TY - JOUR
T1 - Rates of cervical cancer screening among women with severe mental illness in the public health system
AU - James, Monique
AU - Thomas, Melanie
AU - Frolov, Latoya
AU - Riano, Nicholas S.
AU - Vittinghoff, Eric
AU - Schillinger, Dean
AU - Newcomer, John W.
AU - Mangurian, Christina
N1 - Funding Information:
Dr. Thomas was supported by a UCSF Hellman Fellows Award for Early- Career Faculty and by UCSF-Clinical and Translational Science Institute (UCSF-CTSI) grant KL2RR024130 from the National Institutes of Health (NIH). Dr. Schillinger was supported by National Institute of Diabetes and Digestive and Kidney Diseases grant P30DK092924 and by NIH center grant P60MD006902 from the National Institute of Minority Health and Health Disparities. Dr. Mangurian was supported by National Institute of Mental Health career development grant K23MH093689, by the UCSF Hellman Fellows Award for Early-Career Faculty, and by UCSF-CTSI grant KL2RR024130.
PY - 2017/8/1
Y1 - 2017/8/1
N2 - Objective: This study aimed to determine cervical cancer screening rates among women with severe mental illness. Methods: California Medicaidadministrative records (2010-2011) for 31,308 women with severe mental illness were examined. Participants received specialtymental health services and were not dually eligible for Medicare. Poisson models assessed association between selected predictors and cervical cancer screening. Results: Overall, 20.2% of women with severe mental illness received cervical cancer screening during the one-year period. Compared with white women, Asian women (adjusted risk ratio [ARR]=1.23), black women (ARR=1.10), and Hispanic women (ARR=1.11) (p<001) were more likely to have been screened. Women ages 28-37 were more likely than those ages 18-27 to have been screened (ARR=1.31, p<001). Evidence of other health care use was the strongest predictor of screening (ARR=3.07, p<001). Conclusions: Most women in the sample were not regularly screened for cervical cancer. Cervical cancer screening for this high-risk population should be prioritized.
AB - Objective: This study aimed to determine cervical cancer screening rates among women with severe mental illness. Methods: California Medicaidadministrative records (2010-2011) for 31,308 women with severe mental illness were examined. Participants received specialtymental health services and were not dually eligible for Medicare. Poisson models assessed association between selected predictors and cervical cancer screening. Results: Overall, 20.2% of women with severe mental illness received cervical cancer screening during the one-year period. Compared with white women, Asian women (adjusted risk ratio [ARR]=1.23), black women (ARR=1.10), and Hispanic women (ARR=1.11) (p<001) were more likely to have been screened. Women ages 28-37 were more likely than those ages 18-27 to have been screened (ARR=1.31, p<001). Evidence of other health care use was the strongest predictor of screening (ARR=3.07, p<001). Conclusions: Most women in the sample were not regularly screened for cervical cancer. Cervical cancer screening for this high-risk population should be prioritized.
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U2 - 10.1176/appi.ps.201600293
DO - 10.1176/appi.ps.201600293
M3 - Article
C2 - 28412897
AN - SCOPUS:85026632484
SN - 1075-2730
VL - 68
SP - 839
EP - 842
JO - Psychiatric Services
JF - Psychiatric Services
IS - 8
ER -