Age-specific differences in cervical cancer screening rates in women using mental health services in New South Wales, Australia.

Impelido, ML; Brewer, K; Burgess, P; Curtis, J; Currow, D; Sara, G

Age-specific differences in cervical cancer screening rates in women using mental health services in New South Wales, Australia.

Impelido, ML Brewer, K Burgess, P Curtis, J Currow, D

Sara, G

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Publisher:: SAGE PUBLICATIONS LTD
Publication Type:: Journal Article
Citation:: Aust N Z J Psychiatry, 2023, pp. 48674231217415
Issue Date:: 2023-12-14

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Field	Value	Language
dc.contributor.author	Impelido, ML
dc.contributor.author	Brewer, K
dc.contributor.author	Burgess, P
dc.contributor.author	Curtis, J
dc.contributor.author	Currow, D https://orcid.org/0000-0003-1988-1250
dc.contributor.author	Sara, G
dc.date.accessioned	2024-02-05T00:03:58Z
dc.date.available	2024-02-05T00:03:58Z
dc.date.issued	2023-12-14
dc.identifier.citation	Aust N Z J Psychiatry, 2023, pp. 48674231217415
dc.identifier.issn	0004-8674
dc.identifier.issn	1440-1614
dc.identifier.uri	http://hdl.handle.net/10453/175278
dc.description.abstract	OBJECTIVE: Women living with mental health conditions have lower cervical cancer screening rates and higher mortality. More evidence is needed to target health system improvement efforts. We describe overall and age-specific cervical cancer screening rates in mental health service users in New South Wales. METHODS: Cervical cancer screening registers were linked to New South Wales hospital and community mental health service data. Two-year cervical screening rates were calculated for New South Wales mental health service users aged 20-69 years (n = 114,022) and other New South Wales women (n = 2,110,127). Rate ratios were compared for strata of age, socio-economic disadvantage and rural location, and overall rates compared after direct standardisation. RESULTS: Only 40.3% of mental health service users participated in screening, compared with 54.3% of other New South Wales women (incidence rate ratio = 0.74, 95% confidence interval = [0.74, 0.75]). Differences in age, social disadvantage or rural location did not explain screening gaps. Screening rates were highest in mental health service users aged <35 years (incidence rate ratios between 0.90 and 0.95), but only 15% of mental health service users aged >65 years participated in screening (incidence rate ratio = 0.27, 95% confidence interval = [0.24, 0.29]). CONCLUSION: Women who use mental health services are less likely to participate in cervical cancer screening. Rates diverged from population rates in service users aged ⩾35 years and were very low for women aged >65 years. Intervention is needed to bridge these gaps. New screening approaches such as self-testing may assist.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	SAGE PUBLICATIONS LTD
dc.relation.ispartof	Aust N Z J Psychiatry
dc.relation.isbasedon	10.1177/00048674231217415
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	11 Medical and Health Sciences, 17 Psychology and Cognitive Sciences
dc.subject.classification	Psychiatry
dc.subject.classification	3202 Clinical sciences
dc.title	Age-specific differences in cervical cancer screening rates in women using mental health services in New South Wales, Australia.
dc.type	Journal Article
utslib.location.activity	England
utslib.for	11 Medical and Health Sciences
utslib.for	17 Psychology and Cognitive Sciences
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
pubs.organisational-group	University of Technology Sydney/Faculty of Health/IMPACCT
utslib.copyright.status	open_access	*
dc.date.updated	2024-02-05T00:03:57Z
pubs.publication-status	Published online

Abstract:

OBJECTIVE: Women living with mental health conditions have lower cervical cancer screening rates and higher mortality. More evidence is needed to target health system improvement efforts. We describe overall and age-specific cervical cancer screening rates in mental health service users in New South Wales. METHODS: Cervical cancer screening registers were linked to New South Wales hospital and community mental health service data. Two-year cervical screening rates were calculated for New South Wales mental health service users aged 20-69 years (n = 114,022) and other New South Wales women (n = 2,110,127). Rate ratios were compared for strata of age, socio-economic disadvantage and rural location, and overall rates compared after direct standardisation. RESULTS: Only 40.3% of mental health service users participated in screening, compared with 54.3% of other New South Wales women (incidence rate ratio = 0.74, 95% confidence interval = [0.74, 0.75]). Differences in age, social disadvantage or rural location did not explain screening gaps. Screening rates were highest in mental health service users aged <35 years (incidence rate ratios between 0.90 and 0.95), but only 15% of mental health service users aged >65 years participated in screening (incidence rate ratio = 0.27, 95% confidence interval = [0.24, 0.29]). CONCLUSION: Women who use mental health services are less likely to participate in cervical cancer screening. Rates diverged from population rates in service users aged ⩾35 years and were very low for women aged >65 years. Intervention is needed to bridge these gaps. New screening approaches such as self-testing may assist.

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http://hdl.handle.net/10453/175278