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Original article| Volume 22, ISSUE 5, e421-e428, September 2012

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Factors Facilitating Acceptable Mammography Services for Women with Disabilities

Published:July 23, 2012DOI:https://doi.org/10.1016/j.whi.2012.06.002
Factors Facilitating Acceptable Mammography Services for Women with Disabilities
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      Abstract

      Background

      Prior research has described general barriers to breast cancer screening for women with disabilities (WWD). We explored specific accommodations described as necessary by WWD who have accessed screening services, and the presence of such accommodations in community-based screening programs.

      Methods

      We surveyed WWD in the Carolina Mammography Registry to determine what accommodations were needed when accessing breast screening services, and whether or not these needs were met. The sample of 1,348 WWD was identified through a survey of limitations, with a response rate of 45.5% (4,498/9,885). Of the 1,348 WWD eligible for the second survey, 739 responded for a response rate of 54.8%.

      Results

      The most frequently needed accommodations were an accessible changing area with a bench (60.0%), oral description of the procedure by the technologist (60.5%), and handicapped/accessible parking (27.6%). Handicapped parking was the need most likely to go unmet (3.1%).

      Conclusion

      Most needs are being met by radiology facilities and staff, and the few needs going unmet are related to the physical/built environment. Overall, for WWD who are in screening, the mammography system seems to be more accessible than generally perceived.
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      Biography

      Molly P. Jarman, MPH, is a research specialist in the UNC-CH Department of Radiology. Her research focuses on use and performance of breast cancer screening services.

      Biography

      J. Michael Bowling, PhD, is a Research Associate Professor of Health Behavior and Health Education, and an Adjunct Research Associate Professor of Biostatistics, UNC-CH. He has significant experience in questionnaire development and survey administration.

      Biography

      Pamela Dickens, MPH, is the Women’s Health Coordinator for the North Carolina Office on Disability and Health. Her research interests include health care access and utilization, and health disparities for women with disabilities.

      Biography

      Karen Luken, MSRA, is an investigator with the North Carolina Office on Disability and Health. Her research interests include accessibility and utilization of health care services for people with disabilities.

      Biography

      Bonnie C. Yankaskas, PhD, is a Professor Emeritus in the Department of Radiology, UNC-CH, who created the Carolina Mammography Registry, and has published widely on breast cancer screening. Her areas of interest include screening performance, dissemination of emerging technologies, and disparities in cancer treatment and outcomes.

      Article info

      Publication history

      Published online: July 23, 2012
      Accepted: June 18, 2012
      Received in revised form: June 18, 2012
      Received: November 9, 2011

      Footnotes

      Supported by grants from Susan G. Komen for the Cure (POP35606) and the National Cancer Institute (CA 7004).

      Identification

      DOI: https://doi.org/10.1016/j.whi.2012.06.002

      Copyright

      © 2012 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

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