Davies N, Duff M
Division of Psychiatry, Bristol University, 41 St Michael's Hill, Bristol BS2 8DZ, UK.
J Intellect Disabil Res. 2001 Jun;45(Pt 3):253-7. doi: 10.1046/j.1365-2788.2001.00313.x.
Breast cancer is one of the commonest cancers to affect women. Present health service guidelines call for screening and mammography for all women aged between 50 and 65 years in an effort to increase early detection and improve survival rates. Nulliparity is one of the associated risk factors for breast cancer. Women with intellectual disability (ID) are increasing in longevity and are frequently nulliparous, and therefore, they are at increased risk of developing breast cancer. The aim of the present study was to review the uptake and knowledge of women with ID living in the community of breast screening programmes. A postal survey of women aged > or = 50 years with ID living in community group homes was used to gather data. Only one-third of the women carried out regular breast examination and a similar proportion had received invitations to mammography. General practitioners and practice nurses were currently playing very minor roles in breast screening these women. Primary health care professionals may be missing opportunistic health promotion opportunities and the support services for women with ID living in the community could be provided with better training and resources to improve breast cancer screening in this vulnerable group.
乳腺癌是影响女性的最常见癌症之一。目前的医疗服务指南要求对所有50至65岁的女性进行筛查和乳房X光检查，以提高早期发现率并改善生存率。未生育是乳腺癌的相关危险因素之一。患有智力残疾（ID）的女性寿命在延长，且往往未生育，因此，她们患乳腺癌的风险增加。本研究的目的是回顾社区中患有ID的女性对乳房筛查项目的接受情况和了解程度。通过对居住在社区集体家庭中年龄≥50岁的患有ID的女性进行邮政调查来收集数据。只有三分之一的女性定期进行乳房检查，且有类似比例的女性收到过乳房X光检查的邀请。全科医生和执业护士目前在为这些女性进行乳房筛查方面所起的作用非常小。初级卫生保健专业人员可能错失了机会性健康促进机会，对于居住在社区中的患有ID的女性，支持服务可以通过更好的培训和资源来改善这一弱势群体的乳腺癌筛查情况。
