State-Level Differences in Breast and Cervical Cancer Screening by Disability Status

Armour, Brian S.; Thierry, J.; Wolf, Lesley A.

doi:10.1016/j.whi.2009.08.006

Cited by 80 publications

(62 citation statements)

References 19 publications

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“…[16][17][18] After adjustment for important demographic characteristics, women with disabilities were less likely to report having Pap test procedure. [13][14][15] Potential barriers of Pap include residential location and distance to assigned clinic.…”

Section: Discussionmentioning

confidence: 99%

“…These women have reported difficulty in securing reliable transportation and, accessible parking, finding clinics with specialized equipments, getting into a doctor's office, and undressing, transferring, and positioning for medical examinations. [13][14][15] Compared to women who not smoked, current smokers are significantly more likely not to have regular Pap test. Smoking is a recognized risk factor of cervical cancer.…”

Section: 2324mentioning

confidence: 99%

“…9 Other factors identified to negative affect women's decision to get the test include: getting old, low income, low-level of education, lack of insurance coverage, extreme body weight values, disability, uncertain self-efficacy of Pap, negative feelings toward gynecology exam and distinct characteristics of culture. [10][11][12][13][14][15][16][17][18][19][20][21][22] Several previous studies have found that there are a lot of barriers to cervical cancer screening. However, most of those studies were carried out to cover only a small part of population.…”

Section: Introductionmentioning

confidence: 99%

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Identifying barriers to Papanicolaou smear screening in Korean women: Korean National Health and Nutrition Examination Survey 2005

Park

2010

J Gynecol Oncol

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Objective: This study was conducted to provide a nationwide analysis on barriers to cervical cancer screening in Korea. Methods: Data used for this study was obtained in a survey called Korean National Health and Nutrition Examination Survey (KNHANES) 2005, which collected data from 2,590 Korean women aged older than 21 years who had not had a hysterectomy and were eligible for Papanicolaou (Pap) smears. Multivariate analysis was adopted to control each demographic factor and unhealthy behavior variable. Demographic factors included age, education, income, job and region; health-related behavior factors were defined as current smoking, obesity, hormone replacement therapy and disability. Results: The study found that cervical cancer screening rate was significantly positively associated with income (odds ratio [OR],1.002; 95% confidence interval [CI], 1.001 to 1.002), with education (OR, 1.324; 95% CI, 1.030 to 1.703), with job (OR, 1.420; 95% CI, 1.030 to 1.957), and with hormone replacement therapy (OR, 3.732; 95% CI, 2.354 to 5.916). Meanwhile, the age (OR, 0.977; 95% CI, 0.968 to 0.985), disability (OR, 0.358; 95% CI, 0.143 to 0.894) and smoking (OR, 0.447; 95% CI, 0.280 to 0.715) were significantly negatively associated with one's chances to take cervical cytology. Conclusion: In order to increase the rates of Korean women taking Pap test, cervical cancer screening programs will have to pay special attention to the elderly, low-income group, smokers, and the disabled.

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Section: Discussionmentioning

confidence: 99%

Section: 2324mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Identifying barriers to Papanicolaou smear screening in Korean women: Korean National Health and Nutrition Examination Survey 2005

Park

2010

J Gynecol Oncol

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“…Other factors identified to negatively affect women's decision to get the test include: getting old, low income, low-level of education, lack of insurance coverage, extreme body weight values, disability, uncertain self-efficacy of the Pap smear result, negative feelings toward gynecological examination and distinct characteristics of the culture [71][72][73][74][75][76][77][78][79][80][81][82].…”

Section: Discussionmentioning

confidence: 99%

Practice and Barriers towards Cervical Cancer Screening among University Staff at a Malaysian University

Naggar¹

2012

J Community Med Health Edu

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Objective: The objective of this study was to determine the practice and barriers towards the Pap smear test among Malaysian women.Methodology: This is a cross-sectional survey of female university staff. Data was collected by a self-administered questionnaire from a total of 117 women. T-test and ANOVA test were conducted to determine if there was a significant difference between the study parameters.Results: A total number of 117 female university staff participated in this study. The majority of them were Malays, single, and living in the city (92.3%, 58.1%, and 92.3%; respectively). Regarding lifestyle practices, the majority consumed vitamin and mineral supplements regularly, and exercised once a week, (55.6%, and 41%, respectively). As for their knowledge about cervical cancer, the majority have heard about the Pap smear test before (81.2%). Regarding the practice of Pap smear test, only 22.2% ever had a Pap smear test done. As for the barriers toward having a Pap smear test done, the most common barrier among study participants was lack of time (29.9%), followed by the excuse that the Pap smear test is a painful procedure (17.9%). Regarding the factors that influenced the practice of having a Pap smear test were marital status, occupation, regular vitamin and mineral supplements intake, daily fruits intake, regular medical check-up, educational and income level significantly influenced the practice (p=0.001, p=0.002, p=0.034, p=0.001, p=0.001, p=0.024, p=0.001; respectively).

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“…Armour, Thierry, and Wolf (2009) analysed the 2008 Behavioral Risk Factor Surveillance System in the US and found that women with a disability were signifi cantly less likely to have undergone a mammogram or a Pap test during the previous 2 -3 years than those without a disability. Kallianes and Rubenfeld (1997) indicated that the reproductive rights of women with disability are constrained by many factors such as the assumption that they are asexual.…”

Section: Introductionmentioning

confidence: 99%

Caregiver attitudes to gynaecological health of women with intellectual disability

Lin

Chu

et al. 2011

Journal of Intellectual & Developmental Disability

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State-Level Differences in Breast and Cervical Cancer Screening by Disability Status

Cited by 80 publications

References 19 publications

Identifying barriers to Papanicolaou smear screening in Korean women: Korean National Health and Nutrition Examination Survey 2005

Identifying barriers to Papanicolaou smear screening in Korean women: Korean National Health and Nutrition Examination Survey 2005

Practice and Barriers towards Cervical Cancer Screening among University Staff at a Malaysian University

Caregiver attitudes to gynaecological health of women with intellectual disability

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