Abstract
The results of implementing mental health screening within cancer screening and diagnostic programs serving low-income ethnic minority women are reported. Multi-phased screening for anxiety and depression was provided as part of structured health education and intensive case management services to improve abnormal mammogram or Pap test follow-up. Seven hundred fifty-three women were enrolled in the Screening Adherence Follow-up Program. Ten percent (n = 74) met criteria for depressive or anxiety disorder. Women with depressive or anxiety disorders were more likely to have cancer, significant psychosocial stress, fair or poor health status, a comorbid medical problem, and limitation in functional status. Forty-seven women with disorders were receiving no depression care.
Publication types
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Research Support, U.S. Gov't, P.H.S.
MeSH terms
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Adult
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Aged
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Aged, 80 and over
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Anxiety / diagnosis*
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Anxiety / ethnology
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Breast Neoplasms / diagnosis*
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Breast Neoplasms / ethnology
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Breast Neoplasms / psychology
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Continuity of Patient Care*
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Delivery of Health Care, Integrated
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Depressive Disorder / diagnosis*
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Depressive Disorder / ethnology
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Female
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Health Services Research
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Humans
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Los Angeles / epidemiology
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Mammography / statistics & numerical data
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Mass Screening / organization & administration*
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Mental Health Services / organization & administration*
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Middle Aged
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Minority Groups*
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New York City / epidemiology
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Patient Compliance / ethnology*
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Pilot Projects
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Poverty / ethnology*
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Surveys and Questionnaires
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Uterine Cervical Neoplasms / diagnosis*
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Uterine Cervical Neoplasms / ethnology
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Vaginal Smears / statistics & numerical data