Uptake of screening for breast cancer in patients with mental health problems

Objectives: Mental illness is associated with physical illness and mortality from a variety of causes including cancer. There is little information on screening attendance among the mentally ill population. An audit was conducted of a breast screening service in inner London to determine uptake rate...

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Bibliographic Details
Published in:Journal of epidemiology and community health (1979) 2006-07, Vol.60 (7), p.600-605
Main Authors: Werneke, Ursula, Horn, Oded, Maryon-Davis, Alan, Wessely, Simon, Donnan, Stuart, McPherson, Klim
Format: Article
Language:English
Subjects:
Age
Biological and medical sciences
Breast cancer
Breast Neoplasms - prevention & control
Breast Neoplasms - psychology
breast screening
cancer
Cancer screening
Cross-Sectional Studies
Diseases
Ethnicity
Evidence Based Public Health Policy and Practice
Female
General aspects
Gynecology. Andrology. Obstetrics
Hospitals
Humans
London - epidemiology
Mammary gland diseases
Mammography
Mass Screening - utilization
Medical sciences
Medical screening
Mental disorders
Mental Disorders - epidemiology
Mental health
Mental health care
Mental illness
Middle Aged
Miscellaneous
Mortality
Operating rooms
Patient Acceptance of Health Care - statistics & numerical data
Primary care
Primary health care
Psychiatric hospitals
Psychosis
Public health. Hygiene
Public health. Hygiene-occupational medicine
Schizophrenia
Tumors
uptake
Womens health
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Summary:Objectives: Mental illness is associated with physical illness and mortality from a variety of causes including cancer. There is little information on screening attendance among the mentally ill population. An audit was conducted of a breast screening service in inner London to determine uptake rates in women with mental illness. Design: Cross sectional data linkage study of the local screening register and patients of the local psychiatric units. Screening uptake rates in all patients, those with a history of multiple detentions in hospital, and those with psychosis were compared with the local reference population. Setting: Women in three inner London boroughs. Participants: Screening records for 933 psychiatric patients and 44 195 women without mental health problems aged 50 to 64 years. Main results: Overall, psychiatric patients were as likely as the reference group to attend breast screening. Patients with a history of multiple detention were significantly less likely to attend (OR = 0.40, 0.29 to 0.55; p
ISSN:0143-005X
1470-2738
DOI:10.1136/jech.2005.039065