310161
Prevalence and Predictors of Cervical Cancer Screening among Women with Intellectual and Developmental Disabilities
Methods: We analyzed Longitudinal Health and Intellectual Disability Study (LHIDS) baseline data of 560 women with IDD. Dependent variable is receipt of a Pap test within three years. Independent variables for univariate regressions included individual factors (i.e., age, ID level, Down syndrome, cerebral palsy, autism, race, mobility limitation, unhealthy days due to physical health, unhealthy days due to mental health, employment status), access to health care (i.e., type of health insurance), and environmental factors (i.e., residential type, residence area). A series of univariate regressions were employed to identify potential cofounders or covariates. Then, a multiple logistic regression was employed.
Results: Overall, 52% of women with IDD received Pap tests. Younger (versus older) women were significantly less likely to have Pap tests (42% versus 64%, respectively). Women with IDD who resided with family or relatives had the lowest rate (36%) of Pap tests. Women aged 34 and younger, had Down syndrome, and lived in a family or relative’s home were less likely to receive Pap tests.
Conclusions: Our findings suggest that younger women with Down syndrome living with families or relatives may be especially in need for intervention.
Learning Areas:
EpidemiologyPublic health or related education
Public health or related research
Learning Objectives:
Compare cervical cancer screening rates among women with IDD across various residential types.
Describe predictors of receipt of cervical cancer screening for women with IDD living in community settings.
Discuss the implications of the findings and ways to increase the rate of receipt of cervical cancer screening among women with IDD.
Keyword(s): Cancer and Women’s Health, Preventive Medicine
Qualified on the content I am responsible for because: I have been in the disability research field over 20 years. I have been the principal investigator of this longitudinal study since 2012 and as a co-Principal for over two years before the principal left the university. I was awarded another five-year research grant (2013-1018) that allows me to continue to follow up the study cohort and to expend the study by recruiting a new cohort from unrepresentative groups.
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.