{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T06:55:42Z","timestamp":1790924142365,"version":"4.1.0"},"reference-count":36,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T00:00:00Z","timestamp":1783123200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T00:00:00Z","timestamp":1783123200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001505","name":"Health Research Council of New Zealand","doi-asserted-by":"publisher","award":["21\/558"],"award-info":[{"award-number":["21\/558"]}],"id":[{"id":"10.13039\/501100001505","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Aust N Z J Psychiatry"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Estimate and compare rates of cardiometabolic blood screening, elevated results and clinical follow-up actions for M\u0101ori and non-M\u0101ori mental health service users with psychosis in Canterbury, Aotearoa New Zealand.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      A retrospective cohort study (\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      \u2009=\u20093840) with dynamic entry was conducted with people aged 18\u201364\u2009years with a psychosis diagnosis in Canterbury Specialist Mental Health Service (1 August 2012 to 31 December 2019). Linked administrative data captured lipid and HbA1c screening within 1\u2009year of study entry, elevated results (triglycerides\u2009&gt;\u20092.2 mmol\/L; total cholesterol:high-density lipoprotein cholesterol\u2009&gt;\u20095; HbA1c\u2009&gt;\u200940 mmol\/mol) from individual study entry to 31 December 2023, and clinical actions (repeat test; statin\/metformin dispensing) within 1\u2009year following an elevated result.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>887\/3840 (23%) of Canterbury Specialist Mental Health Service users with psychosis were M\u0101ori. First-year screening rates were modest (31\u201344%), similar by ethnicity and broadly higher among clozapine\/olanzapine users. M\u0101ori had higher odds of both elevated lipids and HbA1c. About one-third of elevated results were followed up with re-testing within 1\u2009year. Rates of follow-up testing and medication dispensing were broadly similar for M\u0101ori and non-M\u0101ori, except M\u0101ori were more likely to receive repeat HbA1c testing after an elevated result (odds ratio\u2009=\u20091.71 [1.16, 2.50]).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Findings highlight large gaps in cardiometabolic screening and follow-up actions among M\u0101ori and non-M\u0101ori Specialist Mental Health Service users with psychosis. M\u0101ori presented with psychosis 4\u2009years younger, had significantly higher rates of elevated cardiometabolic risk markers and were more likely to receive HbA1c re-testing following an elevated result.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00048674261461979","type":"journal-article","created":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T13:11:21Z","timestamp":1783170681000},"page":"931-940","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Cardiometabolic screening, elevated results and clinical follow-up actions in M\u0101ori and non-M\u0101ori with psychosis in Canterbury, Aotearoa New Zealand"],"prefix":"10.1177","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8932-7434","authenticated-orcid":false,"given":"Nathan","family":"Monk","sequence":"first","affiliation":[{"name":"Department of Psychological Medicine, University of Otago, Christchurch, New Zealand"},{"name":"Department of M\u0101ori\/Indigenous Health Innovation, University of Otago, Christchurch, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-3806-1821","authenticated-orcid":false,"given":"Emily","family":"Barrett","sequence":"additional","affiliation":[{"name":"Department of Psychological Medicine, University of Otago, Christchurch, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Fitzjohn","sequence":"additional","affiliation":[{"name":"Specialist Mental Health Service, Health New Zealand \u2013 Canterbury (Te Whatu Ora \u2013 Waitaha), Christchurch, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7133-8020","authenticated-orcid":false,"given":"Mau Te Rangimarie","family":"Clark","sequence":"additional","affiliation":[{"name":"Department of Psychological Medicine, University of Otago, Christchurch, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Kerdemelidis","sequence":"additional","affiliation":[{"name":"Population Health Gain, Service Improvement and Innovation, Health New Zealand \u2013 Canterbury (Te Whatu Ora \u2013 Waitaha), Christchurch, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0090-3579","authenticated-orcid":false,"given":"Ruth","family":"Cunningham","sequence":"additional","affiliation":[{"name":"Department of Public Health, University of Otago, Wellington, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andre","family":"McLachlan","sequence":"additional","affiliation":[{"name":"Centre for Health and Social Practice, Waikato Institute of Technology, Hamilton, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0174-0065","authenticated-orcid":false,"given":"Waikaremoana","family":"Waitoki","sequence":"additional","affiliation":[{"name":"Faculty of M\u0101ori and Indigenous Studies, The University of Waikato, Hamilton, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8695-3966","authenticated-orcid":false,"given":"Richard","family":"Porter","sequence":"additional","affiliation":[{"name":"Department of Psychological Medicine, University of Otago, Christchurch, New Zealand"},{"name":"Specialist Mental Health Service, Health New Zealand \u2013 Canterbury (Te Whatu Ora \u2013 Waitaha), Christchurch, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cameron","family":"Lacey","sequence":"additional","affiliation":[{"name":"Elimbias Health, Christchurch, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,4]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0004867420984832"},{"key":"e_1_3_3_3_1","doi-asserted-by":"crossref","unstructured":"Clark MTR Monk NJ Pitama S et al. 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