Disparities in Receipt of Breast and Cervical Cancer Screening for Rural Women Age 18 to 64 with Disabilities |
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| Affiliation: | 1. Institute on Development & Disability, Oregon Health & Science University, Portland, Oregon;2. Mongan Institute for Health Policy, Massachusetts General Hospital, Boston, Massachusetts;3. Department of Medicine, Harvard Medical School, Boston, Massachusetts;1. Department of Health Management and Informatics, Biostatistics and Research Design Unit, University of Missouri School of Medicine, Columbia, Missouri;2. Department of Epidemiology and Biostatistics, University of South Carolina Arnold School of Public Health, Columbia, South Carolina;3. Department of Preventive Medicine, University of Mississippi Medical Center, Jackson, Mississippi;1. Department of Public Health, China Medical University, Taichung, Taiwan, ROC;2. Department of Health Services Administration, China Medical University, Taichung, Taiwan, ROC;3. Department of Chinese Medicine, Nantou Hospital, Nantou, Taiwan, ROC;4. Department of Healthcare Administration, Asia University, Taichung, Taiwan, ROC;1. Oregon Health & Science University, Portland, OR, USA;2. Pacific University, Forest Grove, OR, USA;3. Oregon Evidence-based Practice Center, Scientific Resource Center, AHRQ Effective Health Care Program, USA;1. Mongan Institute Health Policy Center, Massachusetts General Hospital, Boston, MA, the United States;2. Center for Bioethics and Humanities, University of Colorado School of Medicine, Aurora, CO, the United States;3. Department of Medicine, Harvard Medical School, Boston, MA, the United States;1. Department of Medicine, New York University School of Medicine, New York, New York;2. Department of Community Medicine, Lutheran Family Health Centers, New York, New York |
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| Abstract: | BackgroundPrevious 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.MethodsWe 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.FindingsOverall, 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.ConclusionsOur 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. |
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