Lindamer Laurie A, Buse Dawn C, Auslander Lisa, Unützer Jürgen, Bartels Steven J, Jeste Dilip V
Department of psychiatry at the University of California, San Diego, USA.
Psychiatr Serv. 2003 Jun;54(6):902-4. doi: 10.1176/appi.ps.54.6.902.
Gynecological variables and service use were examined in a sample of 65 older women outpatients who had schizophrenia and in a control group of 51 women who were not known to have a psychiatric diagnosis. The groups were similar in their age at menarche and at menopause, use of oral contraceptives, and number of pregnancies and births. The groups differed in their receipt of several gynecological services; women with schizophrenia were less likely to have received mammograms or pelvic examinations and Pap tests or to have ever been prescribed hormone replacement therapy. These results suggest that women with schizophrenia receive fewer gynecological services than other women. Interventions at the patient, provider, and system levels may be needed to address this disparity in service use.
在65名患有精神分裂症的老年女性门诊患者样本以及51名无精神疾病诊断的女性对照组中，对妇科变量和服务利用情况进行了研究。两组在初潮年龄、绝经年龄、口服避孕药的使用、怀孕次数和生育次数方面相似。两组在接受多项妇科服务方面存在差异；患有精神分裂症的女性接受乳房X光检查、盆腔检查、巴氏试验或接受激素替代疗法处方的可能性较小。这些结果表明，患有精神分裂症的女性比其他女性接受的妇科服务更少。可能需要在患者、医疗服务提供者和系统层面进行干预，以解决服务利用方面的这种差异。
