Cervical cancer screening and abnormalities among women in a residential drug-rehabilitation program

Tilley, Donna M.; Hristov, Sara; Templeton, David J; Sharp, Nicola; O’Connor, Catherine

doi:10.1071/py12067

Cited by 6 publications

(14 citation statements)

References 4 publications

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“…This finding is in contrast with studies of women with problematic drug and alcohol use in other NSW settings (Tilley et al . , Kricker et al . ).…”

Section: Discussionmentioning

confidence: 99%

“…This finding is consistent with previous studies in Australia and elsewhere (Reece , Tilley et al . , Tilley , Edelman et al . ).…”

Section: Discussionmentioning

confidence: 99%

“…Limited Australian data exist on late‐ or under‐screening and Pap smear abnormalities in women recovering from drug and alcohol addiction (Reece , Tilley et al . ). A recent study in Sydney Local Health District found that women recovering from alcohol and drug addiction in a live‐in residential facility had higher rates of Pap smear abnormalities and were more likely to be overdue for a Pap test compared with women attending community‐based clinics (Tilley et al .…”

Section: Introductionmentioning

confidence: 97%

“…A recent study in Sydney Local Health District found that women recovering from alcohol and drug addiction in a live‐in residential facility had higher rates of Pap smear abnormalities and were more likely to be overdue for a Pap test compared with women attending community‐based clinics (Tilley et al . , Tilley ). However, the study focused on one publicly funded Health District in NSW and did not investigate psychosocial vulnerabilities and risk factors including sexual activity, rates of sexual assault, domestic violence and mental health history.…”

Section: Introductionmentioning

confidence: 99%

“…Women with drug and alcohol addiction experience higher rates of abnormal Pap smears, yet report lower rates of screening at recommended intervals (Reece , Tilley et al . , Kricker et al . ).…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Pap smear screening, pap smear abnormalities and psychosocial risk factors among women in a residential alcohol and drug rehabilitation facility

Soccio

Brown

Comino

et al. 2015

Journal of Advanced Nursing

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“…This finding is in contrast with studies of women with problematic drug and alcohol use in other NSW settings (Tilley et al . , Kricker et al . ).…”

Section: Discussionmentioning

confidence: 99%

“…This finding is consistent with previous studies in Australia and elsewhere (Reece , Tilley et al . , Tilley , Edelman et al . ).…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Pap smear screening, pap smear abnormalities and psychosocial risk factors among women in a residential alcohol and drug rehabilitation facility

Soccio

Brown

Comino

et al. 2015

Journal of Advanced Nursing

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Drug use disorder and risk of incident and fatal breast cancer: a nationwide epidemiological study

Dahlman

Magnusson

et al. 2020

Breast Cancer Res Treat

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Purpose Breast cancer is one of the most common cancer forms in women and it is often detected by screening. However, women with drug use disorders (DUD) are less likely to be reached by screening programs. In this study, we aimed to investigate breast cancer incidence, mortality and stage at time of diagnosis among women with DUD compared to the general female population in Sweden. Methods We performed a follow-up study based on Swedish national register data for the period January 1997–December 2015. The study was based on 3,838,248 women aged 15–75 years, of whom 50,858 were registered with DUD. Adjusted hazard ratios (HRs) for incident and fatal breast cancer, and cancer stage at time of diagnosis, were calculated for women with and without DUD using Cox regression analysis. Results DUD was associated with incident breast cancer (HR 1.08, 95% confidence interval [CI] 1.02–1.14, p = 0.0069), fatal breast cancer (HR 1.60, 95% CI 1.42–1.82, p < 0.001), and stage IV breast cancer, i.e. metastasis at diagnosis (HR 2.06, 95% CI 1.44–2.95, p < 0.001). Conclusions Women with DUD were identified as a risk group for incident, fatal and metastasized breast cancer, which calls for attention from clinicians and policy makers. Cancer screening attendance and other healthcare seeking barriers are likely to affect the risk increase among women who use drugs; however, more research is needed on the underlying mechanisms.

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Drug use disorder and risk of incident and fatal prostate cancer among Swedish men: a nationwide epidemiological study

Dahlman

Crump

et al. 2021

Cancer Causes Control

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Purpose Prostate cancer is the second most common cancer in men and a leading cause of cancer mortality worldwide. Men with drug use disorders (DUD) may potentially be at high risk for prostate cancer mortality because of delayed diagnosis and/or undertreatment. In this study, we aimed to investigate prostate cancer incidence, mortality, and stage at time of diagnosis among men with DUD compared to the general male population in Sweden. Methods We performed a follow-up study based on Swedish national register data for the period January 1997–December 2016. The study was based on 1,361,532 men aged 50–75 years at inclusion, of whom 9,259 were registered with DUD. Cox regression analysis was used to compute adjusted hazard ratios (HRs) for incident and fatal prostate cancer, and cancer stage at time of diagnosis, associated with DUD. Results DUD was associated with a slightly increased risk of incident prostate cancer (HR: 1.07, 95% confidence interval [CI] 1.00–1.14, p = 0.048) and substantially higher risk of fatal prostate cancer (HR: 1.59, 95% CI 1.40–1.82, p < 0.001), adjusted for age, socioeconomic factors, and comorbidities related to tobacco smoking and alcohol use disorder. No association was found between DUD and prostate cancer stage at diagnosis. Conclusions Men with DUD have an increased risk of fatal prostate cancer, possibly related to undertreatment in this patient population. Our findings should raise attention among medical staff and decision-makers towards a disadvantaged group of men in need of easily accessible prostate cancer evaluation and treatment.

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Cervical cancer screening and abnormalities among women in a residential drug-rehabilitation program

Cited by 6 publications

References 4 publications

Pap smear screening, pap smear abnormalities and psychosocial risk factors among women in a residential alcohol and drug rehabilitation facility

Pap smear screening, pap smear abnormalities and psychosocial risk factors among women in a residential alcohol and drug rehabilitation facility

Drug use disorder and risk of incident and fatal breast cancer: a nationwide epidemiological study

Drug use disorder and risk of incident and fatal prostate cancer among Swedish men: a nationwide epidemiological study

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