The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.
The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.
Health Policy. 2022 Oct;126(10):1039-1050. doi: 10.1016/j.healthpol.2022.08.003. Epub 2022 Aug 3.
Previous studies showed that cervical cancer screening uptake among people with physical disabilities is low. A better understanding of the factors affecting their screening uptake is needed to devise strategies to address this issue.
This review explores the factors that impede or enhance cervical cancer screening utilisation by people with physical disabilities, such as mobility, visual and hearing impairments.
Five electronic databases were searched, resulting in the inclusion of nine studies focusing on people with physical disabilities and their utilisation of cervical cancer screening services. Extracted data from these studies were summarised narratively. Their methodological quality was assessed using the Mixed Methods Appraisal Tool, Version 2018.
Three major impeding factors were reported: 1) lack of knowledge of cervical cancer screening and how it can be accessed; 2) difficulties and inconveniences in accessing cancer screening providers and undergoing the screening procedures; and 3) uncomfortable experiences during the screening procedures. The availability of attendant services and wheelchair-accessible facilities and a longer duration of screening procedures enhanced screening utilisation by the subjects.
This review highlights the need to provide training for healthcare professionals on working with people with physical disabilities, enhance supportive services to allow them to access cervical cancer screening and educate them on the importance of screening.
先前的研究表明，身体残疾者的宫颈癌筛查参与率较低。为了制定解决这一问题的策略，需要更好地了解影响他们筛查参与的因素。
本综述探讨了影响身体残疾者（如行动障碍、视力和听力障碍）接受宫颈癌筛查的因素。
检索了五个电子数据库，共纳入了九项关注身体残疾者及其宫颈癌筛查服务利用情况的研究。从这些研究中提取的数据进行了叙述性总结。使用 2018 年混合方法评估工具评估了这些研究的方法学质量。
报告了三个主要的阻碍因素：1）缺乏对宫颈癌筛查及其获取方式的了解；2）在获得癌症筛查提供者和接受筛查程序方面存在困难和不便；3）筛查过程中的不舒适体验。提供陪护服务和轮椅无障碍设施以及延长筛查程序的时间可提高受检者的筛查参与率。
本综述强调了需要为医疗保健专业人员提供与身体残疾者合作的培训，增强支持性服务以使其能够接受宫颈癌筛查，并教育他们筛查的重要性。
