The assessment of the likelihood of mammography usage with relevant factors among women with disabilities.
Disabled women over 50 get mammograms at under 9 %—target them with outreach that tackles income, education, and family fears.
01Research in Context
What this study did
Kung et al. (2012) looked at how many disabled women get breast-cancer X-rays.
They asked women aged 50-69 about income, schooling, and past doctor visits.
Then they ran math tests to see which things made a mammogram more or less likely.
What they found
Only 8.5 out of every 100 disabled women had a recent mammogram.
Women with more money, more school, or past preventive care were more likely to go.
Women with worse or many disabilities were less likely to go.
How this fits with other research
Goodwin et al. (2012) asked similar women what they knew. Most knew almost nothing about breast screening. Together the two papers show low use and low knowledge happen side-by-side.
Murphy et al. (2014) talked to families. Relatives said they skip the topic because they fear hard cancer choices. Their worry helps explain the tiny 8.5 % uptake.
Elmadani et al. (2024) later pooled eight short classes. Classes lifted knowledge a bit, but no one tracked if more women actually got screened. The gap Pei-Tseng found is still waiting for a fix that works.
Why it matters
If you serve adults with disabilities, plan outreach like simple reminders, extra time, and staff help. Start with women who have low income, low schooling, or many disabilities. Pair teaching with real booking so knowledge turns into action.
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02At a glance
03Original abstract
Research that identifies the determinants of low mammography use among disabled people is scant. This study examines the determining factors related to the low usage of mammography among women with disabilities. To identify the barriers that prevent women with disabilities from participating in mammography screening can help authorities conceive feasibly useful strategies for avoiding worse suffering. With women aged between 50 and 69 as subjects, this study was conducted using the database of Ministry of the Interior, Taiwan, in 2008, coupled with information gathered between 2006 and 2008 on preventive health care and medical claim data from the Bureau of Health Promotion and the National Health Research Institutes, respectively. This study examined the factors determining the use of mammography with logistic regression analysis. Only 8.49% of the disabled women used mammographies. When women with disabilities were in higher income level, they were more likely to use mammography for breast cancer screening. Similar findings were found for education levels. Moreover, subjects with a more severe form of disability were less likely to use mammography with ORs of 0.84, 0.63, and 0.52. Disabled women with major organ malfunction, chronic mental illness, or mental retardation had a higher likelihood to use mammography services, whereas women with multiple disabilities had the lowest likelihood of usage. Those with experience using other preventive services showed 1.9 times to 7.54 times (95% CI: 1.82-1.98, 7.15-7.95, respectively) increased likelihood of mammography usage. In summary, mammography usage is relatively different for disabled and nondisabled populations. To mitigate the disparities, we can use community healthcare institutions or public health nurses and social workers to provide related preventive health services through community events to implement integrated cancer screening services.
Research in developmental disabilities, 2012 · doi:10.1016/j.ridd.2011.08.032