TY - JOUR
T1 - Pap, mammography, and clinical breast examination screening among women with disabilities
T2 - A systematic review
AU - Andresen, Elena M.
AU - Peterson-Besse, Jana J.
AU - Krahn, Gloria L.
AU - Walsh, Emily S.
AU - Horner-Johnson, Willi
AU - Iezzoni, Lisa I.
N1 - Funding Information:
Supported by grant # H133A080031 from National Institute on Disability and Rehabilitation Research/DOE . However, those contents do not necessarily represent the policy of the Department of Education, and you should not assume endorsement by the Federal Government.
PY - 2013/7
Y1 - 2013/7
N2 - 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.
AB - 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.
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U2 - 10.1016/j.whi.2013.04.002
DO - 10.1016/j.whi.2013.04.002
M3 - Article
C2 - 23816150
AN - SCOPUS:84879825668
SN - 1049-3867
VL - 23
SP - e205-e214
JO - Women's Health Issues
JF - Women's Health Issues
IS - 4
ER -