Brief report: cervical cancer screening in women with intellectual and developmental disabilities who have had a pregnancy.
Background Women with intellectual and developmental disabilities (IDD) have lower cervical cancer screening rates than women without IDD. Key barriers to screening uptake include physician or caregiver assumptions that screening is unnecessary because women with IDD are not sexually active. Our obj...
| Publicado en: | Journal of Intellectual Disability Research Vol. 60; no. 1; pp. 22 - 28 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jan2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=112057831&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 112057831 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09642633 EUL jtl: Journal of Intellectual Disability Research issn: 09642633 maglogo: Y pubinfo: dt: Jan2016 vid: 60 iid: 1 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 112057831 112057831 112057831 10.1111/jir.12225 112057831 ppf: 22 ppct: 6 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Brief report: cervical cancer screening in women with intellectual and developmental disabilities who have had a pregnancy. aug: au: Brown, H. K. Plourde, N. Ouellette‐Kuntz, H. Vigod, S. Cobigo, V. affil: Women's College Research Institute, Women's College Hospital, Toronto Ontario, Canada sug: subj: Cervix Neoplasms Diagnosis Cancer Screening Intellectual Disability Developmental Disabilities Healthcare Disparities Human Female Health Services Accessibility Comparative Studies Retrospective Design Prospective Studies Ontario Young Adult Adult Middle Age Logistic Regression Population-Based Case Control Odds Ratio Confidence Intervals Adolescence Pregnancy Cervical Smears Coding Income Rural Areas Data Analysis Software Urban Areas Funding Source Adult: 19-44 years Middle Aged: 45-64 years Adolescent: 13-18 years Female ab: Background Women with intellectual and developmental disabilities (IDD) have lower cervical cancer screening rates than women without IDD. Key barriers to screening uptake include physician or caregiver assumptions that screening is unnecessary because women with IDD are not sexually active. Our objective was to compare cervical cancer screening rates in women with and without IDD who had had a pregnancy. Method We conducted a population-based retrospective cohort study using linked Ontario (Canada) health and social services administrative data. We identified 20- to 64-year-old women with (N =5033) and without (N =527 437) IDD who had had a pregnancy. We examined the occurrence of cervical cancer screening between April 1, 2007 and March 31, 2010. We compared screening rates in women with and without IDD using logistic regression, controlling for age, region of residence, neighbourhood income quintile and morbidity level. Results Women with IDD who had had a pregnancy were more likely than those without IDD to be young, to live in the lowest neighbourhood income quintile, to live in rural areas and to have high or very high morbidity. Even after controlling for these factors, women with IDD were less likely than women without IDD to be screened (67.7% vs. 77.0%; adjusted odds ratio 0.61; 95% confidence interval 0.58-0.65). Conclusions Even among women who have had a pregnancy and are therefore known to have been sexually active, women with IDD face significant disparities in cervical cancer screening. Strategies to promote equitable uptake of cervical cancer screening for women with IDD need to be implemented. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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