Health check results and initiation of mental healthcare within follow-up (no/yes), Check Your Health, Denmark, 2012–2015
| Initiation of mental healthcare within 1 year of follow-up | |||||||
| No | Yes | Total | Missing data | ||||
| n | % (95% CI) | n | % (95% CI) | n | % (95% CI) | n | |
| 272 | 77.7 (73.4 to 82.1) | 78 | 22.3 (17.9 to 26.6) | 350 | 100 | ||
| Mental health severity | |||||||
| MCS, mean (SD) | 30.1 (5.1) | 28.4 (5.4) | 29.7 (5.2) | 0 | |||
| Health check results | |||||||
| Red flag* | 163 | 62.0 (56.1 to 67.8) | 45 | 60.0 (48.9 to 71.1) | 208 | 61.5 (56.4 to 66.7) | 12 |
| Poor/fair self-rated health | 82 | 30.1 (24.7 to 35.6) | 34 | 43.6 (32.6 to 54.6) | 116 | 33.1 (28.2 to 38.1) | 0 |
| Alcohol risk behaviour | 41 | 15.9 (11.4 to 20.4) | 7 | 9.3 (2.7 to 15.9) | 48 | 14.4 (10.6 to 18.2) | 17 |
| CVD/DM high-risk profile | 74 | 28.1 (22.7 to 33.6) | 11 | 14.7 (6.7 to 22.7) | 85 | 25.1 (20.5 to 29.8) | 12 |
| Reduced lung function | 60 | 23.1 (18.0 to 28.2) | 10 | 14.1 (6.0 to 22.2) | 70 | 21.1 (6.0 to 22.2) | 19 |
| Contact with GP within follow-up† | 319 | 91.1 (87.7 to 93.9) | 0 | ||||
Participants in the Check Your Health preventive programme 2012–2015 identified with screen-detected poor mental health who had not received mental healthcare within 1 year prior to the health check.
Poor mental health: MCS score of ≤35.76 (from SF-12, V.2, US norms of 1998).
Mental healthcare: psychometric test by GP, talk therapy by GP, contact with psychologist, contact with psychiatrist or psychotropic medication.
*Any red flag besides poor mental health screening result: poor/fair self-rated health (SF-12 item 1); alcohol risk behaviour (CAGE-C (≥2 positive answers to items 1–4 and 6, or one positive answer to items 1–4 and 6, plus alcohol intake on ≥4 days per week); AUDIT score ≥8 or ≥21 number of alcohol units per week (men), or AUDIT score ≥8 or ≥14 number of alcohol units per week (women)); high CVD/DM risk profile (systolic BP ≥140, diastolic BP ≥95, HbA1c ≥6.0%, total cholesterol ≥6 mmol/L, LDL ≥6 mmol/L or 10-year risk of fatal CVD ≥5%); and reduced lung function (FEV1 or FVC ≤80% or FEV1/FVC ≤0.70).
†Not stratified on initiation of mental healthcare within 1 year of follow-up due to data protection regulation (n<5).
AUDIT, Alcohol Use Disorders Identification Test; BP, blood pressure; CAGE-C, Cut down, Annoyed, Guilty, Eye-opener (Copenhagen); CVD, cardiovascular disease; DM, diabetes mellitus; FEV1, forced expiratory volume in 1 s; FVC, forced vital capacity; GP, general practitioner; HbA1c, glycated haemoglobin; LDL, low-density lipoprotein; MCS, mental component summary; SF-12, 2-item Short-Form Health Survey.