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Differentials in Access to Cervical Cancer Screening for Women with Disabilities in the U.S.: Results from the National Health Interview Surveys |
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Abstract:
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Previous scholarship suggests that women with disabilities are a medically underserved population in the area of reproductive health care. This paper uses a nationally representative data set, the 1999 and 2000 National Health Interview Surveys, to examine whether women with disabilities are less likely to access one of the most basic reproductive health screening tools: the Pap smear. Findings suggest that, net of sociodemographic characteristics and health insurance coverage, women with disabilities are 10% less likely to have received a Pap smear than able-bodied women. Further analysis shows that women with disabilities are15% less likely to have visited an OB/GYN in the past year and, more strikingly, that when women with disabilities visit an OB/GYN, they are 20% less likely to receive a Pap smear than women without disabilities who visit an OB/GYN. Future research should provide more in-depth exploration of the reasons why women with disabilities are less likely to receive Pap smears in general, less likely to visit an OB/GYN, and why women with disabilities are less likely to receive a Pap smear when they visit an OB/GYN. |
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women (129), disabl (116), health (92), smear (54), pap (54), care (50), year (38), like (33), past (32), cancer (31), access (30), reproduct (29), problem (27), age (25), medic (24), cervic (24), ob/gyn (24), use (22), visit (22), limit (21), sampl (20), |
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Association:
Name: American Sociological Association URL: http://www.asanet.org
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Citation:
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MLA Citation:
| Drew, Julia. "Differentials in Access to Cervical Cancer Screening for Women with Disabilities in the U.S.: Results from the National Health Interview Surveys" Paper presented at the annual meeting of the American Sociological Association, Montreal Convention Center, Montreal, Quebec, Canada, Aug 11, 2006 <Not Available>. 2009-05-25 <http://www.allacademic.com/meta/p104635_index.html> |
APA Citation:
| Drew, J. A. , 2006-08-11 "Differentials in Access to Cervical Cancer Screening for Women with Disabilities in the U.S.: Results from the National Health Interview Surveys" Paper presented at the annual meeting of the American Sociological Association, Montreal Convention Center, Montreal, Quebec, Canada Online <PDF>. 2009-05-25 from http://www.allacademic.com/meta/p104635_index.html |
Publication Type: Conference Paper/Unpublished Manuscript Abstract: Previous scholarship suggests that women with disabilities are a medically underserved population in the area of reproductive health care. This paper uses a nationally representative data set, the 1999 and 2000 National Health Interview Surveys, to examine whether women with disabilities are less likely to access one of the most basic reproductive health screening tools: the Pap smear. Findings suggest that, net of sociodemographic characteristics and health insurance coverage, women with disabilities are 10% less likely to have received a Pap smear than able-bodied women. Further analysis shows that women with disabilities are15% less likely to have visited an OB/GYN in the past year and, more strikingly, that when women with disabilities visit an OB/GYN, they are 20% less likely to receive a Pap smear than women without disabilities who visit an OB/GYN. Future research should provide more in-depth exploration of the reasons why women with disabilities are less likely to receive Pap smears in general, less likely to visit an OB/GYN, and why women with disabilities are less likely to receive a Pap smear when they visit an OB/GYN. |
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22 |
| Word count: |
6186 |
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| In her 1986 ethnography In the Patient’s Best Interest Sue Fisher tape recorded interactions between female patients and their doctors in a variety of community and teaching clinics on the West coast and in the Appalachian region. Fisher was specifically interested in how doctors both specialists and physicians practicing family medicine negotiated treatment decisions for hysterectomies and Pap smears with their patients at office visits to achieve outcomes may or may not reflect recommended medical practice. Fisher’s study of |
| p. 664-698 in Brian D. Smedley (ed.) Unequal Treatm ent: Confronting Racial and Ethnic Disparities in Health Care. Washington D.C.: National Academies Press. Salive Marcel E.; Jack M. Guralnik; and Dwight Brock. 1996. “Preventative Services for Breast and Cervical Cancer in U.S. Office-Based Practices”. Preventative Medicine 25(5): 561-568. Waitzkin Howard. 1989. “A Critical Theory of Medical Discourse: Ideology Social Control and the Processing of Social Context in Medical Encounters”. Journal of Health and Social Behavior 30(2): 220-239. World Health |
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