Use of cancer-screening services among persons with serious mental illness in Sacramento County
Use of cancer-screening services among persons with serious mental illness in Sacramento County
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DOI：
10.1176/ps.2008.59.8.929
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发表时间：
2008-08-01
影响因子：
3.8
通讯作者：
Hales, Robert E.
中科院分区：
文献类型：
--
作者：
Xiong, Glen L.;Bermudes, Richard A.;Hales, Robert E.
目的：本研究调查了在萨克拉门托县精神卫生诊所登记的严重精神疾病患者对乳腺癌、宫颈癌、结肠直肠癌和前列腺癌筛查服务的使用情况。方法：对2005年1月至2007年5月的387例门诊患者进行访谈。结果如下：虽然97%的妇女一生中至少接受过一次宫颈癌筛查，但50岁以上的合格人群中有50%以上从未接受过结直肠癌筛查。最近筛查服务的使用率最高的是宫颈癌（69%在过去三年中进行了巴氏试验），最低的是结肠直肠癌（12%在过去一年中进行了粪便潜血粪便试验或在过去五年中进行了乙状结肠镜检查或结肠镜检查）。结论：在患有严重精神疾病的人中，终身宫颈癌筛查率高于乳腺癌、前列腺癌和结肠直肠癌。接受常规、及时的癌症筛查的比例很低，尤其是结直肠癌。
Objective: This study examined the use of breast, cervical, colorectal, and prostate cancer screening services by persons with serious mental illness enrolled in the Sacramento County Mental Health clinics. Methods: Of 387 outpatients approached from January 2005 to May 2007, 229 were interviewed. Results: Whereas 97% of the women had received cervical cancer screening at least once in their lifetime, more than 50% of eligible persons over age 50 had never received colorectal cancer screening. Recent use of screening services was highest for cervical cancer (69% had had a Pap test in the past three years) and lowest for colorectal cancer (12% had had a fecal occult blood stool test in the past year or a flexible sigmoidoscopy or colonoscopy in the past five years). Conclusions: Among persons with serious mental illness, lifetime screening of cervical cancer was higher than for breast, prostate, and colorectal cancers. Receipt of routine, timely cancer screening was low, especially for colorectal cancer.