Disparities in Breast and Cervical Cancer Screening in Women with Mental Illness

Aggarwal, Arpita; Pandurangi, Anand K.; Smith, Wally R.

doi:10.1016/j.amepre.2012.12.006

Cited by 91 publications

(102 citation statements)

References 46 publications

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“…Most screening studies intended to increase cancer screening rates focus on specific vulnerable and marginalized populations known to have low cancer screening rates [2-10], such as: immigrants [11-17], ethnic minorities [2,11,15,18,19], underserved populations [20,21], uninsured [11,18,20], individuals with mental health issues [22-24], indigenous populations [4,15,25,26] and rural residents [15,27,28]. These vulnerable and marginalized populations tend to be localized geographically, resulting in community or neighbourhood level studies designed to inform changes at the local level and to be generalizable to other vulnerable and marginalized populations in other geographic locations.…”

Section: Introductionmentioning

confidence: 99%

Who are the under- and never- screened for cancer in Ontario: a qualitative investigation

et al. 2014

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BackgroundObserved breast, cervical and colon cancer screening rates are below provincial targets for the province of Ontario, Canada. The populations who are under- or never-screened for these cancers have not been described at the Ontario provincial level. Our objective was to use qualitative methods of inquiry to explore who are the never- or under-screened populations of Ontario.MethodsQualitative data were collected from two rounds of focus group discussions conducted in four communities selected using maps of screening rates by dissemination area. The communities selected were archetypical of the Ontario context: urban, suburban, small city and rural. The first phase of focus groups was with health service providers. The second phase of focus groups was with community members from the under- and never- screened population. Guided by a grounded theory methodology, data were collected and analyzed simultaneously to enable the core and related concepts about the under- and never-screened to emerge.ResultsThe core concept that emerged from the data is that the under- and never-screened populations of Ontario are characterized by diversity. Group level characteristics of the under- and never- screened included: 1) the uninsured (e.g., Old Order Mennonites and illegal immigrants); 2) sexual abuse survivors; 3) people in crisis; 4) immigrants; 5) men; and 6) individuals accessing traditional, alternative and complementary medicine for health and wellness. Under- and never-screened could have one or multiple group characteristics.ConclusionThe under- and never-screened in Ontario comprise a diversity of groups. Heterogeneity within and intersectionality among under- and never-screened groups adds complexity to cancer screening participation and program planning.

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Section: Introductionmentioning

confidence: 99%

Who are the under- and never- screened for cancer in Ontario: a qualitative investigation

et al. 2014

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“…Accordingly, a systematic review by Aggarwal et al(2013) included 15 studies that examined breast and CC screening attendance among women with mental diseases such as depression, anxiety, schizophrenia and psychosis. In seven of these studies, mental illness was associated with lower cancer screening attendance.…”

Section: Observed In Their Cross--sectional Analysis Of Data From Thementioning

confidence: 99%

Lifestyle and health-related predictors of cervical cancer screening attendance in a Swiss population-based study

Richard

Rohrmann

Schmid

et al. 2015

Cancer Epidemiology

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BACKGROUND: Since the implementation of cervical cancer (CC) screening, incidence and mortality rates have decreased worldwide. Little is known about lifestyle and health-related predictors of cervical cancer screening attendance in Switzerland. Our aim was to examine the relationship between lifestyle and health-related factors and the attendance to CC screening in Switzerland. METHODS: We analyzed data of 20-69 years old women (n=7319) of the Swiss Health Survey (SHS) 2012. Lifestyle factors included body mass index, smoking status, alcohol consumption, physical activity and attention to diet. Health-related factors of interest were diabetes, hypertension, high cholesterol levels, chronic diseases, self-perceived health, and psychological distress. We performed multivariable logistic regression analyses with the dichotomized CC screening status as outcome measure and adjusted for demographic factors. RESULTS: Obesity, low physical activity, and not paying attention to diet were statistically significantly associated with lower CC screening participation. High cholesterol levels and history of chronic diseases were statistically significantly positively associated with screening participation. CONCLUSION: Being obese, physically inactive and non-attention to diet are risk factors for CC screening attendance. These findings are of importance for improving the CC screening practices of low-user groups. AbstractBackground: Since the implementation of cervical cancer (CC) screening, incidence and mortality

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“…Several studies have found a difference in access to cancer care between patients with schizophrenia and the general population, 22 with those with schizophrenia being less likely to receive screening for cancer. [23][24][25][26] A few studies suggested that people with schizophrenia may have undergone delays in the diagnosis of cancer and initiation of treatment. 18,27,28 Also, some studies indicated that patients with schizophrenia were less likely to receive standard surgical and non-surgical treatment for cancer.…”

mentioning

confidence: 99%

Differences in cancer stage, treatment and in-hospital mortality between patients with and without schizophrenia: retrospective matched-pair cohort study

et al. 2016

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BackgroundHealthcare access and outcomes in cancer patients with schizophrenia remain unclear.AimsTo investigate the likelihood of early diagnosis and treatment in patients with schizophrenia who have cancer and their prognosis.MethodA retrospective matched-pair cohort of gastrointestinal cancer patients was identified using a national in-patient database in Japan. Multivariable ordinal/binary logistic regressions was modelled to compare cancer stage at admission, invasive treatments and 30-day in-hospital mortality between patients with schizophrenia (n = 2495) and those without psychiatric disorders (n = 9980).ResultsThe case group had a higher proportion of stage IV cancer (33.9% v. 18.1%), a lower proportion of invasive treatment (56.5% v. 70.2%, odds ratio (OR) = 0.77, 95% CI 0.69–0.85) and higher in-hospital mortality (4.2% v. 1.8%, OR = 1.35, 95% CI 1.04–1.75).ConclusionsPatients with schizophrenia who had gastrointestinal cancer had more advanced cancer, a lower likelihood of invasive treatment and higher in-hospital mortality than those without psychiatric disorders.

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Disparities in Breast and Cervical Cancer Screening in Women with Mental Illness

Cited by 91 publications

References 46 publications

Who are the under- and never- screened for cancer in Ontario: a qualitative investigation

Who are the under- and never- screened for cancer in Ontario: a qualitative investigation

Lifestyle and health-related predictors of cervical cancer screening attendance in a Swiss population-based study

Differences in cancer stage, treatment and in-hospital mortality between patients with and without schizophrenia: retrospective matched-pair cohort study

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