Lower breast, cervical cancer screening seen for adults with disabilities
· Medical Xpressby Elana Gotkine
edited by Sadie Harley, reviewed by Andrew Zinin
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Individuals with disabilities have a lower prevalence of breast and cervical cancer screening, according to a study published in Cancer.
Natalia Mazzitelli, M.P.H., from the American Cancer Society in Atlanta, and colleagues pooled data from the 2021 and 2023 National Health Interview Surveys to estimate the prevalence of self-reported breast, cervical and colorectal cancer screening according to disability domains and difficulty levels.
Overall, 1,712, 1,147 and 3,106 sample respondents eligible for breast, cervical and colorectal cancer screening had disabilities, respectively; when population-weighted, this translated to 6.02 million, 5.10 million and 11.17 million, respectively.
The researchers found that the prevalence of breast and cervical cancer screening decreased with increasing difficulty levels in the self-care, vision, mobility and cognition domains. The lowest receipt was seen among those reporting "substantial" versus "none" self-care difficulties (adjusted prevalence ratios of 0.69 and 0.63 for breast and cervical cancer screening, respectively).
Lower cervical cancer screening, but not other screening, was associated with communication disability (adjusted prevalence ratio of 0.65 for "substantial" versus "none"). Higher stool testing for colorectal cancer was seen among adults with "substantial" mobility difficulties (adjusted prevalence ratio of 1.24 versus "none") and "some" self-care, mobility and vision difficulties compared with "none."
"We have to break down the barriers stopping individuals with disabilities from getting cancer screening," senior author Priti Bandi, Ph.D., also from the American Cancer Society, said in a statement. "At-home options like stool testing show enormous potential to bridge this gap, and we need to actively explore expanded self-sampling tools."
Publication details
Natalia Mazzitelli et al, Prevalence of breast, cervical, and colorectal cancer screening among adults according to disability type and difficulty level, United States, 2021 and 2023, Cancer (2026). DOI: 10.1002/cncr.70557
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