Papanicolaou smear screening of women with intellectual disabilities: A cross-sectional survey in Taiwan

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Title Papanicolaou smear screening of women with intellectual disabilities: A cross-sectional survey in Taiwan
Author Lin, Lan-Ping; Lin, Jin-Ding; Sung, Chang-Lin; Liu, Ta-Wen; Liu, Yi-Lian; Chen, Li-Mei; Chu, Cordia Ming-Yeuk
Journal Name Research in Developmental Disabilities
Year Published 2010
Place of publication United Kingdom
Publisher Elsevier
Abstract Although little is known about the incidence of cervical cancer in women with intellectual disabilities (ID), Pap smear screening is an effective public health program to prevent cervical cancer to this group of people. The purposes of this study were to identify and evaluate the factors regarding the utilization of the Pap smears in women with ID seen in the preventive health screening program. We employed a cross-sectional survey ''2009 National Survey on Preventive Health Use and Determinants among People with Disabilities'', with the study sample 508 women with ID (aged 15 years) participated in the research in Taiwan. Results showed that there were 22.1% women with ID had ever used Pap smear screening previously and mean age of the first screening was nearly 40 years old. Comparing to the general population in Taiwan, the ID women at age group <35 years was less likely to use screening and the age group 35 years wasmore likely to use Pap smears than did the general women. Finally, a logistic regression analysis showed that marital status and had experience of accepted tubal ligation surgery were two factors which predicted Pap smear test use in the study. Those women with ID who had marital status were 8.99 times (95% CI = 1.65–49.15) more likely than those had notmarital status to use Pap smear test. Women with ID had experience on tubal ligation surgery were 10.48 times (95% CI = 1.40–78.26) more likely to use Pap smear test than their counterparts. This study highlights that to acknowledge the rights of women with ID to access Pap smear screening service, health professionals will need to become more flexible and competent in the service that they provide.
Peer Reviewed Yes
Published Yes
Alternative URI http://dx.doi.org/10.1016/j.ridd.2009.10.001
Copyright Statement Copyright 2010 Elsevier. This is the author-manuscript version of this paper. Reproduced in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version.
Volume 31
Issue Number 2
Page from 403
Page to 409
ISSN 0891-4222
Date Accessioned 2010-11-09
Language en_AU
Research Centre Griffith Asia Institute
Faculty Faculty of Science, Environment, Engineering and Technology
Subject PRE2009-Care for Disabled; PRE2009-Medical and Health Sciences; PRE2009-Public Health and Health Services
URI http://hdl.handle.net/10072/36784
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1

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