在有或没有精神分裂症的女性中进行乳腺癌查
Braden O'Neill1,2,3, Abban Yusuf1, Aisha Lofters3,4
1MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St Michael's Hospital, Unity Health Toronto, Ontario, Canada.
JAMA network open
|November 29, 2023
概括
精神分裂症女性的乳腺癌查完成率较低. 初级保健支付模式可能会影响这些差异,这表明以团队为基础的护理可以改善这一高风险群体的乳房扫描.
科学领域:
- 在瘤学瘤学.
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在安大略省,建议对50岁及以上的女性进行乳腺癌查.
- 患有精神分裂症的女性面临患乳腺癌的风险更高.
- 在安大略省,查完成率和初级保健支付模式对这一人口群体的影响尚不清楚.
研究的目的:
- 为了比较患有精神分裂症和没有精神分裂症的妇女在妇女50岁生日后两年内完成乳腺癌查.
- 确定查完成和不同初级保健医生支付模式之间的关联.
主要方法:
- 一个用安大略省范围内的行政数据进行的病例控制研究.
- 匹配了11631名精神分裂症妇女 (病例) 和115,959名没有精神分裂症的妇女 (对照).
- 分析了50岁生日后两年内完成的乳房镜片,使用后勤回归来确定几率比率 (OR) 和95%置信区间 (CI).
主要成果:
- 精神分裂症妇女的整体查完成率为69.3%,对照组为77.1%.
- 患有精神分裂症的女性完成查的几率较低 (OR,0.67;95% CI,0.64-0.70).
- 与家庭健康团队模型相比,在收费服务 (OR,0.57;95% CI,0.53-0.60) 或增强收费服务 (OR,0.79;95% CI,0.75-0.82) 模型下,精神分裂症妇女的查完成率较低.
结论:
- 在安大略省,患有精神分裂症的女性中,乳腺癌查完成率较低.
- 初级保健支付模式的差异可能部分解释了这些差异.
- 扩大以团队为基础的初级保健可以提高精神分裂症妇女的查率.
更多相关视频
相关概念视频
Schizophrenia
90
Schizophrenia, a term introduced by Swiss psychiatrist Eugen Bleuler in 1911, describes a severe psychological disorder marked by profound disruptions in attention, thought processes, language, emotion, and interpersonal relationships. The core feature of schizophrenia is psychosis — a state characterized by a fundamental detachment from reality. This disconnection manifests through distorted logic, impaired perception, and atypical behavior, severely affecting the lives of those...
90
Disorders of the Female Reproductive System
368
The female reproductive system can be affected by several disorders, including Premenstrual Syndrome (PMS), Premenstrual Dysphoric Disorder (PMDD), endometriosis, and various forms of cancer. PMS and PMDD are cyclical conditions that cause physical and emotional distress, with symptoms that include edema, mood swings, and food cravings. PMDD is a more severe form of PMS characterized by increased symptom severity that peaks during the luteal phase and tends to improve or resolve shortly after...
368
Psychological and Sociocultural Causes of Schizophrenia
91
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
91
Biological Causes of Schizophrenia
60
Schizophrenia, a severe psychiatric disorder, arises from a complex interplay of biological factors, including genetic predisposition, structural brain abnormalities, neurotransmitter dysregulation, and developmental irregularities. These factors collectively contribute to the onset and progression of the disorder, which typically manifests in late adolescence or early adulthood.
Genetic Factors in Schizophrenia
The genetic basis of schizophrenia is strongly supported by family and twin...
Genetic Factors in Schizophrenia
The genetic basis of schizophrenia is strongly supported by family and twin...
60
Negative and Cognitive Symptoms of Schizophrenia
49
Negative symptoms of schizophrenia indicate a reduction or absence of typical behaviors and emotional responses found in healthy individuals, while positive symptoms reflect an excess or distortion of normal functioning.
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
49
Positive Symptoms Schizophrenia: Hallucinations and Delusions
57
Schizophrenia is a complex psychiatric disorder characterized by a range of symptoms that significantly impact cognition, behavior, and emotional regulation. Among these, the positive symptoms stand out as they involve the addition or exaggeration of normal mental functions, deviating markedly from typical behavior and perception. Hallucinations and delusions are prominent positive symptoms, each profoundly affecting the individual's experience of reality.
Hallucinations
Hallucinations in...
Hallucinations
Hallucinations in...
57


