Cervical and breast cancer screening uptake among women with serious mental illness: a data linkage study

Breast and cancer screening uptake has been found to be lower among women with serious mental illness (SMI). This study aims to corroborate these findings in the UK and to identify variation in screening uptake by illness/treatment factors, and primary care consultation frequency. Linked population-...

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Bibliographic Details
Published in:BMC cancer 2016-10, Vol.16 (1), p.819-819, Article 819
Main Authors: Woodhead, Charlotte, Cunningham, Ruth, Ashworth, Mark, Barley, Elizabeth, Stewart, Robert J, Henderson, Max J
Format: Article
Language:English
Subjects:
Adult
Aged
Bipolar disorder
Breast cancer
Breast Neoplasms - complications
Breast Neoplasms - diagnosis
Breast Neoplasms - epidemiology
Cancer
Cancer screening
Care and treatment
Cervical cancer
Diagnosis
Early Detection of Cancer
Female
Health aspects
Humans
London - epidemiology
Mammography
Mass Screening
Medical screening
Mental disorders
Mental Disorders - complications
Mental Disorders - epidemiology
Mental health care
Mentally ill
Middle Aged
Mortality
Odds Ratio
Patients
Population
Population Surveillance
Primary care
Psychoses
Quality of Life
Risk assessment
Schizophrenia
Serious mental illness
Uterine Cervical Neoplasms - complications
Uterine Cervical Neoplasms - diagnosis
Uterine Cervical Neoplasms - epidemiology
Women
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Summary:Breast and cancer screening uptake has been found to be lower among women with serious mental illness (SMI). This study aims to corroborate these findings in the UK and to identify variation in screening uptake by illness/treatment factors, and primary care consultation frequency. Linked population-based primary and secondary care data from the London borough of Lambeth (UK) were used to compare breast and cervical screening receipt among linked eligible SMI patients (n = 625 and n = 1393), to those without SMI known only to primary care (n = 106,554 and n = 25,385) using logistic regression models adjusted first for socio-demographic factors and second, additionally for primary care consultation frequency. Eligible SMI patients were less likely to have received breast (adjusted odds ratio (OR) 0.69, 95 % confidence interval (CI), 0.57 - 0.84, p 
ISSN:1471-2407
1471-2407
DOI:10.1186/s12885-016-2842-8