207015 Breast cancer screeening survey for women with disabilities

Tuesday, November 10, 2009

Desirae N. Ware, MPH , Rural Institute, The University of Montana, Missoula, MT
Meg Ann Traci, PhD , Rural Institute, The University of Montana, Missoula, MT
Kathryn Siegrist, MSN, CNM , College of Nursing- Missoula Campus, Montana State University, Missoula, MT
Although research and clinical practice indicate that a mammogram is an important screening tool used to aid in the early detection and diagnosis of breast cancer in women, accessing mammography has been shown to be quite difficult for women with physical disabilities. We developed and distributed an anonymous online 22-item questionnaire to women with disabilities in the state of Montana. We collected information about experiences women (n= 56) with disabilities have had with mammography and other breast health issues. Participants in general were 40 years or older; however 10% reported they were younger than 40 years of age but were recommended to have a mammogram. Physical disability was most commonly reported among women (63%). Six percent of women indicated they have utilized the state Breast and Cervical Health Program for financial assistance with breast cancer screening, while 25% reported they did not know if their personal insurance covered mammograms. Distances from individual's homes to healthcare providers ranged from less than 1 mile to 150 miles. Family history of breast cancer was reported among 36% of respondents and only 62% of women received a mammogram within the recommended guidelines. Nearly half (54%) of respondents who reported having a mammogram in the past did not experience any difficulties obtaining mammograms, while 26% reported difficulties accessing the mammography machine itself. A variety of barriers were noted as the reason women did not receive a mammogram within recommended guidelines. These barriers and additional survey results will be discussed.

Learning Objectives:
1. Discuss barriers women with disabilities face when accessing mammograms. 2. Discuss reasons some women with disabilities are not receiving mammograms within recommended guidelines. 3. Describe breast cancer screening rates among women with disabilities in Montana.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Desirae Ware, MPH, is the project coordinator for CDC's Right To Know campaign in Montana and has worked with primary partners on this campaign for two years. She coordinated partners' input on the development of this survey and coordinated activities of survey distribution, data collection, and report development. Ms. Ware has worked on other health education surveys and programs (e.g., nutrition, smoking cessation, and fitness mentoring)in Montana, presenting results at local, state and national meetings.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

See more of: Disability and Access to Care II
See more of: Disability