Access to Cancer Screening for Women with Mobility Disabilities

Angus, Jan; Seto, Lisa; Barry, Nancy H.; Cechetto, Naomi; Chandani, Samira; Devaney, Julie; Fernando, Sharmini; Muraca, Linda; Odette, Fran

doi:10.1007/s13187-011-0273-4

Cited by 45 publications

(53 citation statements)

References 15 publications

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“…Several studies have evidenced how people with disabilities experience compromised access to cancer screening services. [31][32][33][34] People with disabilities face structural, financial and cultural/attitudinal barriers when they seek to access healthcare. 35 Difficulties in accessing healthcare can be caused by lack of transport, inaccessible buildings, and inadequate training of healthcare professionals, among other factors.…”

Section: Discussionmentioning

confidence: 99%

Access to healthcare for men and women with disabilities in the UK: secondary analysis of cross-sectional data

Sakellariou

Rotarou

2017

BMJ Open

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ObjectivesThe aim of this study was to investigate differences in access to healthcare between people with and without disabilities in the UK. The hypotheses were that: (1) people with disabilities would be more likely to have unmet healthcare needs and (2) there would be gender differences, with women more likely to report unmet needs.Setting and participantsWe performed secondary analysis, using logistic regressions, of deidentified cross-sectional data from the European Health Interview Survey, Wave 2. The sample included 12 840 community-dwelling people over the age of 16 from across the UK, 5 236 of whom had a disability. The survey method involved face-to-face and telephone interviews.Outcome measuresUnmet need for healthcare due to long waiting lists or distance or transportation problems; not being able to afford medical examination, treatment, mental healthcare or prescribed medicines. All measures were self-reported.ResultsAdjusting for age, sex and other factors, people with a severe disability had higher odds of facing unmet needs. The largest gap was in ‘unmet need for mental healthcare due to cost’, where people with a severe disability were 4.5 times (CI 95% 2.2 to 9.2) more likely to face a problem, as well as in ‘unmet need due to cost of prescribed medicine’, where people with a mild disability had 3.6 (CI 95% 2.2 to 5.9) higher odds of facing a difficulty. Women with a disability were 7.2 times (CI 95% 2.7 to 19.4) more likely to have unmet needs due to cost of care or medication, compared with men with no disability.ConclusionsPeople with disabilities reported worse access to healthcare, with transportation, cost and long waiting lists being the main barriers. These findings are worrying as they illustrate that a section of the population, who may have higher healthcare needs, faces increased barriers in accessing services.

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Section: Discussionmentioning

confidence: 99%

Access to healthcare for men and women with disabilities in the UK: secondary analysis of cross-sectional data

Sakellariou

Rotarou

2017

BMJ Open

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“…[2, 26, 27] This is due to a combination of personal, interpersonal, and structural factors, which can include understanding of the importance of screening, having a supporting social network, availability of accessible health facilities, lack of appropriate information, fear that the procedure will be painful, and healthcare staff attitudes perceived as being insensitive. [3, 26] The existence of such barriers can lead to a negative cancer screening experience, which might prevent disabled women from accessing preventive health services even if they are available.…”

Section: Discussionmentioning

confidence: 99%

“…[2–5] The majority of these studies are small-scale studies, which although they give important insights into the experiences of women as they navigate the healthcare system, they do not allow any conclusions regarding utilisation of preventive services at a population level. There is a notable lack of population-based data, on how gender, age, and socioeconomic variables jointly intersect to affect the utilisation of healthcare services for women with disabilities, especially in South America.…”

Section: Introductionmentioning

confidence: 99%

Utilisation of cancer screening services by disabled women in Chile

Sakellariou

Rotarou

2017

PLoS ONE

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BackgroundResearch has shown that women with disabilities face additional challenges in accessing and using healthcare services compared to non-disabled women. However, relatively little is known about the utilisation of cancer screening services for women with disabilities. This study addresses this gap by examining the utilisation of the Papanicolaou test and mammography for disabled women in Chile.MethodsWe used cross-sectional data, taken from a 2015 nationally-representative survey. Initially, we employed logistic regressions to test for differences in utilisation rates for the Papanicolaou test (66,281 observations) and the mammogram (35,294 observations) between disabled and non-disabled women. Next, logistic regressions were used to investigate the demographic, socioeconomic, and health-related factors affecting utilisation rates for cancer screening services for disabled women (sample sizes: 5,823 observations for the Papanicolaou test and 5,731 observations for the mammogram).ResultsDisabled women were less likely to undergo screening tests than non-disabled women. For the Papanicolaou test and mammography, the multivariable regression models showed that living in rural areas, having higher education, being affiliated with a private health insurance company, giving a good health self-assessment score, and being under medical treatment for other illnesses were associated with higher utilisation rates. On the other hand, being single, inactive with regard to employment, and having a better income were linked with lower utilisation. While utilisation rates for both disabled and non-disabled women have increased since 2006, the utilisation disparity has slightly increased.ConclusionsThis study shows the influence of various factors in the utilisation rates of preventive cancer screening services for disabled women. To develop effective initiatives targeting inequalities in the utilisation of cancer screening tests, it is important to move beyond an exclusively single-disease approach and acknowledge the complexity of the patient population.

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“…BCS services are often not readily available, offered or made accessible to women with disabilities (Angus et al . ). Where these services are available, physical, economic, social and cultural barriers may prevent or inhibit women with disabilities accessing or using them (Yankaskas et al .…”

Section: Literature Review/background To the Studymentioning

confidence: 97%