Barriers to Adherence to Screening Mammography Among Women With Disabilities

Bibliographic Data

ID11029028
AuthorsBonnie C Yankaskas (Bonnie C. Yankaskas and Molly P. Jarman are with the Department of Radiology, University of North Carolina, Chapel Hill. Pamela Dickens and Karen Luken are with the North Carolina Office on Disability and Health, University of North Carolina, Chapel Hill. J. Michael Bowling is with the Department of Health Behavior and Health Education, University of North Carolina, Chapel Hill. Kathryn Salisbury and Carol E. Lorenz are with the Center for Women's Health Research, University of North Carolina, Chapel...), Pamela Dickens (Bonnie C. Yankaskas and Molly P. Jarman are with the Department of Radiology, University of North Carolina, Chapel Hill. Pamela Dickens and Karen Luken are with the North Carolina Office on Disability and Health, University of North Carolina, Chapel Hill. J. Michael Bowling is with the Department of Health Behavior and Health Education, University of North Carolina, Chapel Hill. Kathryn Salisbury and Carol E. Lorenz are with the Center for Women's Health Research, University of North Carolina, Chapel...), J Michael Bowling (Bonnie C. Yankaskas and Molly P. Jarman are with the Department of Radiology, University of North Carolina, Chapel Hill. Pamela Dickens and Karen Luken are with the North Carolina Office on Disability and Health, University of North Carolina, Chapel Hill. J. Michael Bowling is with the Department of Health Behavior and Health Education, University of North Carolina, Chapel Hill. Kathryn Salisbury and Carol E. Lorenz are with the Center for Women's Health Research, University of North Carolina, Chapel...), Molly P Jarman (0000-0001-7117-5869, Bonnie C. Yankaskas and Molly P. Jarman are with the Department of Radiology, University of North Carolina, Chapel Hill. Pamela Dickens and Karen Luken are with the North Carolina Office on Disability and Health, University of North Carolina, Chapel Hill. J. Michael Bowling is with the Department of Health Behavior and Health Education, University of North Carolina, Chapel Hill. Kathryn Salisbury and Carol E. Lorenz are with the Center for Women's Health Research, University of North Carolina, Chapel...), Karen Luken (Bonnie C. Yankaskas and Molly P. Jarman are with the Department of Radiology, University of North Carolina, Chapel Hill. Pamela Dickens and Karen Luken are with the North Carolina Office on Disability and Health, University of North Carolina, Chapel Hill. J. Michael Bowling is with the Department of Health Behavior and Health Education, University of North Carolina, Chapel Hill. Kathryn Salisbury and Carol E. Lorenz are with the Center for Women's Health Research, University of North Carolina, Chapel...), Kathryn Salisbury (0000-0001-9791-2855, Bonnie C. Yankaskas and Molly P. Jarman are with the Department of Radiology, University of North Carolina, Chapel Hill. Pamela Dickens and Karen Luken are with the North Carolina Office on Disability and Health, University of North Carolina, Chapel Hill. J. Michael Bowling is with the Department of Health Behavior and Health Education, University of North Carolina, Chapel Hill. Kathryn Salisbury and Carol E. Lorenz are with the Center for Women's Health Research, University of North Carolina, Chapel...), Jacqueline R Halladay (0000-0002-1300-353X, University of North Carolina at Chapel Hill), Jacqueline Halladay (Bonnie C. Yankaskas and Molly P. Jarman are with the Department of Radiology, University of North Carolina, Chapel Hill. Pamela Dickens and Karen Luken are with the North Carolina Office on Disability and Health, University of North Carolina, Chapel Hill. J. Michael Bowling is with the Department of Health Behavior and Health Education, University of North Carolina, Chapel Hill. Kathryn Salisbury and Carol E. Lorenz are with the Center for Women's Health Research, University of North Carolina, Chapel...), Carol E Lorenz (Bonnie C. Yankaskas and Molly P. Jarman are with the Department of Radiology, University of North Carolina, Chapel Hill. Pamela Dickens and Karen Luken are with the North Carolina Office on Disability and Health, University of North Carolina, Chapel Hill. J. Michael Bowling is with the Department of Health Behavior and Health Education, University of North Carolina, Chapel Hill. Kathryn Salisbury and Carol E. Lorenz are with the Center for Women's Health Research, University of North Carolina, Chapel...), Carol Lorenz (University of North Carolina at Chapel Hill)
Year2010
Volume100
Issue5
Pages947-953
Publication date2010-05-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2008.150318
PMID19834002
PMCIDPMC2853618
OpenAlexW2114140187
LanguageEN
Citations received6
References cited15

Objectives. Given the lack of screening mammography studies specific to women with disabilities, we compared reasons offered by women with and without disabilities for not scheduling routine screening visits. Methods. We surveyed women in the Carolina Mammography Registry aged 40 to 79 years (n = 2970), who had been screened from 2001 through 2003 and did not return for at least 3 years, to determine reasons for noncompliance. In addition to women without disabilities, women with visual, hearing, physical, and multiple (any combination of visual, hearing, and physical) limitations were included in our analyses. Results. The most common reasons cited by women both with and without disabilities for not returning for screening were lack of a breast problem, pain and expense associated with a mammogram, and lack of a physician recommendation. Women with disabilities were less likely to receive a physician recommendation. Conclusions. Women with disabilities are less likely than those without disabilities to receive a physician recommendation for screening mammography, and this is particularly the case among older women and those with multiple disabilities. There is a need for equitable preventive health care in this population

Breast cancer · Environmental health · Family medicine · Mammography · Population · Disability Rights and Representation · Down syndrome and intellectual disability research · Inclusion and Disability in Education and Sport · Medicine · Gerontology

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