2014 Adult Psychiatric Morbidity Surveys.

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