Table 3.
Associations between serious mental illness (SMI) status and recent receipt of breast and/or cervical screening overall and by SMI characteristic sub-group
| Mammography eligible population (N = 26,010) | Cervical smear eligible population (N = 107,947) | |||||||
|---|---|---|---|---|---|---|---|---|
| Recorded mammography in last 3 years n (%) | Unadjusted OR (95 % CI) | Adjusted for socio-demographics ORa (95 % CI) | Additionally adjusted for consultation rate ORb (95 % CI) | Recorded cervical smear in last 3/5 years n (%) | Unadjusted OR (95 % CI) | Adjusted for socio-demographics ORa (95 % CI) | Additionally adjusted for consultation rate ORb (95 % CI) | |
| Non-SMI | 14205 (65.7) | 1.00 | 1.00 | 1.00 | 67823 (77.8) | 1.00 | 1.00 | 1.00 |
| SMI overall | 305 (58.1) | 0.72 (0.61 – 0.86)*** | 0.69 (0.57 – 0.84)*** | 0.60 (0.49 – 0.73)*** | 848 (80.2) | 1.16 (0.99 – 1.35) | 0.72 (0.60 – 0.85)*** | 0.35 (0.29 – 0.42)*** |
| SMI by diagnosis | ||||||||
| Schizophrenia | 136 (55.1) | 0.64 (0.50 – 0.82)*** | 0.59 (0.45 – 0.78)*** | 0.52 (0.40 – 0.69)*** | 270 (76.9) | 0.95 (0.74 – 1.22) | 0.48 (0.36 – 0.63)*** | 0.24 (0.18 – 0.32)*** |
| Bipolar affective disorder | 67 (62.0) | 0.85 (0.58 – 1.26) | 0.89 (0.59 – 1.35) | 0.72 (0.47 – 1.10) | 231 (87.2) | 1.94 (1.35 – 2.78)*** | 1.23 (0.84 – 1.80) | 0.50 (0.33 – 0.74)** |
| Other non-organic psychoses | 34 (50.8) | 0.54 (0.33 – 0.87)* | 0.53 (0.31 – 0.90)* | 0.47 (0.27 – 0.80)** | 153 (74.3) | 0.82 (0.60 – 1.13) | 0.57 (0.40 –0.80)** | 0.33 (0.22 –0.47)*** |
| Depot injectable | ||||||||
| No | 191 (64.3) | 0.94 (0.74 – 1.20) | 0.97 (0.75 – 1.26) | 0.83 (0.64 – 1.09) | 524 (82.3) | 0.32 (1.08 – 1.62)** | 0.82 (0.65 – 1.02) | 0.36 (0.29 – 0.46)*** |
| Yes | 80 (49.1) | 0.50 (0.37 – 0.68)*** | 0.46 (0.33 – 0.64)*** | 0.39 (0.27 –0.54)*** | 199 (76.3) | 0.92 (0.69 – 1.22) | 0.48 (0.35 –0.66)*** | 0.26 (0.18 – 0.36)*** |
| Any indicator of severity1 | ||||||||
| No | 168 (65.6) | 1.00 (0.77 – 1.29) | 0.91 (0.69 – 1.21) | 0.79 (0.59 –1.06) | 411 (82.2) | 1.32 (1.05 – 1.66)* | 0.82 (0.63 – 1.06) | 0.40 (0.31 – 0.53)*** |
| Yes | 137 (50.9) | 0.54 (0.43 – 0.69)*** | 0.54 (0.42 –0.70)*** | 0.46 (0.36 – 0.61)*** | 437 (78.5) | 1.04 (0.85 – 1.27) | 0.65 (0.52 – 0.81)*** | 0.31 (0.25 –0.40)*** |
| Any indicator of risk2 | ||||||||
| No | 205 (61.8) | 0.84 (0.67 – 1.05) | 0.81 (0.63–1.03) | 0.70 (0.55 – 0.90)** | 535 (82.1) | 1.31 (1.07 – 1.60)** | 0.79 (0.63 – 1.00)* | 0.38 (0.30 –0.49)*** |
| Yes | 100 (51.8) | 0.56 (0.42 – 0.74)*** | 0.53 (0.39 –0.73)*** | 0.46 (0.34 –0.63)*** | 313 (77.3) | 0.97 (0.77 – 1.23) | 0.62 (0.48 – 0.80)*** | 0.31 (0.24 – 0.41)*** |
Eligible population includes non-linked non-SMI and linked SMI group
*p < 0.05, **p < 0.01, ***p < 0.001
1Includes any of: ever had an inpatient stay, any record of being treated under the Mental Health Act, any record of difficulty managing their physical health, or any record of an Assertive Outreach/Crisis/A&E episode
2Includes any of: recorded history of violence, recorded history of non-compliance, and any record of a forensic history
aAdjusted for age (continuous), ethnicity, and borough-level deprivation
bAdditionally adjusted for mean annual number of primary consultations