Brief reportMental Illness and Use of Screening Mammography Among Medicaid Beneficiaries
Section snippets
Data Sources
The Ohio Medicaid enrollment and claims files for the years 2002–2008 were used. The study population was identified from the enrollment file, and screening mammography was identified from claims data by using diagnosis and procedure codes.
The current study was approved by the Case Western Reserve University Cancer IRB, as well as the Ohio Department of Job and Family Services, which administers the Medicaid program.
Study Population
The study population included all women aged 50–64 years and enrolled in
Results
Table 1 summarizes relevant demographic and health characteristics of the study population, stratified by mental illness. Just under half of the study population was identified with mental illness. Compared to those without mental illness, women with mental illness were more likely to be non–African-American, reside in an Appalachian county, bear medical comorbidities, and be enrolled in Medicaid for longer periods.
The unadjusted proportion of women with and without mental illness receiving at
Discussion
Medicaid beneficiaries with mental illness experience significant disadvantage in breast cancer screening, whether measured by receipt of at least one screening mammography or by the recommended frequency of annual screening. As a comparison, the 2005 National Health Interview Survey (NHIS) documented that nearly 72% of women in the group aged 50–64 years received a mammogram in the prior 2 years.18 Based on the findings from the present study and that of the aforementioned NHIS study, it was
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Health Care Disparities in Radiology—A Review of the Current Literature
2022, Journal of the American College of RadiologyCitation Excerpt :One study showed that after the Affordable Care Act was implemented, there was a trend toward more non-White patients and urban residents accessing breast cancer care [48]. Another vulnerable group, those with mental illness, were actually demonstrated to access mammography more than their non–mentally ill counterparts, unless they were Medicaid beneficiaries, in which case they experienced significant disadvantages in breast cancer screening [49]. These studies demonstrate how a lack of insurance, or in contrast, adequate insurance, can result in significant barriers to access of mammographic services.
How does familiarity impact the stigma of mental illness?
2019, Clinical Psychology ReviewCitation Excerpt :Research suggests, however, that stigma among primary care providers contributes to lower quality of care in this population (Thornicroft, 2013). Compared with patients not identified with mental illness, studies have shown that health providers are less likely to refer patients with mental illness for mammography (Koroukian, Bakaki, Golchin, Tyler, & Loue, 2012), inpatient hospitalization after diabetic crisis (Sullivan, Han, Moore, & Kotrla, 2006), prescription practices for arthritis (Corrigan, Mittal, et al., 2014), or cardiac catheterization (Druss, Bradford, Rosenheck, Radford, & Krumholz, 2000). In a classic paper, Cohen and Cohen (1984) explained the stigma of providers in terms of the clinician's illusion.
Mammography usage with relevant factors among women with mental disabilities in Taiwan: A nationwide population-based study
2015, Research in Developmental DisabilitiesCitation Excerpt :Results from past studies have not been entirely consistent with respect to the use of screening mammography among individuals with mental illness. Research conducted by Koroukian, Bakaki, Golchin, Tyler, and Loue (2012) in Ohio State, United States, showed a higher rate of mammographic breast cancer screening for women with than without mental illness (38.1% vs. 31.7%). Another study in New Mexico State by Yee et al. (2011) found that women with mental illness were less likely than those without such illness (odds ratio [OR], 0.79) to undergo breast cancer screening.
Mental health stigma and primary health care decisions
2014, Psychiatry ResearchCitation Excerpt :However, research also suggests that some provider decisions may worsen health outcomes. Compared to patients not identified with mental illness, research has shown health providers are less likely to refer patients with mental illness for mammography (Koroukian et al., 2012), inpatient hospitalization after diabetic crisis (Sullivan et al., 2006), or cardiac catheterization (Druss et al., 2000). Provider endorsement of stigma might be one influence on these health care decisions for people with mental illness (Jones et al., 2008; Thornicroft et al., 2007).
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