Utilisation of mammography by women with mobility impairment in the UK : secondary analysis of cross-sectional data
© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ..
OBJECTIVES: Research has shown that people with physical impairment report lower utilisation of preventive services. The aim of this study was to examine whether women with mobility impairments have lower odds of using mammography compared with women with no such impairment, and explore the factors that are associated with lower utilisation.
SAMPLE AND DESIGN: We performed secondary analysis, using logistic regressions, of deidentified cross-sectional data from the European Health Interview Survey, Wave 2. The sample included 9491 women from across the UK, 2697 of whom had mobility impairment. The survey method involved face-to-face and telephone interviews.
OUTCOME MEASURES: Self-report of the last time a mammogram was undertaken.
RESULTS: Adjusting for various demographic and socioeconomic variables, women with mobility impairment had 1.3 times (95% CI 0.70 to 0.92) lower odds of having a mammogram than women without mobility impairment. Concerning women with mobility impairment, married women had more than twice the odds of having a mammogram than women that had never been married (OR 2.07, 95% CI 1.49 to 2.88). Women in Scotland had 1.5 times (95% CI 1.08 to 2.10) higher odds of undertaking the test than women in England. Women with upper secondary education had 1.4 times (95% CI 1.10 to 1.67) higher odds of undergoing the test than women with primary or lower secondary education. Also, women from higher quintiles (third and fifth quintiles) had higher odds of using mammography, with the women in the fifth quintile having 1.5 times (95% CI 1.02 to 2.15) higher odds than women from the first quintile.
CONCLUSIONS: In order to achieve equitable access to mammography for all women, it is important to acknowledge the barriers that impede women with mobility impairment from using the service. These barriers can refer to structural disadvantage, such as lower income and employment rate, transportation barriers, or previous negative experiences, among others.
Medienart: |
E-Artikel |
---|
Erscheinungsjahr: |
2019 |
---|---|
Erschienen: |
2019 |
Enthalten in: |
Zur Gesamtaufnahme - volume:9 |
---|---|
Enthalten in: |
BMJ open - 9(2019), 3 vom: 15. März, Seite e024571 |
Sprache: |
Englisch |
---|
Beteiligte Personen: |
Sakellariou, Dikaios [VerfasserIn] |
---|
Links: |
---|
Themen: |
Cancer screening |
---|
Anmerkungen: |
Date Completed 16.03.2020 Date Revised 16.03.2020 published: Electronic Citation Status MEDLINE |
---|
doi: |
10.1136/bmjopen-2018-024571 |
---|
funding: |
|
---|---|
Förderinstitution / Projekttitel: |
|
PPN (Katalog-ID): |
NLM295020121 |
---|
LEADER | 01000caa a22002652 4500 | ||
---|---|---|---|
001 | NLM295020121 | ||
003 | DE-627 | ||
005 | 20231226195953.0 | ||
007 | cr uuu---uuuuu | ||
008 | 231225s2019 xx |||||o 00| ||eng c | ||
024 | 7 | |a 10.1136/bmjopen-2018-024571 |2 doi | |
028 | 5 | 2 | |a pubmed24n0983.xml |
035 | |a (DE-627)NLM295020121 | ||
035 | |a (NLM)30878981 | ||
040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
041 | |a eng | ||
100 | 1 | |a Sakellariou, Dikaios |e verfasserin |4 aut | |
245 | 1 | 0 | |a Utilisation of mammography by women with mobility impairment in the UK |b secondary analysis of cross-sectional data |
264 | 1 | |c 2019 | |
336 | |a Text |b txt |2 rdacontent | ||
337 | |a ƒaComputermedien |b c |2 rdamedia | ||
338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
500 | |a Date Completed 16.03.2020 | ||
500 | |a Date Revised 16.03.2020 | ||
500 | |a published: Electronic | ||
500 | |a Citation Status MEDLINE | ||
520 | |a © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. | ||
520 | |a OBJECTIVES: Research has shown that people with physical impairment report lower utilisation of preventive services. The aim of this study was to examine whether women with mobility impairments have lower odds of using mammography compared with women with no such impairment, and explore the factors that are associated with lower utilisation | ||
520 | |a SAMPLE AND DESIGN: We performed secondary analysis, using logistic regressions, of deidentified cross-sectional data from the European Health Interview Survey, Wave 2. The sample included 9491 women from across the UK, 2697 of whom had mobility impairment. The survey method involved face-to-face and telephone interviews | ||
520 | |a OUTCOME MEASURES: Self-report of the last time a mammogram was undertaken | ||
520 | |a RESULTS: Adjusting for various demographic and socioeconomic variables, women with mobility impairment had 1.3 times (95% CI 0.70 to 0.92) lower odds of having a mammogram than women without mobility impairment. Concerning women with mobility impairment, married women had more than twice the odds of having a mammogram than women that had never been married (OR 2.07, 95% CI 1.49 to 2.88). Women in Scotland had 1.5 times (95% CI 1.08 to 2.10) higher odds of undertaking the test than women in England. Women with upper secondary education had 1.4 times (95% CI 1.10 to 1.67) higher odds of undergoing the test than women with primary or lower secondary education. Also, women from higher quintiles (third and fifth quintiles) had higher odds of using mammography, with the women in the fifth quintile having 1.5 times (95% CI 1.02 to 2.15) higher odds than women from the first quintile | ||
520 | |a CONCLUSIONS: In order to achieve equitable access to mammography for all women, it is important to acknowledge the barriers that impede women with mobility impairment from using the service. These barriers can refer to structural disadvantage, such as lower income and employment rate, transportation barriers, or previous negative experiences, among others | ||
650 | 4 | |a Journal Article | |
650 | 4 | |a United Kingdom | |
650 | 4 | |a cancer screening | |
650 | 4 | |a mammography | |
650 | 4 | |a preventive services | |
650 | 4 | |a women with mobility impairment | |
700 | 1 | |a Rotarou, Elena S |e verfasserin |4 aut | |
773 | 0 | 8 | |i Enthalten in |t BMJ open |d 2012 |g 9(2019), 3 vom: 15. März, Seite e024571 |w (DE-627)NLM215724372 |x 2044-6055 |7 nnns |
773 | 1 | 8 | |g volume:9 |g year:2019 |g number:3 |g day:15 |g month:03 |g pages:e024571 |
856 | 4 | 0 | |u http://dx.doi.org/10.1136/bmjopen-2018-024571 |3 Volltext |
912 | |a GBV_USEFLAG_A | ||
912 | |a GBV_NLM | ||
951 | |a AR | ||
952 | |d 9 |j 2019 |e 3 |b 15 |c 03 |h e024571 |