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改善残疾女性的乳房X光检查可及性:美国疾病控制与预防中心“知情权”运动的成果

Improving mammography access for women with disabilities: Outcomes of the CDC's right to know campaign.

作者信息

Traci Meg A, Horan Holly, Russette Helen, Goe Rebecca, Ware Desirae, Powell Kim, Hughes Rosemary B, Hicks Emily

机构信息

University of Montana Rural Institute: A Center for Excellence in Developmental Disabilities, USA.

Department of Anthropology, University of Alabama, USA.

出版信息

Front Womens Health. 2020 Sep;5(3). doi: 10.15761/fwh.1000188. Epub 2020 Jul 6.

Abstract

Women with disabilities share similar risks for breast cancer as other women yet experience a lack of access to cancer screening and are less likely to receive screening mammograms in accordance with recommended guidelines. The present study evaluated mammography centers across the state of Montana in response to the Centers for Disease Control and Prevention's Right to Know campaign, which focused on addressing barriers to breast cancer screening. Mammography centers were originally evaluated in 2009 and were reassessed in 2011 and 2015 after being given action plans to address accessibility barriers. The current study examined changes in accessibility across time in four priority areas: 1) van and standard parking, 2) exterior and interior routes, 3) mammography rooms, and 4) restrooms. Results indicate all mammography centers had a least one mammography machine that lowered for patients in a seated position and that accessibility of the four priority areas improved over time; however, improvements were still needed to encourage health equity for women with disabilities.

摘要

残疾女性患乳腺癌的风险与其他女性相似,但她们难以获得癌症筛查服务,且根据推荐指南接受乳腺钼靶筛查的可能性较小。本研究对蒙大拿州的乳腺钼靶检查中心进行了评估,以响应疾病控制与预防中心的“知情权”运动,该运动专注于解决乳腺癌筛查的障碍。乳腺钼靶检查中心最初于2009年进行评估,并在获得解决无障碍障碍的行动计划后,于2011年和2015年进行了重新评估。当前研究考察了四个优先领域随时间推移在无障碍方面的变化:1)厢式车和标准停车位,2)外部和内部通道,3)乳腺钼靶检查室,以及4)卫生间。结果表明,所有乳腺钼靶检查中心至少有一台乳腺钼靶机可以为坐姿患者降低高度,并且四个优先领域的无障碍程度随时间有所改善;然而,仍需改进以促进残疾女性的健康公平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e33a/9232175/6090230b3f4b/nihms-1762209-f0001.jpg

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