Graduate Institute of Public Health, College of Public Health, China Medical University, Taichung 406040, Taiwan.
Department of Health Services Administration, College of Public Health, China Medical University, Taichung 406040, Taiwan.
Int J Environ Res Public Health. 2022 Apr 26;19(9):5280. doi: 10.3390/ijerph19095280.
Because of the difficulties in accessing medical care, the likelihood of receiving breast cancer screening may be low for women with disabilities. We aimed to investigate differences in the utilization of breast cancer screening among women with and without disabilities. Participants included women with and without disabilities from 2004 to 2010, and it was observed whether the participants had received a breast cancer screening during 2011 and 2012. Propensity-score matching was employed to match disabled women with non-disabled women (1:1). Data sources included the National Health Insurance Research Database, the Cancer Screening Database, and the Disability Registration File. Conditional logistic regression was performed to examine the odds ratios (ORs) that both groups would undergo breast cancer screening. The proportion of women with disabilities who received breast cancer screening was 18.33%, which was significantly lower than that of women without disabilities (25.52%) (p < 0.001). Women with dementia had the lowest probability of receiving a mammography examination (OR = 0.34; 95% CI: 0.28−0.43), followed by those with multiple disabilities (OR = 0.43; 95% CI: 0.40−0.47) and intellectual disabilities (OR = 0.45; 95% CI: 0.41−0.50). In conclusion, compared to women without disabilities, those with disabilities were less likely to undergo breast cancer screening.
由于获得医疗保健的困难，残疾女性接受乳腺癌筛查的可能性可能较低。我们旨在调查残疾女性和非残疾女性之间乳腺癌筛查利用情况的差异。参与者包括 2004 年至 2010 年的残疾女性和非残疾女性，并观察她们在 2011 年和 2012 年是否接受了乳腺癌筛查。采用倾向评分匹配将残疾女性与非残疾女性进行匹配（1:1）。数据来源包括全民健康保险研究数据库、癌症筛查数据库和残疾登记文件。采用条件逻辑回归检验两组接受乳腺癌筛查的优势比（OR）。接受乳腺癌筛查的残疾女性比例为 18.33%，明显低于非残疾女性（25.52%）（p<0.001）。患有痴呆症的女性接受乳房 X 光检查的可能性最低（OR=0.34；95%CI：0.28-0.43），其次是多重残疾女性（OR=0.43；95%CI：0.40-0.47）和智力残疾女性（OR=0.45；95%CI：0.41-0.50）。总之，与非残疾女性相比，残疾女性接受乳腺癌筛查的可能性较低。
