1. Breast Cancer Screening Rates Among Medicaid Beneficiaries With Schizophrenia
- Author
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Hwong, Alison R, Vittinghoff, Eric, Thomas, Marilyn, Hermida, Richard, Walkup, James, Crystal, Stephen, Olfson, Mark, and Mangurian, Christina
- Subjects
Mental Health ,Biomedical Imaging ,Prevention ,Health Services ,Cancer ,Breast Cancer ,Clinical Research ,Serious Mental Illness ,Schizophrenia ,Brain Disorders ,Mental health ,Good Health and Well Being ,United States ,Female ,Humans ,Adult ,Middle Aged ,Breast Neoplasms ,Mammography ,Medicaid ,Early Detection of Cancer ,Mass Screening ,Primary care ,Women ,Public Health and Health Services ,Psychiatry - Abstract
ObjectiveWomen with serious mental illness are more likely to be diagnosed as having late-stage breast cancer than women without serious mental illness, suggesting a disparity in screening mammography. This study aimed to compare screening mammography rates in a nationally representative sample of Medicaid beneficiaries with and without schizophrenia.MethodsMedicaid Analytic eXtract files, 2007-2012, were used to identify a cohort of women ages 40-64 with schizophrenia who were eligible for Medicaid but not Medicare (N=87,572 in 2007 and N=114,341 in 2012) and a cohort without schizophrenia, frequency-matched by age, race-ethnicity, and state (N=97,003 in 2007 and N=126,461 in 2012). Annual screening mammography rates were calculated and adjusted for demographic characteristics and comorbid conditions. Multivariable logistic regression was used to estimate the association between beneficiary characteristics and screening mammography rates.ResultsIn 2012, 27.2% of women with schizophrenia completed screening mammography, compared with 26.8% of the control cohort. In the schizophrenia cohort, American Indian/Alaskan Native women had significantly lower odds of receiving mammography (OR=0.82, p=0.02) than White women, whereas Hispanic/Latina women had higher odds (OR=1.16, p
- Published
- 2023