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Accepted (AM)Open Access (License Unspecified), Open
Journal article
REPEAT MAMMOGRAPHY SCREENING AMONG UNMARRIED WOMEN WITH AND WITHOUT A DISABILITY
Women's health issues, v 19(6), pp 415-424
01 Nov 2009
PMID: 19775912
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objectives. Unmarried women with disabilities maybe a particularly vulnerable group for underutilization of repeat mammography screening. Our goal was to compare the breast cancer screening experiences of unmarried women with disabilities (WWD) versus women with no disabilities (WND), and determine whether these experiences are associated with adherence to repeat screening.
Methods. We conducted a matched cohort study of 93 WWD and 93 WND to compare mammography experiences by disability status, examine rates of repeat mammography by disability status, and identify factors that are associated with repeat mammography.
Results. WWD were less likely to be on-schedule than WND in univariable (54.8% vs. 71.0%; relative risk, 0.77; 95% confidence limits, 0.61, 0.97), but not multivariable, analyses. In multivariable analyses, there was a significant interaction between disability status and positive experiences as the reasons for returning to the same mammography facility. Among WND, repeat screening ranged from 59% to 86%, depending on the number of positive experiences endorsed (range, 1-5). In contrast, among WWD, screening rates were only 37% among those who did not report any positive experiences and increased to a maximum of 60% regardless of whether women endorsed one to four or all five positive experiences. Severity and type of disability were not associated with repeat screening.
Conclusion. WWD may be less likely than WND to remain on-schedule for mammography. WWD who do not report any positive experiences as reasons for returning to a mammography facility may be at particularly high risk of underutilization of screening.
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Details
- Title
- REPEAT MAMMOGRAPHY SCREENING AMONG UNMARRIED WOMEN WITH AND WITHOUT A DISABILITY
- Creators
- Melissa A. Clark - Brown UniversityMichelle L. Rogers - Brown UniversityXiaozhong Wen - Brown UniversityVictoria Wilcox - Providence CollegeKate McCarthy-Barnett - Coventry (United Kingdom)Jeanne Panarace - Rhode Isl Dev Disabil Council, Warwick, RI USACarol Manning - Providence CollegeSusan Allen - Brown UniversityWilliam Rakowski - Brown University
- Publication Details
- Women's health issues, v 19(6), pp 415-424
- Publisher
- Elsevier
- Number of pages
- 10
- Grant note
- K07 CA087070; K07 CA087070-06; K07-CA87070; K07 CA087070-05; K07 CA087070-04 / NCI NIH HHS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI) K07CA087070 / NATIONAL CANCER INSTITUTE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI) R24 HD041020; T32 HD007338 / NICHD NIH HHS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD) R24HD041020 / EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Information Science
- Web of Science ID
- WOS:000271712900009
- Scopus ID
- 2-s2.0-70350303316
- Other Identifier
- 991021786460104721
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- Web of Science research areas
- Public, Environmental & Occupational Health
- Women's Studies