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Breast and cervical cancer screening disparities associated with disability severity.
Womens Health Issues. 2014 Jan-Feb; 24(1):e147-53.WH

Abstract

BACKGROUND

Prior research has noted disparities between women with and without disabilities in receipt of timely screening for breast and cervical cancer. Some studies suggest greater disparities for women with more severe disabilities, but the research to date has yielded inconsistent findings. Our purpose was to further examine differences in receipt of breast and cervical cancer screening in relation to severity of disability.

METHODS

We analyzed Medical Expenditure Panel Survey annual data files from 2002 to 2008. Logistic regression analyses examined whether Pap smears and mammograms had been received within the recommended timeframe according to U.S. Preventive Services Task Force Guidelines. We compared four groups of women aged 18 to 64 years, categorized by presence and complexity of disability: 1) No limitations, 2) basic action difficulties only, 3) complex activity limitations only, and 4) both basic and complex activity limitations.

FINDINGS

Women both with and without disabilities fell short of Healthy People 2020 goals for breast and cervical cancer screening. Overall, women with disabilities were less likely to be up to date with both mammograms and Pap tests. The magnitude of disparities was greater for women with complex limitations. Disparities in Pap testing, but not mammography, remained significant when controlling for demographic, geographic, and socioeconomic factors.

CONCLUSIONS

Women with more complex or severe disability were less likely to be up to date with breast and cervical cancer screenings. Targeted efforts are needed to reduce barriers to breast and cervical cancer screening for women with significant disabilities, especially those who also experience other socioecological disadvantages.

Authors+Show Affiliations

Institute on Development & Disability, Oregon Health & Science University, Portland, Oregon. Electronic address: hornerjo@ohsu.edu.Institute on Development & Disability, Oregon Health & Science University, Portland, Oregon.Institute on Development & Disability, Oregon Health & Science University, Portland, Oregon.Mongan Institute for Health Policy, Massachusetts General Hospital, Boston, Massachusetts.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

24439941

Citation

Horner-Johnson, Willi, et al. "Breast and Cervical Cancer Screening Disparities Associated With Disability Severity." Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health, vol. 24, no. 1, 2014, pp. e147-53.
Horner-Johnson W, Dobbertin K, Andresen EM, et al. Breast and cervical cancer screening disparities associated with disability severity. Womens Health Issues. 2014;24(1):e147-53.
Horner-Johnson, W., Dobbertin, K., Andresen, E. M., & Iezzoni, L. I. (2014). Breast and cervical cancer screening disparities associated with disability severity. Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health, 24(1), e147-53. https://doi.org/10.1016/j.whi.2013.10.009
Horner-Johnson W, et al. Breast and Cervical Cancer Screening Disparities Associated With Disability Severity. Womens Health Issues. 2014 Jan-Feb;24(1):e147-53. PubMed PMID: 24439941.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Breast and cervical cancer screening disparities associated with disability severity. AU - Horner-Johnson,Willi, AU - Dobbertin,Konrad, AU - Andresen,Elena M, AU - Iezzoni,Lisa I, PY - 2013/07/13/received PY - 2013/10/25/revised PY - 2013/10/28/accepted PY - 2014/1/21/entrez PY - 2014/1/21/pubmed PY - 2014/4/9/medline SP - e147 EP - 53 JF - Women's health issues : official publication of the Jacobs Institute of Women's Health JO - Womens Health Issues VL - 24 IS - 1 N2 - BACKGROUND: Prior research has noted disparities between women with and without disabilities in receipt of timely screening for breast and cervical cancer. Some studies suggest greater disparities for women with more severe disabilities, but the research to date has yielded inconsistent findings. Our purpose was to further examine differences in receipt of breast and cervical cancer screening in relation to severity of disability. METHODS: We analyzed Medical Expenditure Panel Survey annual data files from 2002 to 2008. Logistic regression analyses examined whether Pap smears and mammograms had been received within the recommended timeframe according to U.S. Preventive Services Task Force Guidelines. We compared four groups of women aged 18 to 64 years, categorized by presence and complexity of disability: 1) No limitations, 2) basic action difficulties only, 3) complex activity limitations only, and 4) both basic and complex activity limitations. FINDINGS: Women both with and without disabilities fell short of Healthy People 2020 goals for breast and cervical cancer screening. Overall, women with disabilities were less likely to be up to date with both mammograms and Pap tests. The magnitude of disparities was greater for women with complex limitations. Disparities in Pap testing, but not mammography, remained significant when controlling for demographic, geographic, and socioeconomic factors. CONCLUSIONS: Women with more complex or severe disability were less likely to be up to date with breast and cervical cancer screenings. Targeted efforts are needed to reduce barriers to breast and cervical cancer screening for women with significant disabilities, especially those who also experience other socioecological disadvantages. SN - 1878-4321 UR - https://www.unboundmedicine.com/medline/citation/24439941/Breast_and_cervical_cancer_screening_disparities_associated_with_disability_severity_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1049-3867(13)00104-7 DB - PRIME DP - Unbound Medicine ER -