Trends in Pap Testing Over Time for Women With and Without Chronic Disability
Trends in Pap Testing Over Time for Women With and Without Chronic Disability
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DOI：
10.1016/j.amepre.2015.06.031
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发表时间：
2016-02-01
影响因子：
5.5
通讯作者：
Rao, Sowmya R.
中科院分区：
文献类型：
--
作者：
Iezzoni, Lisa I.;Kurtz, Stephen G.;Rao, Sowmya R.
简介：从20年前的数据-美国残疾人法案通过后不久-表明，妇女有显着的行动不便的巴氏试验率比其他妇女低40%。方法：为了检查巴氏试验率的残疾差异是否随着时间的推移而减少，该研究分析了1998年至2010年期间，年龄在21-65岁之间，没有宫颈癌或子宫切除术史的女性的国民健康访谈调查的回答。七种慢性残疾类型被确定使用自我报告的功能障碍或参与限制。研究了过去3年内自我报告的巴氏试验。2014年，控制社会人口学变量，进行双变量分析和多变量Logistic回归分析。随着时间的推移，所有妇女的巴氏试验率保持相对稳定，约为84%-87%。双变量分析发现，与非残疾妇女相比，残疾妇女的巴氏试验率在统计学上显著降低。多变量分析未能找到一致的证据表明，与非残疾妇女相比，不同残疾类型的妇女的巴氏试验率较低。2010年，与非残疾妇女相比，注意到最严重运动困难的妇女报告巴氏试验的AOR为0.35（95% CI = 0.15，0.79）。然而，这种残疾类型的AOR随着时间的推移而变化。结论：随着时间的推移，所有妇女的巴氏试验率几乎没有变化。在接受这一重要的筛查测试方面，患有某些残疾的妇女与非残疾妇女相比仍然存在差距。(C)2016年美国预防医学杂志
Introduction: Data from 20 years ago-shortly after passage of the Americans with Disabilities Act -showed that women with significant mobility disability had 40% lower Pap test rates than other women.Methods: To examine whether disability disparities in Pap test rates have diminished over time, this study analyzed National Health Interview Survey responses from selected years between 1998 and 2010 from women aged 21-65 years without histories of cervical cancer or hysterectomy. Seven chronic disability types were identified using self-reported functional impairments or participation limitations. Self-reported Pap testing within the previous 3 years was studied. Bivariable analyses and multivariable logistic regression analyses controlling for sociodemographic variables were conducted in 2014.Results: Rates of all chronic disability types increased over time. Pap test rates remained relatively constant over time for all women, holding around 84%-87%. Bivariable analyses found statistically significantly lower rates of Pap testing for women with disability compared with nondisabled women. Multivariable analyses failed to find consistent evidence of lower Pap test rates among women across disability types compared with nondisabled women. In 2010, the AOR for reporting Pap testing for women noting the most severe movement difficulty compared with nondisabled women was 0.35 (95% CI = 0.15, 0.79). However, the AOR for this disability type varied over time.Conclusions: Little has changed over time in Pap test rates for all women. Women with certain disabilities continue to experience disparities compared with nondisabled women in receipt of this important screening test. (C) 2016 American Journal of Preventive Medicine