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The influence of type and severity of mental illness on receipt of screening mammography

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Carney, Caroline P., Jones, Laura E.·2006·Journal of General Internal Medicine

DOI 10.1111/j.1525-1497.2006.00565.xPMC PMC1831627

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Abstract

Background Women with mental illness may be at risk for failure to receive recommended preventive services such as mammography. Little is known about whether the type or severity of mental illness influences receipt of preventive services.Objective To measure the influence of type and severity of mental illness on receipt of mammography.Design Retrospective study of administrative claims data, 1996 to 2001.Subjects Privately insured women age 40 to 64 years, with and without claims for mental illness, and who were eligible for mammography between 1996 and 2001.Measurement Odds ratios (OR) for receipt of screening mammography, any mammography, and follow-up mammography, adjusted for age, rural location, utilization of nonmental health services, and severity and type of the mental disorder. Severity measures were based on utilization of outpatient and inpatient mental health services and presence of comorbid substance use disorder.Results Women with any mental disorder were significantly less likely to receive mammography than controls. This was strongly influenced by severity of mental illness (any mammography: moderate severity OR 0.62; confidence interval [CI] 0.59 to 0.66: high severity OR 0.38; CI 0.33 to 0.43). Whereas severity contributed to lower receipt of mammography among women with mood and anxiety disorders, women with psychotic, alcohol, and substance abuse disorders had decreased odds for receipt of mammography regardless of severity.Conclusions Women with mental disorders are at risk for failure to receive mammography, a recommended preventive service. Women with severe mental illness or psychotic and substance abuse disorders should be targeted to ensure delivery of mammography.

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World Psychiatryis indexed in PubMed, Current Contents/Clinical Medicine, Current Contents/Social and Behavioral Sciences, Science Citation Index, and EMBASE Âñåìèðíàÿ Ïñèõèàòðè÷åñêàÿ Àññîöèàöèÿ (ÂÏÀ)
Maj, M., Ïðåçèäåíò, È., Tasman, A., & Herrman, H. (2011)

Authors: Carney, C. P., & Jones, L. E.
Affiliations: Indiana University Hospital (US)
Corresponding author: Carney, Caroline P.
ORCID: Carney, Caroline P.
Venue: Journal of General Internal Medicine
Publisher: Springer Science and Business Media LLC
Published: 2006-10
Volume: 21
Issue: 10
Pages: 1097-1104
ISSN: 0884-8734 (ISSN-L)
1525-1497
DOI: 10.1111/j.1525-1497.2006.00565.x
PMC: PMC1831627
OpenAlex: W1987300777
Cited by: 108
References: 41
Citations by year: 2026: 3 · 2025: 7 · 2024: 1 · 2023: 3 · 2022: 6 · 2021: 5 · 2020: 4 · 2019: 8 · 2018: 3 · 2017: 7 · 2016: 9 · 2015: 7 · 2014: 9 · 2013: 6 · 2012: 6
FWCI: 1.39
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Journal of General Internal Medicine (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: National Institutes of Health (5k08mh001932-06)
National Institute of Mental Health (K08 MH01932, K08 MH001932)
Topics: Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Keywords: mammography screening, mental illness, preventive care utilization, mood and anxiety disorders, psychosis, substance use disorders, alcoholism, women's health, health disparities, follow-up mammography
MeSH terms: Adult, Mental Disorders, Female, Follow-Up Studies, Health Services Accessibility, Humans, Mammography, Middle Aged, Retrospective Studies, Severity of Illness Index

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The influence of type and severity of mental illness on receipt of screening mammography

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