Sociodemographic characteristics and health-related factors affecting the use of Pap smear screening among women with mental disabilities in Taiwan |
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| Affiliation: | 1. Department of Health Services Administration, China Medical University, Taichung, Taiwan, ROC;2. Department of Chinese Medicine, Nantou Hospital, Nantou, Taiwan, ROC;3. Department of Healthcare Administration, Asia University, Taichung, Taiwan, ROC;1. Shiraz University of Medical Sciences, Shiraz, Iran;2. Resident of Neurology, Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran;3. Department of Neurology, Shiraz University of Medical Sciences, Shiraz, Iran;4. Department of Surgery, Louisiana State University Health Sciences Center, Shreveport, USA;5. Research Centre for Health Sciences, Department of Epidemiology, Shiraz University of Medical Sciences, Shiraz, Iran;1. VHA Office of Reporting, Analytics, Performance, Improvement and Deployment (RAPID), Washington, DC;2. Boston University School of Public Health, Department of Health Law Policy and Management, Boston, MA;3. Tufts University, Medford, MA;4. National Institutes of Health Rehabilitation Medicine Department, Bethesda, MD;1. Pomeranian Medical University in Szczecin, Department of Neurology, Poland;2. “Aldemed” Centrum Medyczne, Zielona Góra, Poland;1. Department of Special Education, Chung-Yuan Christian University, 200 Chung-Pei Road, 32023 Chung-Li, Taiwan;2. Department of Psychology, Chung-Yuan Christian University, 200 Chung-Pei Road, 32023 Chung-Li, Taiwan;3. Department of Psychology, Northern Illinois University, DeKalb, IL 60115, USA;1. Pediatrics Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt;2. Psychiatry Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt;3. Medical Biochemistry Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt;1. Graduate Institute of Food Safety, College of Agriculture and Natural Resources, National Chung Hsing University, Taichung, Taiwan;2. Department of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan;3. Department of Health Policy and Administration, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia;4. School of Nursing, National Yang-Ming University, Taipei, Taiwan;5. Department of Pediatrics, College of Medicine and Hospital, National Cheng Kung University, Tainan, Taiwan;6. Department of Pediatrics, Tainan Sinlau Hospital, Tainan, Taiwan;7. Department of Public Health, College of Public Health, China Medical University, Taichung, Taiwan;8. Department of Healthcare Administration, College of Medical and Health Science, Asia University, Taichung, Taiwan |
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| Abstract: | This study examined the use of the Pap cervical cancer screening test among women with mental disabilities in Taiwan and analyzed factors related thereto. Data were obtained from three national databases in Taiwan: the 2008 database of physically and mentally disabled persons from the Ministry of the Interior, 2007–2008 Pap smear test data from the Health Promotion Administration, and claims data from the National Health Insurance Research Database. The study subjects included 49,642 Taiwanese women aged ≥30 years with mental disabilities. Besides descriptive and bivariate analyses, logistic regression analysis was also performed to examine factors affecting Pap smear use. In 2007–2008, Taiwanese women with mental disabilities had a Pap screening rate of 11.05%. Age, income, education, marital status, catastrophic illness/injury, relevant chronic illnesses, and severity of disability were identified as factors affecting their Pap smear use. Age and severity of disability were negatively correlated with Pap screening, with the odds of screening being 0.37 times as high in ≥70-year-olds as in 30–39-year-olds and 0.49 times as high for very severe disability as for mild disability. Income was positively correlated with Pap screening. Being married (OR = 2.55) or divorced or widowed (OR = 2.40) relative to being unmarried, and having a catastrophic illness/injury (OR = 1.13), cancer (OR = 1.47), or diabetes (OR = 1.25), were associated with greater odds of screening. In Taiwan, women with mental disabilities receive Pap smears at a far lower rate than women in general. |
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| Keywords: | Mental disability Pap smear test Screening test Cancer prevention |
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