BMC Health Services Research | |
The characteristics and relevant factors of Pap smear test use for women with intellectual disabilities in Taiwan | |
Wen-Chen Tsai2  Pei-Tseng Kung3  Suh-May Yen1  | |
[1] Department of Chinese Medicine, Nantou Hospital, Nantou, Taiwan, Republic of China;Department of Health Services Administration, China Medical University, No. 91 Hsueh-Shih Road, Taichung, Taiwan 40402, Republic of China;Department of Healthcare Administration, Asia University, Taichung, Taiwan, Republic of China | |
关键词: Pap smear test; Preventive health services; Disability; Intellectual disabilities; | |
Others : 1130877 DOI : 10.1186/1472-6963-14-240 |
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received in 2013-11-25, accepted in 2014-05-22, 发布年份 2014 | |
【 摘 要 】
Background
This study examines the Pap smear usage conditions and relevant influential factors for 18,204 women aged 30 years and above with intellectual disabilities, using nationwide data from 2008.
Methods
The research method of this study is secondary data analysis. The data was obtained from three nationwide databases from 2006 to 2008. This study employed descriptive statistics to analyze the use and rate of Pap smear testing by women with intellectual disabilities. Chi-square test was used to assess the correlation between Pap smear test usage and several variables. Logistic regression analysis was employed to explore the factors that influence Pap smear test usage.
Results
The results show that 4.83% (n =880) of women with intellectual disabilities underwent Pap smear tests. Pap smear test usage rates exhibit a declining trend with increases in age. Factors that significantly influence Pap smear test use include age, urbanization level of resident area, monthly salary, aboriginal status, marital status, existence of DM, severity of disability.
Conclusions
The women with intellectual disabilities had a low use rate of Pap smear test, which is significantly less than the 28.8% usage rate for the general population of women aged 30 years and above.
【 授权许可】
2014 Yen et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
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20150228094309410.pdf | 176KB | download |
【 参考文献 】
- [1]Statistics for Primary Types of Cancer Incident Reports in Past Years -Females [http://www.mohw.gov.tw/cht/DOS/Statistic.aspx?f_list_no=312&fod_list_no=4221 webcite]
- [2]Lăără E, Day NE, Yakama M: Trends in mortality from cervical cancer in the Nordic countries: association with organized screening programmes. Lancet 1987, 1(8544):1247-1249.
- [3]Eddy DM: Screening for cervical cancer. Ann Intern Med 1990, 113(3):214-226.
- [4]Woo PPS, Kim JJ, Leung GM: What is the most cost-effective population-based cancer screening program for Chinese women? J Clin Oncol 2007, 25(6):617-624.
- [5]Su S, Huang J, Ho C, Liaw Y: Evidence for cervical cancer mortality with screening program in Taiwan, 1981–2010: age-period-cohort model. BMC Public Health 2013, 13:13-13. BioMed Central Full Text
- [6]Wei W, Findley PA, Sambamoorthi U: Disability and receipt of clinical preventive services among women. Womens Health Issues 2006, 16(6):286-296.
- [7]Ramirez A, Farmer GC, Grant D, Papachristou T: Disability and preventive cancer screening: results from the 2001 California Health Interview Survey. Am J Public Health 2005, 95(11):2057-2064.
- [8]Iezzoni LI, McCarthy EP, Davis RB, Harris-David L, O'Day B: Use of screening and preventive services among women with disabilities. Am J Med Qual 2001, 16(4):135-144.
- [9]Armour BS, Thierry JM, Wolf LA: State-level differences in breast and cervical cancer screening by disability status: United States, 2008. Womens Health Issues 2009, 19(6):406-414.
- [10]Reynolds F, Stanistreet D, Elton P: Women with learning disabilities and access to cervical screening: retrospective cohort study using case control methods. BMC Public Health 2008, 8:30-30. BioMed Central Full Text
- [11]Pearson V, Davis C, Ruoff C, Dyer J: Only one quarter of women with learning disability in Exeter have cervical screening. BMJ 1998, 316(7149):1979-1979.
- [12]Stein K, Allen N: Cross sectional survey of cervical cancer screening in women with learning disability. BMJ 1999, 318(7184):641.
