Improving Cancer Screening among Women with Mobility Impairments: Randomized Controlled Trial of a Participatory Workshop Intervention

Peterson, Jana J.; Suzuki, Rie; Walsh, Emily S.; Buckley, David I; Krahn, Gloria L.

doi:10.4278/ajhp.100701-arb-226

Cited by 20 publications

(16 citation statements)

References 11 publications

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“…However, interview studies relating to mammogram 12,24–34 and Pap tests 12,27–30 among women with disability suggest causes of observed disparities for these procedures that one might expect would also apply to colorectal cancer screening. 5 For instance, for mammograms, competing health priorities are critical considerations, when women’s health conditions causing disability, comorbid health problems, or combinations of both lessen the presumed benefits of mammography.…”

Section: Discussionmentioning

confidence: 99%

Trends in colorectal cancer screening over time for persons with and without chronic disability

Iezzoni

Kurtz²,

Rao

2016

Disability and Health Journal

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Background Persons with disabilities have often experienced disparities in routine cancer screening. However, with civil rights protections from the 1990 Americans with Disabilities Act, such disparities may diminish over time. Objective To examine whether disability disparities exist for colorectal cancer screening and whether these screening patterns have changed over time. Methods We analyzed National Health Interview Survey responses from civilian, non-institutionalized U.S. residents 50–75 years old from selected years between 1998 and 2010. We specified 7 chronic disability indicators using self-reported functional impairments, activity/participation limitations, and expected duration. Separately for women and men, we conducted bivariable and multivariable logistic regression analyses examining associations of self-reported colorectal cancer screening services with sociodemographic factors and disability type. Results Patterns of chronic disability differed somewhat between women and men; disability rates generally rose over time. For both women and men, colorectal cancer screening rates increased substantially from 1998 through 2010. Over time, relatively few statistically significant differences were reported in colorectal cancer screening rates between nondisabled persons and individuals with various disabilities. In 2010, reported screening rates were generally comparable between nondisabled and disabled persons. In the few statistically significant differences, persons with disabilities almost always reported higher colorectal cancer screening rates than nondisabled individuals. Conclusions According to national survey data, reported use of colorectal cancer screening is similar between nondisabled persons and individuals with a variety of different disability types. Despite physical demands of some colorectal cancer screening tests, disparities do not appear between populations with and without disability.

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Section: Discussionmentioning

confidence: 99%

Trends in colorectal cancer screening over time for persons with and without chronic disability

Iezzoni

Kurtz²,

Rao

2016

Disability and Health Journal

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“…Possible reasons include women's preferences for care; competing health concerns, such as coexisting diseases that reduce the priority of mammograms; previous unpleasant experiences with mammography; failures of women's physicians to recommend mammograms because of discriminatory attitudes, such as failure to appreciate the desire of disabled women to maximize their health and wellness; and lack of mammography equipment that is accessible to women with disabilities. [14][15][16][17][18][19][20][21][22][23][24][25] Some factors, such as women's competing health risks, are unlikely to have changed since the ADA's implementation. However, other possible barriers, including discriminatory attitudes and inaccessible equipment, might have lessened in the past two decades.…”

Section: Introductionmentioning

confidence: 99%

Trends in Mammography Over Time for Women With and Without Chronic Disability

Iezzoni

Kurtz

Rao

2015

Journal of Women's Health

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“…For example, people with disabilities are more likely to be overweight or obese, smoke, be physically inactive and have poor diets; they also have poorer self-rated health, life satisfaction, and mental health [3–12]. They have higher rates of chronic conditions such as diabetes and heart disease and are more likely to use clinical services but less likely to use preventative health care [8, 13–17]. …”

Section: Introductionmentioning

confidence: 99%

Inequalities in socio-economic characteristics and health and wellbeing of men with and without disabilities: a cross-sectional analysis of the baseline wave of the Australian Longitudinal Study on Male Health

et al. 2016

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BackgroundInternationally, men with disabilities have higher rates of social and economic disadvantage and poorer health and wellbeing than men without disabilities. No single study has provided comprehensive, population-level information about the magnitude of such differences among adult men using a well-validated instrument to measure disability.MethodsWe analysed baseline data from Ten to Men – an Australian longitudinal study of male health. Ten to Men used a stratified multi-stage cluster random sample design to recruit a national sample of males aged 10 to 55 years residing in private dwellings. Data were collected between October 2013 and July 2014 from 15,988 males. This analysis was restricted to 18–55 year old participants with data available on age and disability (n = 13,569). We compared the demographic, socio-economic characteristics and health and wellbeing of men with and without disabilities using chi squared tests for proportions and t tests for continuous variables. Linear regression adjusted for age was used to assess the association between disability status and health and wellbeing, which were measured using the SF-12 mental and physical health component scores and the Personal Wellbeing Index.ResultsMen with disabilities were older and more likely to be born in Australia, speak English at home, be Aboriginal and Torres Strait Islander and were less likely to be married or de facto, or to live in urban areas. They were less likely to have completed secondary school, be employed and live in affordable housing, and were more likely to live on low incomes, in more socio-economically disadvantaged areas, and in rental accommodation and to experience shortages of money. Among employed men, those with disabilities were less likely to be in high skilled jobs, worked less hours on average, and were more likely to report that they would prefer to work more. Men with disabilities had lower levels of social support and community participation and poorer mental and physical health and overall wellbeing.ConclusionAdult men with disabilities experience marked social and economic disadvantage and poorer health and wellbeing. Improving the health and wellbeing of disabled men should be a priority for public health researchers and policy-makers.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-016-3700-y) contains supplementary material, which is available to authorized users.

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Improving Cancer Screening among Women with Mobility Impairments: Randomized Controlled Trial of a Participatory Workshop Intervention

Abstract: Findings indicate that the PATHS intervention promotes Pap testing but not mammography among women with mobility impairments.

Cited by 20 publications

References 11 publications

Trends in colorectal cancer screening over time for persons with and without chronic disability

Trends in colorectal cancer screening over time for persons with and without chronic disability

Trends in Mammography Over Time for Women With and Without Chronic Disability

Inequalities in socio-economic characteristics and health and wellbeing of men with and without disabilities: a cross-sectional analysis of the baseline wave of the Australian Longitudinal Study on Male Health

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