Disability and participation in breast and bowel cancer screening in England: a large prospective study.
Br J Cancer 2017;
117:1711-1714. [PMID:
28972966 PMCID:
PMC5729433 DOI:
10.1038/bjc.2017.331]
[Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2017] [Revised: 07/14/2017] [Accepted: 08/29/2017] [Indexed: 11/09/2022] Open
Abstract
BACKGROUND
There is limited information about participation in organised population-wide screening programmes by people with disabilities.
METHODS
Data from the National Health Service routine screening programmes in England were linked to information on disability reported by the Million Women Study cohort participants.
RESULTS
Of the 473 185 women offered routine breast or bowel cancer screening, 23% reported some disability. Women with disabilities were less likely than other women to participate in breast cancer screening (RR=0.64, 95% CI: 0.62-0.65) and in bowel cancer screening (RR=0.75, 0.73-0.76). Difficulties with self-care or vision were associated with the greatest reduction in screening participation.
CONCLUSION
Participation in routine cancer screening programmes in England is reduced in people with disabilities and participation varies by type of disability.
Collapse