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AJPH First Look, published online ahead of print Sep 29, 2005
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AJPH.2005.066118v1
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Anthony Ramirez
Gail C. Farmer
David Grant
Theodora Papachristou
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©
American Journal of Public Health, 10.2105/AJPH.2005.066118

Research and Practice

Disability and Preventive Cancer Screening: Results from the 2001 California Health Interview Survey

Anthony Ramirez 1*, Gail C. Farmer 2, David Grant 1, Theodora Papachristou 2

1 UCLA Center for Health Policy Research
2 California State University, Long Beach

* To whom correspondence should be addressed. E-mail: tonyram{at}ucla.edu.


  Abstract

Objective: Evaluate preventive cancer screening among adults with disability in California. Design: Data from the 2001 California Health Interview Survey were used to construct a composite measure based on the severity of health limitation to approximate disability. Disabled and non-disabled adults were compared for differences in preventive cancer screening behaviors. Outcome Measures: Compliance rates for common cancer screening tests (Mammography, Papanicolaou, Prostate Specific Antigen, Sigmoidoscopy/Colonoscopy, and Fecal Occult Blood) between the two subpopulations were evaluated. Results: Women with disabilities were seventeen (pap smears) and thirteen percent (mammograms) more likely than women without disabilities to report noncompliance with cancer screening guidelines. Interactions between disability and reports of a doctor recommendation on cervical cancer screening were significant; women with disabilities had a lower likelihood of receiving a recommendation. Men with disabilities were nineteen percent less likely than men without disabilities to report having a prostate specific antigen test within the last three years. Conclusions: Despite significantly higher rates of health insurance coverage and more stable venues of health care, significant differences in the use of preventive cancer screening services by persons with disabilities persist. Observed symmetries in health promotion behaviors among the subpopulations suggest individual health behaviors may be secondary to structural and/or clinical factors underpinning the differences found.

Key Words: Cancer, Disability, Access to Care, Quality of Care




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