Understanding breast cancer treatment and recovery among women aged 40 years and older with physical disabilities

Breast cancer is a major public health concern for all women, including women with disabilities. While information about the barriers to screening has increased, little is known about the diagnosis, treatment, and recovery experiences of women with disabilities who have survived breast cancer. A qualitative study exploring barriers to breast cancer screening and treatment for women with physical disabilities was conducted in seven regions across the United States. In three of these locations, focus groups were convened to explore the experiences of women with disabilities who had survived breast cancer. Participants were given the opportunity to share their personal experiences with cancer. Women with physical disabilities aged 40 years and older were asked questions about their experiences with screening and diagnosis, treatment decisions, recovery, and social support. Findings suggest that although women with disabilities participated in their treatment decisions, they did not receive needed rehabilitation services, and were less likely to receive sufficient social support from traditional cancer support services. Considerations unique to this population including treatment preferences, perception of body image, rehabilitation, and physical and emotional well-being will be presented. The effects of cancer treatment on independent living and quality of life will also be discussed. Better understanding of these issues will lead to enhanced clinical practices and interventions directed at increasing breast cancer survival and improving the lives of women with disabilities.