Disability and participation in breast and bowel cancer screening in England: a large prospective study.

Floud S., Barnes I., Verfürden M., Kuper H., Gathani T., Blanks RG., Alison R., Patnick J., Beral V., Green J., Reeves GK.

BACKGROUND: There is limited information about participation in organised population-wide screening programmes by people with disabilities. METHODS: Data from the National Health Service routine screening programmes in England were linked to information on disability reported by the Million Women Study cohort participants. RESULTS: Of the 473 185 women offered routine breast or bowel cancer screening, 23% reported some disability. Women with disabilities were less likely than other women to participate in breast cancer screening (RR=0.64, 95% CI: 0.62-0.65) and in bowel cancer screening (RR=0.75, 0.73-0.76). Difficulties with self-care or vision were associated with the greatest reduction in screening participation. CONCLUSION: Participation in routine cancer screening programmes in England is reduced in people with disabilities and participation varies by type of disability.

DOI

10.1038/bjc.2017.331

Type

Journal article

Journal

Br J Cancer

Publication Date

21/11/2017

Volume

117

Pages

1711 - 1714

Keywords

Aged, Breast Neoplasms, Colorectal Neoplasms, Disabled Persons, Early Detection of Cancer, England, Female, Humans, Middle Aged, Patient Participation, Prospective Studies

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