Pap, mammography, and clinical breast examination screening among women with disabilities: A systematic review

Elena Andresen, Jana J. Peterson-Besse, Gloria L. Krahn, Emily S. Walsh, Willi Horner-Johnson, Lisa I. Iezzoni

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

Background: Research has found some disparities between U.S. women with and without disabilities in receiving clinical preventive services. Substantial differences may also exist within the population of women with disabilities. The current study examined published research on Pap smears, mammography, and clinical breast examinations across disability severity levels among women with disabilities. Methods: Informed by an expert panel, we followed guidelines for systematic literature reviews and searched MEDLINE, PsycINFO, and Cinahl databases. We also reviewed in-depth four disability- or preventive service-relevant journals. Two reviewers independently extracted data from all selected articles. Findings: Five of 74 reviewed publications of metall our inclusion criteria and all five reported data on Pap smears, mammography, and clinical breast examination. Articles classified disability severity groups by functional and/or activity levels. Associations between disability severity and Pap smear use were inconsistent across the publications. Mammography screening fell as disability level increased according to three of the five studies. Results demonstrated modestly lower screening, but also were inconsistent for clinical breast examinations across studies. Conclusion: Evidence is inconsistent concerning disparities in these important cancer screening services with increasing disability levels. Published studies used differing methods and definitions, adding to concerns about the evidence for screening disparities rising along with increasing disability. More focused research is required to determine whether significant disparities exist in cancer screening among women with differing disability levels. This information is essential for national and local public health and health care organizations to target interventions to improve care for women with disabilities.

Original languageEnglish (US)
JournalWomen's Health Issues
Volume23
Issue number4
DOIs
StatePublished - Jul 2013

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Mammography
Breast
Papanicolaou Test
disability
examination
Early Detection of Cancer
Publications
Research
MEDLINE
Public Health
Databases
Guidelines
Delivery of Health Care
cancer
local public
Population
evidence
public health
inclusion
expert

ASJC Scopus subject areas

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

Cite this

Pap, mammography, and clinical breast examination screening among women with disabilities : A systematic review. / Andresen, Elena; Peterson-Besse, Jana J.; Krahn, Gloria L.; Walsh, Emily S.; Horner-Johnson, Willi; Iezzoni, Lisa I.

In: Women's Health Issues, Vol. 23, No. 4, 07.2013.

Research output: Contribution to journalArticle

Andresen, Elena ; Peterson-Besse, Jana J. ; Krahn, Gloria L. ; Walsh, Emily S. ; Horner-Johnson, Willi ; Iezzoni, Lisa I. / Pap, mammography, and clinical breast examination screening among women with disabilities : A systematic review. In: Women's Health Issues. 2013 ; Vol. 23, No. 4.
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