Assessment & Research

Factors related to hysterectomy in women with physical and mobility disabilities.

Lin et al. (2012) · Research in developmental disabilities 2012
★ The Verdict

Women with mobility disabilities face higher hysterectomy rates linked to missed Pap smears, so BCBAs should embed health-screen reminders in daily routines.

✓ Read this if BCBAs serving teens or adults with cerebral palsy, spina bifida, or other mobility limits.
✗ Skip if Clinicians working only with typically developing athletes or very young children.

01Research in Context

01

What this study did

Lin et al. (2012) mailed a survey to women with physical or mobility disabilities. They asked who had a hysterectomy and checked medical charts for cancer and Pap-smear history.

The team wanted to know how common the surgery is and what health gaps ride along with disability.

02

What they found

One in nine women in the sample had undergone a hysterectomy. The rate jumped sharply after age fifty.

Women with cervical-cancer history or who rarely had Pap smears were more likely to have had the surgery.

03

How this fits with other research

Stephenson et al. (2015) scoured studies on tech use in developmental disability and found most samples were tiny and basic. Lan-Ping’s survey is one of those small baseline studies the review says we need more of.

Himuro et al. (2017) showed the Japanese Functional Mobility Scale works well in kids with cerebral palsy. Together with Lan-Ping, the two papers flag the same theme: if you can’t move easily, routine tests or motor measures get skipped.

Smit et al. (2019) tested a quick balance screen in Special Olympics athletes and found it missed most fallers. Like Lan-Ping’s Pap-smear gap, the lesson is that standard screens can fail disabled clients unless we adapt delivery.

04

Why it matters

Your clients with limited mobility may miss pelvic exams, balance tests, or other routine checks. Build prompts into care plans: schedule extra time, offer transport, or use positioning aids so screens actually happen. A simple calendar reminder can catch cancer early and keep families out of surgery.

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→ Action — try this Monday

Add a quarterly Pap-smear or MD-visit prompt to the client’s visual schedule and train staff to follow through.

02At a glance

Intervention
not applicable
Design
survey
Sample size
502
Population
other
Finding
not reported

03Original abstract

This paper aims to identify self-report data for hysterectomy prevalence and to explore its correlated factors among women with physical and mobility disabilities in Taiwan. This paper was part of a larger study, "Survey on Preventive Health Utilizations of People with Physical and Mobility Disability in Taiwan", which is a cross-sectional survey conducted in 2009. We recruited 502 women aged ≧15 years who were officially registered as having physical and mobility disabilities. The results show that 11.3% of women with physical and mobility disabilities accepted hysterectomy surgery and that hysterectomy prevalence was increasing by age: 7% (45-49 years), 9.7% (50-54 years), 26.3% (55-59 years), 31% (60-64 years) and 17.6% (≧65 years). Multilevel logistic regression analyses revealed that being ≧50 years or older (OR=4.65, 95% CI=1.79-12.064), having had cervical cancer (OR=17.2, 95% CI=3.5-84.47) and not having a Pap smear test within the last 3 years (OR=2.79, 95% CI=1.194-6.561) were more likely to accept a hysterectomy operation than their counterparts. This study suggests that future studies should analyze hospital data and assesses long-term changes to understand an area's hysterectomy profile and correlated factors for these types of vulnerable populations.

Research in developmental disabilities, 2012 · doi:10.1016/j.ridd.2012.01.002