Colorectal Cancer Screening Completion Among Individuals With and Without Mental Illnesses: A Comparison of 2 Screening Methods.
Colorectal Cancer Screening Completion Among Individuals With and Without Mental Illnesses: A Comparison of 2 Screening Methods.
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DOI：
10.1177/0890117116686573
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发表时间：
2018-05
期刊：
影响因子：
--
通讯作者：
Green CA
中科院分区：
文献类型：
--
作者：
Yarborough BJH;Hanson GC;Perrin NA;Stumbo SP;Green CA
患有精神疾病的人患癌症的死亡率更高。本研究的目的是比较有精神疾病和没有精神疾病的人进行结直肠癌（CRC）筛查的促进因素和比率。我们利用一项普通人群队列研究（N = 92 445）的数据进行了二次分析，评估了两种类型的CRC筛查检测试剂盒——愈木酚粪便潜血试验（ggft）和粪便免疫化学试验（FIT）对CRC筛查完成的影响。该研究的背景是一个医疗系统，该系统为俄勒冈州和华盛顿州的城市和郊区的大约48.5万名成员提供服务。参与者是卫生系统成员，根据精神疾病诊断（精神病性疾病、非精神病性单极抑郁症和无精神疾病）进行分类，符合年龄，CRC平均风险，并且在最后一次gobt后至少366天，没有其他CRC筛查的证据。结果是完成结直肠癌筛查的时间。我们使用Cox比例风险模型。FIT降低了所有组的CRC筛查障碍。与没有精神疾病诊断的人相比，精神病患者同样可能使用FIT进行筛查（风险比[HR] = 0.95, p=. 679），抑郁症患者更可能使用FIT进行筛查（风险比[HR] = 1.17, p=.006）。FIT可以提高精神疾病，特别是抑郁症患者的CRC筛查率。
Cancer mortality is worse among people with psychiatric disorders. The purpose of this study was to compare facilitators and rates of colorectal cancer (CRC) screening between people with and without mental illnesses. We conducted a secondary analysis using data from a general population cohort study (N = 92 445) that assessed effects of 2 types of CRC screening test kits—guaiac fecal occult blood testing (gFOBT) and fecal immunochemical testing (FIT)—on CRC screening completion. The setting was a health system that served approximately 485 000 members in urban and suburban Oregon and Washington. Participants were health system members, categorized by mental illness diagnosis (psychotic disorders, nonpsychotic unipolar depression, and no mental illness), who were age-eligible, at average risk of CRC, and were at least 366 days past their last gFOBT with no evidence of other CRC screening. The outcome was time until completion of CRC screening. We used Cox proportional hazard models. FIT reduced CRC screening barriers for all the groups. Compared to people without mental illness diagnoses, those with psychotic disorders were equally likely to screen using FIT (hazard ratio [HR] = .95, p = .679) and those with depression were more likely (HR = 1.17, p=.006). FIT can improve CRC screeningrates among people with mental illnesses, particularly depression.
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影响因子：
3.8
作者：
Xiong, Glen L.;Bermudes, Richard A.;Hales, Robert E.
通讯作者：
Hales, Robert E.
影响因子：
3.6
作者：
Yarborough, Bobbi Jo H.;Janoff, Shannon L.;Green, Carla A.
通讯作者：
Green, Carla A.
DOI：
10.1176/appi.ps.201100169
发表时间：
2012-07
期刊：
Psychiatric services (Washington, D.C.)
影响因子：
--
作者：
McGinty EE;Zhang Y;Guallar E;Ford DE;Steinwachs D;Dixon LB;Keating NL;Daumit GL
通讯作者：
Daumit GL
影响因子：
3
作者：
Mosen DM;Feldstein AC;Perrin N;Rosales AG;Smith DH;Liles EG;Schneider JL;Lafata JE;Myers RE;Kositch M;Hickey T;Glasgow RE
通讯作者：
Glasgow RE
影响因子：
7
作者：
Cunningham, Ruth;Sarfati, Diana;Collings, Sunny
通讯作者：
Collings, Sunny