Peterson-Besse Jana J, O'Brien Megan S, Walsh Emily S, Monroe-Gulick Amalia, White Glen, Drum Charles E
Department of Public Health, Pacific University, Forest Grove, OR, USA.
Research and Training Center on Community Living, University of Kansas, Lawrence, KS, USA; School of Social Welfare, University of Kansas, Lawrence, KS, USA.
Disabil Health J. 2014 Oct;7(4):373-93. doi: 10.1016/j.dhjo.2014.04.005. Epub 2014 May 6.
Recommended use of clinical preventive services (CPS) reduces morbidity and mortality from preventable conditions. Disparities in CPS utilization between individuals with and without disabilities have been shown, but a greater understanding of the disability subpopulations with lowest utilization is needed to better inform research, policy, and practice.
The objective was to conduct a scoping review of the literature to identify relevant studies on disparities in receipt of CPS among subgroups of individuals with disabilities.
In July 2010, electronic and manual literature searches were conducted for years 2000-2009. Review for inclusion/exclusion and data analysis occurred in 2010 and 2011. In 2012, the review was updated to cover abstracts published in 2010 and 2011. Identified abstracts, and then full-text articles of included abstracts, were reviewed according to inclusion/exclusion criteria by multiple reviewers. For articles meeting all criteria, two reviewers performed independent data extraction. A gap analysis was performed to identify areas of concentration and gaps in the literature.
Twenty-seven articles met inclusion criteria for this review. Studies varied substantially in sample composition and research methods. CPS examined most often were cervical cancer screening (14 studies) and mammography (13 studies). Potential disparity factors studied most often were disability factors (i.e., disabling condition in 12 studies, disability severity in 10 studies). Stratification of CPS by disparity factors revealed substantial gaps in the literature.
The literature gaps point to a need for high quality research on access disparities among subgroups of individuals with disabilities.
推荐使用临床预防服务（CPS）可降低可预防疾病的发病率和死亡率。已有研究表明，残疾人和非残疾人在CPS利用方面存在差异，但需要更深入了解利用率最低的残疾亚人群体，以便为研究、政策和实践提供更好的信息。
对文献进行范围综述，以确定有关残疾人群体亚组在接受CPS方面存在差异的相关研究。
2010年7月，对2000 - 2009年的文献进行了电子和手工检索。2010年和2011年进行了纳入/排除审查和数据分析。2012年，对综述进行了更新，以涵盖2010年和2011年发表的摘要。由多名评审员根据纳入/排除标准对识别出的摘要，以及纳入摘要的全文文章进行评审。对于符合所有标准的文章，两名评审员进行独立的数据提取。进行了差距分析，以确定文献中的集中领域和差距。
27篇文章符合本综述的纳入标准。研究在样本构成和研究方法上差异很大。研究最多的CPS是宫颈癌筛查（14项研究）和乳房X光检查（13项研究）。研究最多的潜在差异因素是残疾因素（即12项研究中的致残状况，10项研究中的残疾严重程度）。按差异因素对CPS进行分层显示，文献中存在重大差距。
文献中的差距表明需要对残疾人群体亚组在获取方面的差异进行高质量研究。
