RT Journal Article
SR Electronic
T1 Comprehensiveness of care for women with depression
JF Canadian Family Physician
JO Can Fam Physician
FD The College of Family Physicians of Canada
SP 757
OP 763
DO 10.46747/cfp.6810757
VO 68
IS 10
A1 Maggie Siu
A1 Rachael Morkem
A1 David Barber
A1 John Queenan
A1 Michelle Greiver
YR 2022
UL http://www.cfp.ca/content/68/10/757.abstract
AB Objective To explore comprehensiveness of care in patients with depression by examining associations between a diagnosis of depression, frequency of primary care visits, and Papanicolaou test completion.Design Cross-sectional retrospective survey using electronic medical record data from the Canadian Primary Care Sentinel Surveillance Network.Setting Primary care practices in Ontario.Participants Women aged 21 to 69 eligible to receive Pap tests in 2015.Main outcome measures Associations between 2 predictors (depression and number of primary care visits in 2015) and Pap test completion were measured.Results Overall, 125,258 women were included: 20.5% completed a Pap test and 16.4% had a diagnosis of depression. Having a diagnosis of depression was associated with lower likelihood of Pap test completion (adjusted odds ratio [AOR]=0.92, 95% CI 0.88 to 0.95). A greater number of primary care visits was associated with a higher likelihood of Pap test completion; this association was stronger in women with a diagnosis of depression (AOR=4.9, 95% CI 4.16 to 5.69) than in those without (AOR=3.4, 95% CI 3.25 to 3.60).Conclusion While depression was associated with fewer completed Pap tests, women with depression who saw their family doctors more often were more likely to be screened for cervical cancer. More primary care visits for depression treatment may be associated with an improved likelihood of screening for cervical cancer.