Disparities in Cervical Cancer Screening by Disability Types: a Systematic Review

Orji, Amarachukwu F.; Sodeyi, Maryam Y; Anoke, Charity Ifeyinwa; Cevasco, Kevin E; Orji, Bright

doi:10.1007/s13187-023-02280-1

Cited by 5 publications

(3 citation statements)

References 19 publications

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“… 8 This review was updated by identifying additional eligible studies from the above PubMed search (ie quantitative studies that compared cervical cancer screening – Pap smear or visual inspection – uptake/receipt of women with disabilities to those without disabilities, age 18–70 published after 2011), and scanning the references of a recently published review on the topic. 9 Papers were excluded if they were not in English, reported findings from qualitative studies or were not peer-reviewed. Estimates were pooled to estimate the odds ratio of cervical cancer screening comparing women with and without disabilities.…”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…6 One important group is women with disabilities, who make up a sizeable proportion of the target screening population (eg 18.7% of females in England), 7 and are repeatedly found to be less likely to undergo cervical cancer screening. 8,9 Globally, 1.3 billion people have disabilities, including 700 million women. 10 People with disabilities include those who have long-term physical, mental, intellectual or sensory impairments which in interaction with various barriers may hinder their full and effective participation in society on an equal basis with others.…”

Section: Introductionmentioning

confidence: 99%

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Principles for Service Delivery: Best Practices for Cervical Screening for Women with Disabilities

Kuper,

Andiwijaya,

Rotenberg

et al. 2024

IJWH

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Background Cervical cancer screening is an important public health priority, yet many marginalized groups are not reached by existing programs. The nearly 700 million women with disabilities globally face substantial barriers in accessing cervical cancer screening and have lower coverage, yet there is limited evidence on what would support enhanced uptake among this population. Methods We updated a systematic review to estimate the disparity in screening uptake for women with disabilities. We conducted a scoping review to understand key barriers and the inclusion of disability in existing screening policies and possible solutions to improve screening uptakes amongst women with disabilities. We then formulated key principles for improved service delivery for this group, targeted predominantly at clinicians. Results Our updated review identified an additional five new studies, and confirmed that women with disabilities were less likely to be screened for cervical cancer (RR=0.65, 0.50–0.84). Disability-specific barriers to accessing screening pertained to: (1) knowledge and autonomy; (2) logistics; and (3) stigma and fear. Few guidelines included specific considerations for women with disabilities. Our scoping review showed that improving access to care must focus on improving (1) autonomy, awareness, and affordability; (2) human resources; and (3) health facility accessibility. Conclusion Screening programmes and health providers must ensure women with disabilities are included in cervical cancer screening programmes and thereby help to achieve their right to health and eliminate cervical cancer as a public health issue.

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Section: Methodsmentioning

confidence: 99%