{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T14:58:29Z","timestamp":1787237909014,"version":"build-2736575974"},"reference-count":39,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2025,4,12]],"date-time":"2025-04-12T00:00:00Z","timestamp":1744416000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Saint Louis University Research Institute"},{"name":"AHEAD Institute at Saint Louis University"},{"DOI":"10.13039\/100000002","name":"NIH","doi-asserted-by":"publisher","award":["K23AR079035"],"award-info":[{"award-number":["K23AR079035"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"NIH","doi-asserted-by":"publisher","award":["K23DA053433"],"award-info":[{"award-number":["K23DA053433"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,4,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>There is limited evidence about whether a substance use disorder (SUD) is a barrier to breast cancer screening. Because SUDs are highly prevalent in the USA, it is important to establish whether this patient population is less likely to obtain screening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cohort study included 220\u00a0227 patients, with 209\u00a0132 having no SUD and 11\u00a0095 (5.0%) with SUD based on electronic health record data in a multi-state, Midwestern healthcare system (1 January 2018\u201331 December 2022). The outcome was the receipt of a mammogram in the 5-year follow-up period. Patients were women aged 40\u201369 years as of 1 January 2018, with\u2005\u2265\u20052 in-person primary care visits between 2018 and 2022. Covariates included demographics, health services utilization, and physical\/psychiatric conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Mean age of the sample was 54.7 (\u00b1\u20058.3) years old. After controlling for confounding, women without any SUDs had more than twice the odds of mammogram receipt compared to those with stimulant use disorder (odds ratio [OR] 2.06; 95% confidence interval [CI]: 1.83\u20132.33). Women with no SUDs had 89% higher odds of mammogram receipt compared to those with opioid use disorder (OR 1.89; 95% CI: 1.76\u20132.03), followed by \u201cother\u201d SUDs (OR 1.86; 95% CI: 1.69\u20132.06), sedative use (OR 1.70; 95% CI: 1.43\u20132.04), cannabis use (OR 1.58; 95% CI: 1.44\u20131.74), and alcohol use disorders (OR 1.49; 95% CI: 1.41\u20131.58).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Despite the high prevalence of SUDs, evidence of preventive service delivery among individuals with SUDs is still lacking. Further research is needed to investigate other healthcare disparities in preventive service delivery among individuals with SUDs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/fampra\/cmaf018","type":"journal-article","created":{"date-parts":[[2025,3,7]],"date-time":"2025-03-07T15:26:00Z","timestamp":1741361160000},"source":"Crossref","is-referenced-by-count":2,"title":["Breast cancer screening among individuals with a substance use disorder: a retrospective cohort study"],"prefix":"10.1093","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3339-9543","authenticated-orcid":false,"given":"Kento","family":"Sonoda","sequence":"first","affiliation":[{"name":"Department of Family and Community Medicine, Saint Louis University School of Medicine , St. Louis, MO 63110 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy","family":"Chrusciel","sequence":"additional","affiliation":[{"name":"The AHEAD Institute, Saint 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