{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T16:12:34Z","timestamp":1787242354470,"version":"build-2736575974"},"reference-count":11,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2022,12,20]],"date-time":"2022-12-20T00:00:00Z","timestamp":1671494400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicines"],"abstract":"<jats:p>Background: The proportion of women Veterans are increasing and, as such, access to high-quality breast cancer care is important. Prior studies have shown that rural location, age, and a mental health diagnosis negatively impact breast cancer screening rates. Methods: We aimed to retrospectively assess the impact of these risk factors on breast cancer screening adherence rates among Veterans at our institution. Women who were eligible for breast cancer screening per the United States Preventative Services Taskforce guidelines were included. Results: Of 2321 women, overall adherence was 78.2%. There were no significant differences in screening rates between races, various age groups, geographical distribution, and having anxiety or post-traumatic stress disorder (PTSD). However, Veterans with a diagnosis of depression were more likely to adhere to screening guidelines. Having multiple mental health diagnoses was also not a negative risk factor. Conclusions: Our Veteran population\u2019s adherence rates are higher than the national average and rural location, race, age, and certain mental health disorders did not negatively affect adherence to screening mammography. Though more research is needed, screening reminders from our women\u2019s health coordinator may have improved adherence rates and lowered disparities.<\/jats:p>","DOI":"10.3390\/medicines10010001","type":"journal-article","created":{"date-parts":[[2022,12,21]],"date-time":"2022-12-21T01:32:53Z","timestamp":1671586373000},"page":"1","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Breast Cancer and Women Veterans: What Is the Impact of Mental Health on Screening Rates?"],"prefix":"10.3390","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7144-8000","authenticated-orcid":false,"given":"Saranya","family":"Prathibha","sequence":"first","affiliation":[{"name":"Minneapolis Veterans Affairs Health Care System, One Veterans Drive, Minneapolis, MN 55417, USA"},{"name":"Department of Surgery, University of Minnesota, 420 Delaware St SE, Mayo Mail Code 195, Minneapolis, MN 55455, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4722-1663","authenticated-orcid":false,"given":"Anders D.","family":"Westanmo","sequence":"additional","affiliation":[{"name":"Minneapolis Veterans Affairs Health Care System, One Veterans Drive, Minneapolis, MN 55417, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane Yuet Ching","family":"Hui","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Minnesota, 420 Delaware St SE, Mayo Mail Code 195, Minneapolis, MN 55455, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie","family":"Westanmo","sequence":"additional","affiliation":[{"name":"Minneapolis Veterans Affairs Health Care System, One Veterans Drive, Minneapolis, MN 55417, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy A.","family":"Gravely","sequence":"additional","affiliation":[{"name":"Minneapolis Veterans Affairs Health Care System, One Veterans Drive, Minneapolis, MN 55417, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Todd M.","family":"Tuttle","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Minnesota, 420 Delaware St SE, Mayo Mail Code 195, Minneapolis, MN 55455, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9808-1405","authenticated-orcid":false,"given":"Christopher J.","family":"LaRocca","sequence":"additional","affiliation":[{"name":"Minneapolis Veterans Affairs Health Care System, One Veterans Drive, Minneapolis, MN 55417, USA"},{"name":"Department of Surgery, University of Minnesota, 420 Delaware St SE, Mayo Mail Code 195, Minneapolis, MN 55455, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,12,20]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1007\/978-3-030-20301-6_2","article-title":"Epidemiology of Breast Cancer in Women","volume":"1152","author":"Coughlin","year":"2019","journal-title":"Adv. Exp. Med. Biol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1750","DOI":"10.1016\/S0140-6736(20)32381-3","article-title":"Breast cancer","volume":"397","author":"Loibl","year":"2021","journal-title":"Lancet"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1327","DOI":"10.1001\/jama.2014.1398","article-title":"A Systematic Assessment of Benefits and Risks to Guide Breast Cancer Screening Decisions","volume":"311","author":"Pace","year":"2014","journal-title":"JAMA"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"3463","DOI":"10.7314\/APJCP.2015.16.8.3463","article-title":"Breast Cancer Screening Barriers from the Womans Perspective: A Meta-synthesis","volume":"16","author":"Ghojazadeh","year":"2015","journal-title":"Asian Pac. J. Cancer Prev."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"S40","DOI":"10.1111\/j.1525-1497.2006.00373.x","article-title":"Health status among 28,000 women veterans","volume":"21","author":"Frayne","year":"2006","journal-title":"J. Gen. Intern. Med."},{"key":"ref_6","first-page":"2730","article-title":"Effect of rurality on screening for breast cancer: A systematic review and meta-analysis comparing mammography","volume":"14","author":"Leung","year":"2014","journal-title":"Rural Remote Health"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1608","DOI":"10.1016\/j.socscimed.2005.03.015","article-title":"Determinants of the demand for breast cancer screening among women veterans in the United States","volume":"61","author":"Lairson","year":"2005","journal-title":"Soc. Sci. Med."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"2083","DOI":"10.1001\/archinte.165.18.2083","article-title":"The Influence of Health Status, Age, and Race on Screening Mammography in Elderly Women","volume":"165","author":"Bynum","year":"2005","journal-title":"Arch. Intern. Med."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"428","DOI":"10.1192\/bjp.bp.114.147629","article-title":"Breast cancer screening in women with mental illness: Comparative meta-analysis of mammography uptake","volume":"205","author":"Mitchell","year":"2014","journal-title":"Br. J. Psychiatry"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"S195","DOI":"10.1016\/j.whi.2011.04.027","article-title":"Mental Illness: Is there an Association with Cancer Screening Among Women Veterans?","volume":"21","author":"Yee","year":"2011","journal-title":"Women\u2019s Health Issues"},{"key":"ref_11","unstructured":"Centers for Disease Control and Prevention (2022, August 01). Table 33. Use of Mammography among Women Aged 40 and over, by Selected Characteristics: United States, Selected Years 1987\u20132018, Available online: https:\/\/www.cdc.gov\/nchs\/data\/hus\/2019\/033-508.pdf."}],"container-title":["Medicines"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2305-6320\/10\/1\/1\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:44:50Z","timestamp":1760147090000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2305-6320\/10\/1\/1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,20]]},"references-count":11,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023,1]]}},"alternative-id":["medicines10010001"],"URL":"https:\/\/doi.org\/10.3390\/medicines10010001","relation":{},"ISSN":["2305-6320"],"issn-type":[{"value":"2305-6320","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,12,20]]}}}