Breast cancer screening participation in women using mental health services in NSW, Australia: a population study.

Lambeth, C; Burgess, P; Curtis, J; Currow, D; Sara, G

Breast cancer screening participation in women using mental health services in NSW, Australia: a population study.

Lambeth, C Burgess, P Curtis, J Currow, D

Sara, G

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Publisher:: SPRINGER HEIDELBERG
Publication Type:: Journal Article
Citation:: Soc Psychiatry Psychiatr Epidemiol, 2023
Issue Date:: 2023-06-12

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Field	Value	Language
dc.contributor.author	Lambeth, C
dc.contributor.author	Burgess, P
dc.contributor.author	Curtis, J
dc.contributor.author	Currow, D https://orcid.org/0000-0003-1988-1250
dc.contributor.author	Sara, G
dc.date.accessioned	2023-11-22T05:11:10Z
dc.date.available	2023-05-25
dc.date.available	2023-11-22T05:11:10Z
dc.date.issued	2023-06-12
dc.identifier.citation	Soc Psychiatry Psychiatr Epidemiol, 2023
dc.identifier.issn	0933-7954
dc.identifier.issn	1433-9285
dc.identifier.uri	http://hdl.handle.net/10453/173512
dc.description.abstract	PURPOSE: Population screening programs have contributed to reduced breast cancer mortality, but disadvantaged or vulnerable groups may not have shared these improvements. In North American and European studies, women living with mental health conditions have reduced breast screening rates. There are no current Australasian data to support health system planning and improvement strategies. METHODS: The New South Wales (NSW) BreastScreen program offers free screening to NSW women aged 50-74. We compared 2-year breast screening rates for mental health service users (n = 33,951) and other NSW women (n = 1,051,495) in this target age range, after standardisation for age, socioeconomic status and region of residence. Mental health service contacts were identified through linkage to hospital and community mental health data. RESULTS: Only 30.3% of mental health service users participated in breast screening, compared with 52.7% of other NSW women (crude incidence rate ratio 0.57, 95% CI 0.56-0.59). Standardisation for age, socioeconomic disadvantage or rural residence did not alter this screening gap. Around 7000 fewer women received screening than would be expected from comparable population rates. Screening gaps were largest in women over 60 and in socioeconomically advantaged areas. Women with severe or persistent mental illness had slightly higher screening rates than other mental health service users. CONCLUSIONS: Low breast cancer screening participation rates for NSW mental health service users suggest significant risk of later detection, possibly leading to more extensive treatment and premature mortality. Focussed strategies are needed to support greater breast screening participation for NSW women who use mental health services.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	SPRINGER HEIDELBERG
dc.relation.ispartof	Soc Psychiatry Psychiatr Epidemiol
dc.relation.isbasedon	10.1007/s00127-023-02509-w
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1103 Clinical Sciences, 1701 Psychology, 1702 Cognitive Sciences
dc.subject.classification	Psychiatry
dc.subject.classification	4202 Epidemiology
dc.subject.classification	4206 Public health
dc.subject.classification	5203 Clinical and health psychology
dc.title	Breast cancer screening participation in women using mental health services in NSW, Australia: a population study.
dc.type	Journal Article
utslib.location.activity	Germany
utslib.for	1103 Clinical Sciences
utslib.for	1701 Psychology
utslib.for	1702 Cognitive Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/IMPACCT
utslib.copyright.status	open_access	*
dc.date.updated	2023-11-22T05:11:09Z
pubs.publication-status	Published online

Abstract:

PURPOSE: Population screening programs have contributed to reduced breast cancer mortality, but disadvantaged or vulnerable groups may not have shared these improvements. In North American and European studies, women living with mental health conditions have reduced breast screening rates. There are no current Australasian data to support health system planning and improvement strategies. METHODS: The New South Wales (NSW) BreastScreen program offers free screening to NSW women aged 50-74. We compared 2-year breast screening rates for mental health service users (n = 33,951) and other NSW women (n = 1,051,495) in this target age range, after standardisation for age, socioeconomic status and region of residence. Mental health service contacts were identified through linkage to hospital and community mental health data. RESULTS: Only 30.3% of mental health service users participated in breast screening, compared with 52.7% of other NSW women (crude incidence rate ratio 0.57, 95% CI 0.56-0.59). Standardisation for age, socioeconomic disadvantage or rural residence did not alter this screening gap. Around 7000 fewer women received screening than would be expected from comparable population rates. Screening gaps were largest in women over 60 and in socioeconomically advantaged areas. Women with severe or persistent mental illness had slightly higher screening rates than other mental health service users. CONCLUSIONS: Low breast cancer screening participation rates for NSW mental health service users suggest significant risk of later detection, possibly leading to more extensive treatment and premature mortality. Focussed strategies are needed to support greater breast screening participation for NSW women who use mental health services.

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http://hdl.handle.net/10453/173512