(Boston) Researchers from Boston Medical Center (BMC) and Boston University School of Medicine (BUSM) have identified unhealthy substance use as a risk factor for not receiving all appropriate preventive health services. The findings, which currently appear in BMJ Open, identify unhealthy substance use as a barrier to completion of mammography screening and influenza vaccination.
Cancer and influenza are among the leading causes of mortality in the United States. Influenza is preventable, in part, through vaccination, and mortality from cervical, breast and colorectal cancer can be reduced through routine screening. Nevertheless, many eligible U.S. adults do not receive these recommended preventive services, in particular, low-income persons, racial and ethnic minorities, the uninsured and the foreign-born.
Despite this knowledge, and the implementation of interventions targeting these groups, preventive services are still underused, which has led some to believe that high-risk "pockets" of the population may account for gaps in service receipt.
"Persons with unhealthy substance use (for alcohol, the spectrum that ranges from risky use to dependence; for drugs, the spectrum from any illicit drug use, including prescription drugs to dependence), represent one such "pocket," said lead author Karen Lasser, MD, MPH, a primary care physician at BMC as well as an associate professor of medicine at BUSM.
The researchers analyzed data from 4,804 women eligible for mammograms, 4,414 eligible for Papanicolou (Pap) smears, 7,008 persons eligible for colorectal cancer (CRC) screenings, and 7,017 persons eligible for influenza vaccination. All patients were screened for unhealthy substance use.
Among the nearly 10,000 patients eligible for one or more of the preventive services of interest, 10 percent screened positive for unhealthy substance use. Compared to women without unhealthy substance use, women with unhea
|Contact: Gina DiGravio|
Boston University Medical Center