Breast and colorectal cancer screening among low-income women with psychiatric disorders

Autor:	Lucy J. Puryear, Lois C. Friedman, Charles Green, Allison Moore
Rok vydání:	2005
Předmět:	Adult Male medicine.medical_specialty Multivariate analysis Colorectal cancer Breast Neoplasms Experimental and Cognitive Psychology Comorbidity Risk Assessment Patient Education as Topic Surveys and Questionnaires Cancer screening medicine Humans Mass Screening Mammography Psychiatry Poverty Aged Digital Rectal Examination Aged 80 and over medicine.diagnostic_test business.industry Mental Disorders Fecal occult blood Breast Self-Examination Rectal examination Middle Aged Patient Acceptance of Health Care medicine.disease Self Efficacy Psychiatry and Mental health Logistic Models Oncology Occult Blood Female Colorectal Neoplasms Risk assessment business Attitude to Health
Zdroj:	Psycho-Oncology. 14:786-791
ISSN:	1099-1611 1057-9249
DOI:	10.1002/pon.906
Popis:	This study investigated breast and colorectal cancer screening among 196 low-income women being treated for psychiatric illnesses. Main outcome measures included breast self-examination (BSE), clinical breast examination (CBE), mammography, digital rectal examination (DRE), and fecal occult blood test (FOBT). Results indicated that 49% and 66% of women 40 years of age or older had obtained mammograms and CBEs, respectively, in the preceding year. Forty-four per cent of women 20 years of age or older reported monthly BSE. Forty-six per cent and 35% of women 50 years of age or older reported having digital rectal exams (DRE) or fecal occult blood tests (FOBT), respectively, in the preceding year. Multivariate analyses showed that physician recommendation of screening was the strongest predictor of having obtained a mammogram, CBE, DRE or FOBT in the preceding year. Physician recommendation and self-confidence in performing BSE were the strongest predictors of monthly BSE. These results highlight the importance of physician recommendation of adherence to screening guidelines for breast and colorectal cancer. Because psychiatrists frequently treat psychiatric patients on a regular basis, they are in a unique position to encourage cancer screening and to monitor compliance with their recommendations.
Databáze:	OpenAIRE
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