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Table 3 Associations between serious mental illness (SMI) status and recent receipt of breast and/or cervical screening overall and by SMI characteristic sub-group

From: Cervical and breast cancer screening uptake among women with serious mental illness: a data linkage study

 

Mammography eligible population (N = 26,010)

Cervical smear eligible population (N = 107,947)

 

Recorded mammography in last 3 years n (%)

Unadjusted OR (95 % CI)

Adjusted for socio-demographics ORa (95 % CI)

Additionally adjusted for consultation rate ORb (95 % CI)

Recorded cervical smear in last 3/5 years n (%)

Unadjusted OR (95 % CI)

Adjusted for socio-demographics ORa (95 % CI)

Additionally adjusted for consultation rate ORb (95 % CI)

Non-SMI

14205 (65.7)

1.00

1.00

1.00

67823 (77.8)

1.00

1.00

1.00

SMI overall

305 (58.1)

0.72 (0.61 – 0.86)***

0.69 (0.57 – 0.84)***

0.60 (0.49 – 0.73)***

848 (80.2)

1.16 (0.99 – 1.35)

0.72 (0.60 – 0.85)***

0.35 (0.29 – 0.42)***

SMI by diagnosis

 Schizophrenia

136 (55.1)

0.64 (0.50 – 0.82)***

0.59 (0.45 – 0.78)***

0.52 (0.40 – 0.69)***

270 (76.9)

0.95 (0.74 – 1.22)

0.48 (0.36 – 0.63)***

0.24 (0.18 – 0.32)***

 Bipolar affective disorder

67 (62.0)

0.85 (0.58 – 1.26)

0.89 (0.59 – 1.35)

0.72 (0.47 – 1.10)

231 (87.2)

1.94 (1.35 – 2.78)***

1.23 (0.84 – 1.80)

0.50 (0.33 – 0.74)**

 Other non-organic psychoses

34 (50.8)

0.54 (0.33 – 0.87)*

0.53 (0.31 – 0.90)*

0.47 (0.27 – 0.80)**

153 (74.3)

0.82 (0.60 – 1.13)

0.57 (0.40 –0.80)**

0.33 (0.22 –0.47)***

Depot injectable

 No

191 (64.3)

0.94 (0.74 – 1.20)

0.97 (0.75 – 1.26)

0.83 (0.64 – 1.09)

524 (82.3)

0.32 (1.08 – 1.62)**

0.82 (0.65 – 1.02)

0.36 (0.29 – 0.46)***

 Yes

80 (49.1)

0.50 (0.37 – 0.68)***

0.46 (0.33 – 0.64)***

0.39 (0.27 –0.54)***

199 (76.3)

0.92 (0.69 – 1.22)

0.48 (0.35 –0.66)***

0.26 (0.18 – 0.36)***

Any indicator of severity1

 No

168 (65.6)

1.00 (0.77 – 1.29)

0.91 (0.69 – 1.21)

0.79 (0.59 –1.06)

411 (82.2)

1.32 (1.05 – 1.66)*

0.82 (0.63 – 1.06)

0.40 (0.31 – 0.53)***

 Yes

137 (50.9)

0.54 (0.43 – 0.69)***

0.54 (0.42 –0.70)***

0.46 (0.36 – 0.61)***

437 (78.5)

1.04 (0.85 – 1.27)

0.65 (0.52 – 0.81)***

0.31 (0.25 –0.40)***

Any indicator of risk2

 No

205 (61.8)

0.84 (0.67 – 1.05)

0.81 (0.63–1.03)

0.70 (0.55 – 0.90)**

535 (82.1)

1.31 (1.07 – 1.60)**

0.79 (0.63 – 1.00)*

0.38 (0.30 –0.49)***

 Yes

100 (51.8)

0.56 (0.42 – 0.74)***

0.53 (0.39 –0.73)***

0.46 (0.34 –0.63)***

313 (77.3)

0.97 (0.77 – 1.23)

0.62 (0.48 – 0.80)***

0.31 (0.24 – 0.41)***

  1. Eligible population includes non-linked non-SMI and linked SMI group
  2. *p < 0.05, **p < 0.01, ***p < 0.001
  3. 1Includes any of: ever had an inpatient stay, any record of being treated under the Mental Health Act, any record of difficulty managing their physical health, or any record of an Assertive Outreach/Crisis/A&E episode
  4. 2Includes any of: recorded history of violence, recorded history of non-compliance, and any record of a forensic history
  5. aAdjusted for age (continuous), ethnicity, and borough-level deprivation
  6. bAdditionally adjusted for mean annual number of primary consultations