Acknowledgments .......................................................................................................................... iii
Table of Contents ........................................................................................................................... iv
List of Tables ................................................................................................................................ vii
List of Figures .............................................................................................................................. viii
List of Appendices ......................................................................................................................... ix
Chapter 1 Overview, Goals and Study Objectives .......................................................................... 1
1 Overview .................................................................................................................................... 1
2 Goals of the current study .......................................................................................................... 2
2.1 Specific Objectives ............................................................................................................. 3
2.2 Specific Hypotheses ............................................................................................................ 3
Chapter 2 Background .................................................................................................................... 4
3 Depression in Women ................................................................................................................ 4
3.1 Epidemiology ...................................................................................................................... 4
3.2 Impact ................................................................................................................................. 6
3.3 Rationale for examining preventive health service use in depressed women ..................... 7
4 Breast and Cervical Cancer Screening ....................................................................................... 8
4.1 Definitions ........................................................................................................................... 8
4.1.1 Breast Cancer Screening ......................................................................................... 9
4.1.2 Cervical Cancer Screening .................................................................................... 10
4.2 Known barriers to screening ............................................................................................. 10
5 Depression as a Determinant of Breast and Cervical Cancer Screening ................................. 12
5.1 Existing Literature ............