Disability and participation in breast and bowel cancer screening in England: a large prospective study

被引:33
作者
Floud, S. [1 ]
Barnes, I. [1 ]
Verfurden, M. [2 ]
Kuper, H. [3 ]
Gathani, T. [1 ,4 ]
Blanks, R. G. [1 ]
Alison, R. [1 ]
Patnick, J. [1 ]
Beral, V. [1 ]
Green, J. [1 ]
Reeves, G. K. [1 ]
机构
[1] Univ Oxford, Nuffield Dept Populat Hlth, Canc Epidemiol Unit, Roosevelt Dr, Oxford OX3 7LF, England
[2] UCL Great Ormond St Inst Child Hlth, 30 Guilford St, London WC1N 1EH, England
[3] London Sch Hyg & Trop Med, Int Ctr Evidence Disabil, Keppel St, London WC1E 7HT, England
[4] Oxford Univ Hosp NHS Fdn Trust, John Radcliffe Hosp, Headley Way, Oxford OX3 9DU, England
基金
英国医学研究理事会;
关键词
disability; screening; participation; bowel cancer; breast cancer; WOMEN; MAMMOGRAPHY;
D O I
10.1038/bjc.2017.331
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background: There is limited information about participation in organised population-wide screening programmes by people with disabilities. Methods: Data from the National Health Service routine screening programmes in England were linked to information on disability reported by the Million Women Study cohort participants. Results: Of the 473 185 women offered routine breast or bowel cancer screening, 23% reported some disability. Women with disabilities were less likely than other women to participate in breast cancer screening (RR = 0.64, 95% CI: 0.62-0.65) and in bowel cancer screening (RR = 0.75, 0.73-0.76). Difficulties with self-care or vision were associated with the greatest reduction in screening participation. Conclusion: Participation in routine cancer screening programmes in England is reduced in people with disabilities and participation varies by type of disability.
引用
收藏
页码:1711 / 1714
页数:4
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