Breast and cervical cancer screening disparities associated with disability severity

Willi Horner-Johnson, Konrad Dobbertin, Elena Andresen, Lisa I. Iezzoni

Research output: Contribution to journalArticle

37 Citations (Scopus)

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 64years, 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.

Original languageEnglish (US)
JournalWomen's Health Issues
Volume24
Issue number1
DOIs
StatePublished - Jan 2014

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Early Detection of Cancer
Uterine Cervical Neoplasms
cancer
disability
Breast Neoplasms
Papanicolaou Test
severe disability
Geography
Information Storage and Retrieval
socioeconomic factors
Advisory Committees
Mammography
demographic factors
Health Expenditures
Research
expenditures
Logistic Models
logistics
Regression Analysis
Demography

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Public Health, Environmental and Occupational Health
  • Maternity and Midwifery
  • Health(social science)

Cite this

Breast and cervical cancer screening disparities associated with disability severity. / Horner-Johnson, Willi; Dobbertin, Konrad; Andresen, Elena; Iezzoni, Lisa I.

In: Women's Health Issues, Vol. 24, No. 1, 01.2014.

Research output: Contribution to journalArticle

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