- [13]Statistical yearbook of interior - The disabled population by cause [http://www.mohw.gov.tw/cht/DOS/Statistic.aspx?f_list_no=312&fod_list_no=4182 webcite]
- [14]Wang YT: Are adults with intellectual disabilities socially excluded? An exploratory study in Taiwan. J Intellect Disabil Res 2013, 57(10):893-902.
- [15]Lennox NG, Diggens JN, Ugoni AM: The general practice care of people with intellectual disability: barriers and solutions. J Intellect Disabil Res 1997, 41(Pt 5):380-390.
- [16]Huang KH, Tsai WC, Kung PT: The use of Pap smear and its influencing factors among women with disabilities in Taiwan. Res Dev Disabil 2012, 33(2):307-314.
- [17]Statistical yearbook of interior - The disabled population by cause [http://www.mohw.gov.tw/cht/DOS/Statistic.aspx?f_list_no=312&fod_list_no=4182 webcite]
- [18]Schalock RL, Luckasson R: American association on mental retardation's definition, classification, and system of supports and its relation to international trends and issues in the field of intellectual disabilities. Journal of Policy and Practice in Intellectual Disabilities 2004, 1(3–4):136-146.
- [19]Cervical cancer screening registry system annual report 2011 [http://www.hpa.gov.tw/bhpnet/Portal/File/StatisticsFile/201304150247295571/100%E5%B9%B4%E5%B9%B4%E5%A0%B1.pdf webcite]
- [20]Chang HC, Hsiung HY, Chen SI, Yen AMF, Chen THH: Comparison of a community outreach service with opportunity screening for cervical cancer using Pap smears. J Public Health (Oxf) 2007, 29(2):165-172.
- [21]Huang CP, Chi LY, Chang HJ, Chou P: Cognition and utilization of Papanicolaou testing after the implementation of National Health Insurance in rural Taiwan. J Formos Med Assoc 1999, 98(1):19-23.
- [22]Rodriguez MA, Ward LM, Perez-Stable EJ: Breast and cervical cancer screening: impact of health insurance status, ethnicity, and nativity of Latinas. Ann Fam Med 2005, 3(3):235-241.
- [23]Chen LS, Huang N, Tsay JH, Wang PJ, Chou YJ, Chou P, Lee CH: Screening for cervical cancer among female physicians and their relatives in Taiwan: a population-based comparative study. Prev Med 2007, 44(6):531-535.
- [24]Wang PD, Lin RS: Sociodemographic factors of Pap smear screening in Taiwan. Public Health 1996, 110(2):123-127.
- [25]Lin YJ, Chen CS, Liu TC, Lin HC: Taiwan's national health insurance system and the application of preventive care: the case of Pap smear testing. Public Health 2008, 122(9):857-861.
- [26]Tan HF, Tseng HF, Chang CK, Lin W, Hsiao SH: Accessibility assessment of the Health Care Improvement Program in rural Taiwan. The Journal Of Rural Health: Official Journal Of The American Rural Health Association And The National Rural Health Care Association 2005, 21(4):372-377.
- [27]Drew JAR, Short SE: Disability and Pap smear receipt among U.S. Women, 2000 and 2005. Perspect Sex Reprod Health 2010, 42(4):258-266.
- [28]Eşsizoğlu A, Yasan A, Yildirim EA, Gurgen F, Ozkan M: Double standard for traditional value of virginity and premarital sexuality in Turkey: a university students case. Women Health 2011, 51(2):136-150.
- [29]Pandey A, Forte V, Abdallah M, Alickaj A, Mahmud S, Asad S, McFarlane SI: Diabetes mellitus and the risk of cancer. Minerva Endocrinol 2011, 36(3):187-209.
- [30]Lin L, Lin J, Sung C, Liu T, Liu Y, Chen L, Chu CM: Papanicolaou smear screening of women with intellectual disabilities: a cross-sectional survey in Taiwan. Res Dev Disabil 2010, 31(2):403-409.
- [31]Fylan F: Screening for cervical cancer: a review of women's attitudes, knowledge, and behaviour. Br J Gen Pract 1998, 48(433):1509.
- [32]McAvoy BR, Raza R: Can health education increase uptake of cervical smear testing among Asian women? BMJ 1991, 302(6780):833-836.
- [33]Factors Associated with Pap test for Community Seniors-A Case Study of Shuili Township, Nantou, Taiwan [http://163.22.228.106:8080/ir/handle/987654321/671 webcite]