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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: Correction to: 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 yrs n (%) Unadjusted OR (95% CI) Adjusted for socio-demographics ORa (95% CI) Additionally adjusted for consultation rate ORb (95% CI)
Non-SMI 14205 (56.0) 1.00 1.00 1.00 67823 (63.7) 1.00 1.00 1.00
SMI overall 305 (48.8) 0.72 (0.61 - 0.86)*** 0.69 (0.57 - 0.84)*** 0.60 (0.49 - 0.73)*** 848 (60.9) 1.16 (0.99 - 1.35) 0.72 (0.60 - 0.85)*** 0.35 (0.29 - 0.42)***
SMI by diagnosis
 Schizophrenia 136 (47.9) 0.64 (0.50 - 0.82)*** 0.59 (0.45 - 0.78)*** 0.52 (0.40 - 0.69)*** 270 (57.3) 0.95 (0.74 - 1.22) 0.48 (0.36 - 0.63)*** 0.24 (0.18 - 0.32)***
 Bipolar affective disorder 67 (50.4) 0.85 (0.58 - 1.26) 0.89 (0.59 - 1.35) 0.72 (0.47 - 1.10) 231 (67.9) 1.94 (1.35 - 2.78)*** 1.23 (0.84 - 1.80) 0.50 (0.33 - 0.74)**
 Other non-organic psychoses 34 (41.5) 0.54 (0.33 - 0.87)* 0.53 (0.31 - 0.90)* 0.47 (0.27 - 0.80)** 153 (56.7) 0.82 (0.60 - 1.13) 0.57 (0.40 - 0.80)** 0.33 (0.22 - 0.47)***
Depot injectable
 No 191 (53.4) 0.94 (0.74 - 1.20) 0.97 (0.75 - 1.26) 0.83 (0.64 - 1.09) 524 (63.1) 0.32 (1.08 - 1.62)** 0.82 (0.65 - 1.02) 0.36 (0.29 - 0.46)***
 Yes 80 (42.6) 0.50 (0.37 - 0.68)*** 0.46 (0.33 - 0.64)*** 0.39 (0.27 - 0.54)*** 199 (58.5) 0.92 (0.69 - 1.22) 0.48 (0.35 - 0.66)*** 0.26 (0.18 - 0.36)***
Any indicator of severity1
 No 168 (53.7) 1.00 (0.77 - 1.29) 0.91 (0.69 - 1.21) 0.79 (0.59 - 1.06) 411 (62.7) 1.32 (1.05 - 1.66)* 0.82 (0.63 - 1.06) 0.40 (0.31 - 0.53)***
 Yes 137 (43.9) 0.54 (0.43 - 0.69)*** 0.54 (0.42 - 0.70)*** 0.46 (0.36 - 0.61)*** 437 (59.2) 1.04 (0.85 - 1.27) 0.65 (0.52 - 0.81)*** 0.31 (0.25 - 0.40)***
Any indicator of risk2
 No 205 (51.4) 0.84 (0.67 - 1.05) 0.81 (0.63-1.03) 0.70 (0.55 - 0.90)** 535 (62.9) 1.31 (1.07 - 1.60)** 0.79 (0.63 - 1.00)* 0.38 (0.30 - 0.49)***
 Yes 100 (44.2) 0.56 (0.42 - 0.74)*** 0.53 (0.39 - 0.73)*** 0.46 (0.34 - 0.63)*** 313 (57.6) 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. 1 Includes 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. 2 Includes any of: recorded history of violence, recorded history of non-compliance, and any record of a forensic history
  5. a Adjusted for age (continuous), ethnicity, and borough-level deprivation
  6. b Additionally adjusted for mean annual number of primary consultations