Welch Saleeby Patricia, Hunter-Jones Josalin
a School of Social Work, Southern Illinois University Carbondale , Carbondale , Illinois , USA.
b Grace Crum Rollins School of Public Health, Emory University , Atlanta , Georgia , USA.
Soc Work Public Health. 2016 Jul;31(4):255-63. doi: 10.1080/19371918.2015.1137509. Epub 2016 Apr 19.
Women with disabilities experience significant disparities in accessing breast health services. Many studies have focused on barriers, but few have explored facilitators to improving breast health services. This study used a participatory-research approach involving women with physical, mobility, sensory, and developmental disabilities to explore facilitators and barriers affecting the access and quality of breast health services. Findings confirmed commonly cited barriers including attitudinal, environmental, financial, and structural issues but also identified multiple facilitators such as enhancing accessibility of breast health facilities and equipment, improving information sources, and increasing training of health professionals. Findings from this study can be used in improving breast health services among women with disabilities by targeting not only the removal of barriers but also the increase in proven facilitators.
残疾女性在获得乳房健康服务方面存在显著差异。许多研究聚焦于障碍,但很少有研究探讨改善乳房健康服务的促进因素。本研究采用参与式研究方法,让身体、行动、感官和发育有残疾的女性参与其中,以探究影响乳房健康服务获取和质量的促进因素与障碍。研究结果证实了常见的障碍,包括态度、环境、财务和结构问题,但也确定了多个促进因素,如提高乳房健康设施和设备的可及性、改善信息来源以及增加对卫生专业人员的培训。本研究的结果可用于改善残疾女性的乳房健康服务,不仅针对消除障碍,还针对增加已证实的促进因素。