Evidence map›Paper›PMID 37137996›Full record

ArticleBritish journal of cancer2023

Inequalities in cancer screening participation between adults with and without severe mental illness: results from a cross-sectional analysis of primary care data on English Screening Programmes.

Robert Stephen Kerrison, Alex Jones, Jianhe Peng, Gabriele Price, Julia Verne, Elizabeth Alexandra Barley, Cam Lugton

Open access · hybridAbstract read
In one paragraph

Article in British journal of cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
8.1field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
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  17. Shaping research for people living with co-existing mental and physical health conditions: A research priority setting initiative from the United Kingdom.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  18. Text-message reminders to increase participation in colorectal cancer screening.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Robert Stephen KerrisonSchool of Health Sciences, University of Surrey, Kate Granger Building, Surrey, Guildford, GU2 7XH, UK. R.Kerrison@Surrey.ac.uk.ORCID http://orcid.org/0000-0002-8900-749X
Alex JonesOffice for Health Improvement and Disparities, Department of Health and Social Care, 39 Victoria Street, London, SW1H 0EU, UK.
Jianhe PengOffice for Health Improvement and Disparities, Department of Health and Social Care, 39 Victoria Street, London, SW1H 0EU, UK.
Gabriele PriceOffice for Health Improvement and Disparities, Department of Health and Social Care, 39 Victoria Street, London, SW1H 0EU, UK.ORCID http://orcid.org/0000-0002-0876-369X
Julia VerneOffice for Health Improvement and Disparities, Department of Health and Social Care, 39 Victoria Street, London, SW1H 0EU, UK.
Elizabeth Alexandra BarleySchool of Health Sciences, University of Surrey, Kate Granger Building, Surrey, Guildford, GU2 7XH, UK.ORCID http://orcid.org/0000-0001-9955-0384
Cam LugtonOffice for Health Improvement and Disparities, Department of Health and Social Care, 39 Victoria Street, London, SW1H 0EU, UK.
Department of Health and Social Care · GBUniversity of Surrey · GB

Funding

Cancer Research UK (CRUK) C68512/A28209
6 · The paper itself

Abstract

backgroundPeople with severe mental illness (SMI) are 2.5 times more likely to die prematurely from cancer in England. Lower participation in screening may be a contributing factor.

methodsClinical Practice Research Datalink data for 1.71 million, 1.34 million and 2.50 million adults were assessed (using multivariate logistic regression) for possible associations between SMI and participation in bowel, breast and cervical screening, respectively.

resultsScreening participation was lower among adults with SMI, than without, for bowel (42.11% vs. 58.89%), breast (48.33% vs. 60.44%) and cervical screening (64.15% vs. 69.72%; all p < 0.001). Participation was lowest in those with schizophrenia (bowel, breast, cervical: 33.50%, 42.02%, 54.88%), then other psychoses (41.97%, 45.57%, 61.98%), then bipolar disorder (49.94%, 54.35%, 69.69%; all p-values < 0.001, except cervical screening in bipolar disorder; p-value > 0.05). Participation was lowest among people with SMI who live in the most deprived quintile of areas (bowel, breast, cervical: 36.17%, 40.23%, 61.47%), or are of a Black ethnicity (34.68%, 38.68%, 64.80%). Higher levels of deprivation and diversity, associated with SMI, did not explain the lower participation in screening.

conclusionsIn England, participation in cancer screening is low among people with SMI. Support should be targeted to ethnically diverse and socioeconomically deprived areas, where SMI prevalence is greatest.

Indexed as

Mental DisordersUterine Cervical NeoplasmsAdultCross-Sectional StudiesEarly Detection of CancerFemaleHumansPrimary Health Care

Identifiers

PMID37137996
PMCPMC10307861
OpenAlexW4368360831

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.