| アブストラクト | BACKGROUND: People with severe mental illness (SMI) are 2.5 times more likely to die prematurely from cancer in England. Lower participation in screening may be a contributing factor. METHODS: Clinical Practice Research Datalink data for 1.71 million, 1.34 million and 2.50 million adults were assessed (using multivariate logistic regression) for possible associations between SMI and participation in bowel, breast and cervical screening, respectively. RESULTS: Screening participation was lower among adults with SMI, than without, for bowel (42.11% vs. 58.89%), breast (48.33% vs. 60.44%) and cervical screening (64.15% vs. 69.72%; all p < 0.001). Participation was lowest in those with schizophrenia (bowel, breast, cervical: 33.50%, 42.02%, 54.88%), then other psychoses (41.97%, 45.57%, 61.98%), then bipolar disorder (49.94%, 54.35%, 69.69%; all p-values < 0.001, except cervical screening in bipolar disorder; p-value > 0.05). Participation was lowest among people with SMI who live in the most deprived quintile of areas (bowel, breast, cervical: 36.17%, 40.23%, 61.47%), or are of a Black ethnicity (34.68%, 38.68%, 64.80%). Higher levels of deprivation and diversity, associated with SMI, did not explain the lower participation in screening. CONCLUSIONS: In England, participation in cancer screening is low among people with SMI. Support should be targeted to ethnically diverse and socioeconomically deprived areas, where SMI prevalence is greatest. |
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| 投稿者 | Kerrison, Robert Stephen; Jones, Alex; Peng, Jianhe; Price, Gabriele; Verne, Julia; Barley, Elizabeth Alexandra; Lugton, Cam |
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| 組織名 | School of Health Sciences, University of Surrey, Kate Granger Building, Surrey,;Guildford, GU2 7XH, UK. R.Kerrison@Surrey.ac.uk.;Office for Health Improvement and Disparities, Department of Health and Social;Care, 39 Victoria Street, London, SW1H 0EU, UK.;Guildford, GU2 7XH, UK. |
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