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The influence of type and severity of mental illness on receipt of screening mammography
Open accessAbstract
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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“For example, people with SMI are less likely to receive routine cancer screening (457-460).”
From Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care (2011) · cites this paper as [458]
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Metadata
- 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
- Published
- 2006-10
- Volume
- 21
- Issue
- 10
- Pages
- 1097-1104
- ISSN
- 0884-8734 (ISSN-L)
- 1525-1497
- 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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