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Prevalence of Cancer Screening Among Adults With Disabilities, United States, 2013

INTRODUCTION: Many studies on cancer screening among adults with disabilities examined disability status only, which masks subgroup differences. We examined prevalence of receipt of cancer screening tests by disability status and type. METHODS: We used 2013 National Health Interview Survey data to a...

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Autores principales: Steele, C. Brooke, Townsend, Julie S., Courtney-Long, Elizabeth A., Young, Monique
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Centers for Disease Control and Prevention 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5268742/
https://www.ncbi.nlm.nih.gov/pubmed/28125399
http://dx.doi.org/10.5888/pcd14.160312
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author Steele, C. Brooke
Townsend, Julie S.
Courtney-Long, Elizabeth A.
Young, Monique
author_facet Steele, C. Brooke
Townsend, Julie S.
Courtney-Long, Elizabeth A.
Young, Monique
author_sort Steele, C. Brooke
collection PubMed
description INTRODUCTION: Many studies on cancer screening among adults with disabilities examined disability status only, which masks subgroup differences. We examined prevalence of receipt of cancer screening tests by disability status and type. METHODS: We used 2013 National Health Interview Survey data to assess prevalence of 1) guideline-concordant mammography, Papanicolaou (Pap) tests, and endoscopy and stool tests; 2) physicians’ recommendations for these tests; and 3) barriers to health-care access among adults with and without disabilities (defined as difficulty with cognition, hearing, vision, or mobility). RESULTS: Reported Pap test use ranged from 66.1% (95% confidence interval [CI], 60.3%–71.4%) to 80.2% (95% CI, 72.4%–86.2%) among women with different types of disabilities compared with 81.4% (95% CI, 80.0%–82.7%) among women without disabilities. Prevalence of mammography among women with disabilities was also lower (range, 61.2% [95% CI, 50.5%–71.0%] to 67.5% [95% CI, 62.8%–71.9%]) compared with women without disabilities (72.8% [95% CI, 70.7%–74.9%]). Screening for colorectal cancer was 57.0% among persons without disabilities, and ranged from 48.6% (95% CI, 40.3%–57.0%) among those with vision limitations to 64.6% (95% CI, 58.5%–70.2%) among those with hearing limitations. Receiving recommendations for Pap tests and mammography increased all respondents’ likelihood of receiving these tests. The most frequently reported barrier to accessing health care reported by adults with disabilities was difficulty scheduling an appointment. CONCLUSION: We observed disparities in receipt of cancer screening among adults with disabilities; however, disparities varied by disability type. Our findings may be used to refine interventions to close gaps in cancer screening among persons with disabilities.
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spelling pubmed-52687422017-02-03 Prevalence of Cancer Screening Among Adults With Disabilities, United States, 2013 Steele, C. Brooke Townsend, Julie S. Courtney-Long, Elizabeth A. Young, Monique Prev Chronic Dis Original Research INTRODUCTION: Many studies on cancer screening among adults with disabilities examined disability status only, which masks subgroup differences. We examined prevalence of receipt of cancer screening tests by disability status and type. METHODS: We used 2013 National Health Interview Survey data to assess prevalence of 1) guideline-concordant mammography, Papanicolaou (Pap) tests, and endoscopy and stool tests; 2) physicians’ recommendations for these tests; and 3) barriers to health-care access among adults with and without disabilities (defined as difficulty with cognition, hearing, vision, or mobility). RESULTS: Reported Pap test use ranged from 66.1% (95% confidence interval [CI], 60.3%–71.4%) to 80.2% (95% CI, 72.4%–86.2%) among women with different types of disabilities compared with 81.4% (95% CI, 80.0%–82.7%) among women without disabilities. Prevalence of mammography among women with disabilities was also lower (range, 61.2% [95% CI, 50.5%–71.0%] to 67.5% [95% CI, 62.8%–71.9%]) compared with women without disabilities (72.8% [95% CI, 70.7%–74.9%]). Screening for colorectal cancer was 57.0% among persons without disabilities, and ranged from 48.6% (95% CI, 40.3%–57.0%) among those with vision limitations to 64.6% (95% CI, 58.5%–70.2%) among those with hearing limitations. Receiving recommendations for Pap tests and mammography increased all respondents’ likelihood of receiving these tests. The most frequently reported barrier to accessing health care reported by adults with disabilities was difficulty scheduling an appointment. CONCLUSION: We observed disparities in receipt of cancer screening among adults with disabilities; however, disparities varied by disability type. Our findings may be used to refine interventions to close gaps in cancer screening among persons with disabilities. Centers for Disease Control and Prevention 2017-01-26 /pmc/articles/PMC5268742/ /pubmed/28125399 http://dx.doi.org/10.5888/pcd14.160312 Text en https://creativecommons.org/licenses/by/4.0/This is a publication of the U.S. Government. This publication is in the public domain and is therefore without copyright. All text from this work may be reprinted freely. Use of these materials should be properly cited.
spellingShingle Original Research
Steele, C. Brooke
Townsend, Julie S.
Courtney-Long, Elizabeth A.
Young, Monique
Prevalence of Cancer Screening Among Adults With Disabilities, United States, 2013
title Prevalence of Cancer Screening Among Adults With Disabilities, United States, 2013
title_full Prevalence of Cancer Screening Among Adults With Disabilities, United States, 2013
title_fullStr Prevalence of Cancer Screening Among Adults With Disabilities, United States, 2013
title_full_unstemmed Prevalence of Cancer Screening Among Adults With Disabilities, United States, 2013
title_short Prevalence of Cancer Screening Among Adults With Disabilities, United States, 2013
title_sort prevalence of cancer screening among adults with disabilities, united states, 2013
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5268742/
https://www.ncbi.nlm.nih.gov/pubmed/28125399
http://dx.doi.org/10.5888/pcd14.160312
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