Disparities in Receipt of Breast and Cervical Cancer Screening for Rural Women Age 18 to 64 with Disabilities

被引:59
作者
Horner-Johnson, Willi [1 ]
Dobbertin, Konrad [1 ]
Iezzoni, Lisa I. [2 ,3 ]
机构
[1] Oregon Hlth & Sci Univ, Inst Dev & Disabil, Portland, OR 97239 USA
[2] Massachusetts Gen Hosp, Mongan Inst Hlth Policy, Boston, MA 02114 USA
[3] Harvard Univ, Sch Med, Dept Med, Boston, MA USA
基金
美国医疗保健研究与质量局;
关键词
HEALTH-CARE ACCESS; UNITED-STATES; MAMMOGRAPHY; BARRIERS; LIMITATIONS; CARCINOMA;
D O I
10.1016/j.whi.2015.02.004
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: Previous research has found breast and cervical cancer screening disparities between women with and without disabilities, and between women living in rural versus urban areas. Living in a rural area may add to the barriers women with disabilities experience when attempting to obtain screening for breast and cervical cancer. The purpose of this study was to examine the combination of disability status and rurality in association with receipt of breast and cervical cancer screening among women age 18 to 64 in the United States. Methods: We conducted cross-sectional analyses of data from the Medical Expenditure Panel Survey, using pooled annual data files from 2002 through 2008. We compared recent receipt of breast and cervical cancer screening among four groups: 1) urban women without disabilities, 2) urban women with disabilities, 3) rural women without disabilities, and 4) rural women with disabilities. Findings: Overall, women with disabilities were less likely to be up to date with mammograms and Pap tests compared with women with no disabilities. Similarly, women in rural areas were less likely to have received breast or cervical cancer screening within recommended timeframes. Women who both had a disability and lived in a rural area were the least likely to be current with screening. Conclusions: Our findings suggest that living in rural regions compounds disparities in receipt of cancer screening among women with disabilities. Increased attention is needed to improve receipt of cancer screening among rural women with disabilities. Copyright (C) 2015 by the Jacobs Institute of Women's Health. Published by Elsevier Inc.
引用
收藏
页码:246 / 253
页数:8
相关论文
共 34 条
[1]  
Altman B.M., 2008, Disability and health in the United States, 2001-2005
[2]   Pap, Mammography, and Clinical Breast Examination Screening Among Women with Disabilities: A Systematic Review [J].
Andresen, Elena M. ;
Peterson-Besse, Jana J. ;
Krahn, Gloria L. ;
Walsh, Emily S. ;
Horner-Johnson, Willi ;
Iezzoni, Lisa I. .
WOMENS HEALTH ISSUES, 2013, 23 (04) :E205-E214
[3]  
[Anonymous], 2008, 22 AG HEALTHC RES QU
[4]  
[Anonymous], 2011, STAT COMP PROGR
[5]   STATE-LEVEL DIFFERENCES IN BREAST AND CERVICAL CANCER SCREENING BY DISABILITY STATUS United States, 2008 [J].
Armour, Brian S. ;
Thierry, JoAnn M. ;
Wolf, Lesley A. .
WOMENS HEALTH ISSUES, 2009, 19 (06) :406-414
[6]   Screening for breast cancer: Recommendations and rationale [J].
Berg, AO ;
Allan, JD ;
Frame, PS ;
Homer, CJ ;
Johnson, MS ;
Klein, JD ;
Lieu, TA ;
Mulrow, CD ;
Orleans, CT ;
Peipert, JF ;
Pender, NJ ;
Siu, AL ;
Teutsch, SM ;
Westhoff, C ;
Woolf, SH .
ANNALS OF INTERNAL MEDICINE, 2002, 137 (05) :344-346
[7]   Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement [J].
Calonge, Ned ;
Petitti, Diana B. ;
DeWitt, Thomas G. ;
Dietrich, Allen J. ;
Gregory, Kimberly D. ;
Grossman, David ;
Isham, George ;
LeFevre, Michael L. ;
Leipzig, Rosanne M. ;
Marion, Lucy N. ;
Melnyk, Bernadette ;
Moyer, Virginia A. ;
Ockene, Judith K. ;
Sawaya, George F. ;
Schwartz, J. Sanford ;
Wilt, Timothy .
ANNALS OF INTERNAL MEDICINE, 2009, 151 (10) :716-W236
[8]  
Centers for Disease Control and Prevention, 2012, BREAST CANC SCREEN R
[9]   Health, preventive health care, and health care access among women with disabilities in the 1994-1995 national health interview survey, supplement on disability [J].
Chevarley, Frances M. ;
Thierry, JoAnn M. ;
Gill, Carol J. ;
Ryerson, A. Blythe ;
Nosek, Margaret A. .
WOMENS HEALTH ISSUES, 2006, 16 (06) :297-312
[10]   The Medical Expenditure Panel Survey A National Information Resource to Support Healthcare Cost Research and Inform Policy and Practice [J].
Cohen, Joel W. ;
Cohen, Steven B. ;
Banthin, Jessica S. .
MEDICAL CARE, 2009, 47 (07) :S44-S50