Center for Global Health, Wright State University, Dayton, OH 45435, USA.
Soc Work Public Health. 2013;28(6):583-90. doi: 10.1080/19371918.2013.774253.
The purpose of this project was to describe cervical cancer screening rates in women with medical disabilities living in Ohio, and explore the relationship of select sociodemographic factors to cervical cancer screening participation. A chart abstraction of 350 randomly selected women, ages 20 to 80 years and enrolled in a statewide home care waiver program, was completed in July 2008. Less than half of the women (45.4%) had obtained a cervical cancer screening within the past 3 years. Controlling for age and third-party insurance, the odds of being screened decreased 20% with each activity of daily living requiring assistance (odds ratio = .815, 95% confidence interval [.696, .953]). Previous studies indicate that women with self-reported limitations are less likely to report a cervical cancer screening. The gap for screenings appears greater for women with a medical disability.
本研究旨在描述俄亥俄州患有身体残疾的女性的宫颈癌筛查率，并探讨特定社会人口因素与宫颈癌筛查参与之间的关系。2008 年 7 月，对 350 名随机选择的年龄在 20 至 80 岁之间、参加全州家庭护理豁免计划的女性进行了图表摘录。不到一半的女性（45.4%）在过去 3 年内接受过宫颈癌筛查。在控制年龄和第三方保险的情况下，每增加一项需要辅助日常生活活动，接受筛查的可能性就会降低 20%（比值比=0.815，95%置信区间[0.696，0.953]）。先前的研究表明，自我报告有局限性的女性不太可能报告宫颈癌筛查。对于身体残疾的女性来说，筛查的差距似乎更大。
