Cancer Risk Factors Among Adults with Serious Mental Illness

Muirhead, Lisa

doi:10.1016/j.amepre.2013.10.028

Cited by 14 publications

(22 citation statements)

References 73 publications

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“…1,13 On the other hand, although mental disorders are not established risk factors for cancer in general, 16 some conditions, including addiction to alcohol and tobacco, might lead to higher risk of alcoholrelated and smoking-related cancers. 17 Most previous related studies are cross-sectional in nature, 1 and a longitudinal description of the mental disorder burden among patients with cancer is lacking to date. Furthermore, most clinical and research efforts have addressed the postdiagnostic period of cancer, focusing on survivorship, the endof-life stage, and, increasingly, the immediate periods after diagnosis and primary cancer treatment.…”

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confidence: 99%

Clinical Diagnosis of Mental Disorders Immediately Before and After Cancer Diagnosis

et al. 2016

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IMPORTANCE Psychiatric comorbidities are common among patients with cancer. However, whether or not there is increased risk of mental disorders during the diagnostic workup leading to a cancer diagnosis was unknown.OBJECTIVE To examine the relative risks of depression, anxiety, substance abuse, somatoform/conversion disorder, and stress reaction/adjustment disorder during the periods before and after cancer diagnosis compared with individuals without cancer. DESIGN, SETTING, AND PARTICIPANTS Nationwide matched cohort study from

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confidence: 99%

Clinical Diagnosis of Mental Disorders Immediately Before and After Cancer Diagnosis

et al. 2016

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“…Lisa Muirhead continued the discussion by focusing on two special populations that have typically been neglected in cancer-prevention efforts: the homeless and the mentally ill. 74 More than 600,000 people in the U.S. experience homelessness on any given night, and chronic homelessness disproportionately affects those born during 1954–1966. 75 One in four U.S. adults experiences mental illness, facing unique challenges in daily life and disparities in income, employment, education, homelessness, full community participation, and life expectancy.…”

Section: Translating Research Into Public Health Practicementioning

confidence: 99%

Opportunities for Cancer Prevention During Midlife

Holman¹,

Grossman²,

Henley³

et al. 2014

American Journal of Preventive Medicine

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This paper provides highlights from a CDC-hosted meeting on opportunities for cancer prevention during midlife (roughly ages 45–64 years). Positive changes during this phase of life have the potential to prevent cancer incidence later in life, making this phase an opportune time for targeted prevention efforts to facilitate healthy aging and increased longevity. Risk and protective factors discussed during the meeting included exposure to radiation from medical imaging procedures, circadian disruption, chemical exposures, dietary factors, alcohol consumption, obesity, physical activity, diabetes, and the human microbiome. Although many of these factors are well recognized as being related to cancer incidence, others are not as widely recognized or have emerged as growing areas of research. Meeting participants discussed promising strategies for cancer prevention targeting this age group. Just as there are multiple determinants of cancer risk, there are likely multiple solutions. Changes to social and physical environments may facilitate healthy behaviors and minimize harmful exposures. Information shared during the meeting about health disparities in the U.S. highlighted the need to go beyond traditional approaches to cancer prevention to truly reach vulnerable populations. Partnerships are also a key component to prevention efforts; community-based and nonprofit organizations, the healthcare system, research institutions, state health departments, and federal agencies were all noted as important partners in prevention efforts. Coordinated, multi-disciplinary efforts across multiple chronic diseases may provide opportunities for synergistic effects. Further, leveraging key partnerships and existing communication channels can maximize success and facilitate timely translation of research findings into public health practice.

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“…Indeed, comparing studies with differing approaches to controlling for confounding serves to highlight the critical impact of multiple behavioral and environmental risk factors in this population. In reality, the very issue of health disparities in this population is most likely because of the prevalence of modifiable risk factors . A deeper understanding of the upstream contribution to these risk factors provides the opportunity to develop more effective interventions and reduce health disparities.…”

Section: Introductionmentioning

confidence: 99%

“…1 Associate Professor, Department of Family and Community Medicine, Thomas Jefferson University, Philadelphia, PA; 2 socioenvironmental circumstances, and access to and quality of medical care. 9 However, more attention has been focused on promoting change on an individual level, and there has been less emphasis on the contextual inequities (eg, food environments, poverty, discrimination) that drive many of these disparities. 10,11 Mental Illness and Cancer…”

Section: Introduction Mental Illness and Health Disparitiesmentioning

confidence: 99%

Cancer screening, prevention, and treatment in people with mental illness

Weinstein

Stefancic

Cunningham

et al. 2015

CA A Cancer J Clinicians

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People with mental illness die decades earlier in our country when compared to the general public Most of this disparity is related to preventable and treatable chronic conditions, with many studies finding cancer as the second leading cause of death. Individual lifestyle factors, such as smoking or limited adherence to treatment, are often cited as highly significant issues in shaping risk among persons with mental illness. However, many contextual or systems-level factors exacerbate these individual factors and may fundamentally drive health disparities among people with mental illness. We conducted an integrative review in order to summarize the empirical literature on cancer prevention, screening, and treatment for people with mental illness. While multiple interventions are being developed and tested to address tobacco dependence and obesity in these populations, the evidence for effectiveness is quite limited, and essentially all prevention interventions focus at the individual level. This review was able to find only one published article describing evidence-based interventions to promote cancer screening and improve cancer treatment in people with mental illness. Based on our review of the literature and the experience and expertise of the authors, we conclude each section with suggestions at the individual, interpersonal, organizational, community, and policy level that may improve cancer prevention, screening, and treatment in people with mental illness.

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Cancer Risk Factors Among Adults with Serious Mental Illness

Cited by 14 publications

References 73 publications

Clinical Diagnosis of Mental Disorders Immediately Before and After Cancer Diagnosis

Clinical Diagnosis of Mental Disorders Immediately Before and After Cancer Diagnosis

Opportunities for Cancer Prevention During Midlife

Cancer screening, prevention, and treatment in people with mental illness

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