ArticlePsychiatric services (Washington, D.C.)2012
Cervical cancer screening and acute care visits among Medicaid enrollees with mental and substance use disorders.
Article in Psychiatric services (Washington, D.C.), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.
- Do people with disabilities experience disparities in cancer care? A systematic review.PloS one · 2023Pooled it
- Disability and Participation in Breast and Cervical Cancer Screening: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2022Pooled it
- Article
- Facilitating gynecological examination and long acting reversible contraception for women with substance use disorder: a prospective cohort study.BMC women's health · 2025Article
- Inequities in the Time to Colon Cancer Diagnosis Among Individuals With Severe Psychiatric Illness.Cancer medicine · 2025Article
- Barriers to and facilitators of screening for cervical and breast cancer: Experiences of non-adherent women with current or previous drug use.Preventive medicine reports · 2024Article
- Principles for Service Delivery: Best Practices for Cervical Screening for Women with Disabilities.International journal of women's health · 2024Review
- Screening for breast and cervical cancer among OST patients: a qualitative study of barriers and suggested interventions to increase participation.International journal of qualitative studies on health and well-being · 2023Article
- Screening for cervical cancer among women with behavioral health conditions-A systematic review.Preventive medicine reports · 2023Review
- Participation in screening for breast and cervical cancer among women with current or previous drug use: a survey study.BMC public health · 2023Article
- Clinicians' perceptions of barriers to cervical cancer screening for women living with behavioral health conditions: a focus group study.BMC cancer · 2022Article
- Cervical cancer screening, abnormal results, and follow-up in women with substance use-related diagnoses.Substance abuse · 2022Article
- Lacking a Primary Care Physician Is Associated With Increased Suffering in Patients With Severe Mental Illness.The journal of primary prevention · 2017Article
- Prevalence of Cancer Screening Among Adults With Disabilities, United States, 2013.Preventing chronic disease · 2017Article
- Interventions to encourage uptake of cancer screening for people with severe mental illness.The Cochrane database of systematic reviews · 2016Review
- Influences on uptake of cancer screening in mental health service users: a qualitative study.BMC health services research · 2016Article
- Buprenorphine maintenance treatment retention improves nationally recommended preventive primary care screenings when integrated into urban federally qualified health centers.Journal of urban health : bulletin of the New York Academy of Medicine · 2015Article
- Identifying young adults at risk of Medicaid enrollment lapses after inpatient mental health treatment.Psychiatric services (Washington, D.C.) · 2014Article
- Article
- Cancer screening, prevention, and treatment in people with mental illness.CA: a cancer journal for cliniciansReview
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
objectiveThis study compared rates of cervical cancer screening and acute care (primary or gynecological) visits among women with and without a diagnosis of psychosis, substance use disorder, bipolar disorder or mania, or depression.
methodsUsing data about women (N=105,681) enrolled in Maryland's Medicaid program in fiscal year 2005, the authors constructed logistic models with cancer screening and acute care visits as dependent variables and serious mental illness flags as independent variables. Covariates were age, race, geography, Medicaid eligibility category, and sexually transmitted diseases. The logistic model of cervical cancer screening outcomes was repeated with acute care visits as a covariate.
resultsWomen with psychosis (N=4,747), bipolar disorder or mania (N=3,319), or depression (N=5,014) were significantly (p<.05) more likely than women in a control group without such disorders (N=85,375) to receive cancer screening (adjusted odds ratio (AOR) range=1.46-1.78) and to have associated acute care visits (AOR range=1.45-2.15). Compared with those in the control group, women with a substance use disorder, with (N=1,104) or without (N=6,122) psychosis, demonstrated reduced odds of cancer screening (AOR=.80) but similar odds of acute care visits (AOR=1.04). Acute care visits were strongly correlated with cancer screens. Genital cancer prevalence did not significantly differ among diagnostic groups.
conclusionsIn Maryland Medicaid, the odds of cancer screening and related acute care visits were greater for women with major mental disorders compared with women in the control group. For women with substance use disorders, however, screening was reduced and acute care visits were similar compared with women in the control group. Providers should encourage and support their patients with substance use disorders to increase use of preventive care services by primary care physicians and gynecologists.
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Registered trials
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