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Cervical Cancer Screening Uptake Among Women with Disabilities: Findings from a Cross-Sectional Study in Chile

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  • Sergio Jara-Rosales

    (Faculty of Health Care Sciences, School of Midwifery, Universidad San Sebastián, Los Leones Campus, Santiago 7510157, Chile
    Doctorate Program in Chronic Diseases, Faculty of Medicine and Science, Universidad San Sebastián, Los Leones Campus, Santiago 7510157, Chile
    ANID Millennium Science Initiative Program, Millennium Nucleus Disability and Citizenship (DISCA), Project No. NCS2022_039, Santiago 7510157, Chile)

  • Elena S. Rotarou

    (ANID Millennium Science Initiative Program, Millennium Nucleus Disability and Citizenship (DISCA), Project No. NCS2022_039, Santiago 7510157, Chile
    Department of Public Health, Faculty of Medicine and Science, Universidad San Sebastián, Los Leones Campus, Santiago 7510157, Chile)

Abstract

The Papanicolaou (Pap) test is one of the most effective methods for cervical cancer screening. However, women with disabilities are less likely to be screened. The objective of this study is to determine whether there is a difference in Pap test utilisation between women with and without disabilities and to analyse the demographic, socioeconomic, and health-related characteristics associated with Pap test uptake among women with disabilities in Chile. Data from the 2022 National Socioeconomic Characterization Survey were analysed, and 71,989 women between 18 and 75 years of age were included. The dependent variable was Pap test utilisation, and the exposure variable was disability. We used logistic regressions to control for demographic, socioeconomic, and health-related covariates. The results showed that women with disabilities were less likely to undergo a Pap test compared to those without disabilities. Characteristics such as being married, being aged between 25 and 64 years, and having secondary or tertiary education increased the likelihood of Pap test utilisation. Conversely, being single, having received special education, and being inactive decreased these odds. Effective public health policies are needed that will increase Pap test utilisation for all population subgroups, including women with disabilities and, therefore, promote health equity.

Suggested Citation

  • Sergio Jara-Rosales & Elena S. Rotarou, 2024. "Cervical Cancer Screening Uptake Among Women with Disabilities: Findings from a Cross-Sectional Study in Chile," IJERPH, MDPI, vol. 21(12), pages 1-18, November.
  • Handle: RePEc:gam:jijerp:v:21:y:2024:i:12:p:1578-:d:1530921
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    References listed on IDEAS

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    1. Arne H Eide & Hasheem Mannan & Mustafa Khogali & Gert van Rooy & Leslie Swartz & Alister Munthali & Karl-Gerhard Hem & Malcolm MacLachlan & Karin Dyrstad, 2015. "Perceived Barriers for Accessing Health Services among Individuals with Disability in Four African Countries," PLOS ONE, Public Library of Science, vol. 10(5), pages 1-13, May.
    2. Evelyn Coronado Interis & Chidinma P. Anakwenze & Maug Aung & Pauline E. Jolly, 2015. "Increasing Cervical Cancer Awareness and Screening in Jamaica: Effectiveness of a Theory-Based Educational Intervention," IJERPH, MDPI, vol. 13(1), pages 1-11, December.
    3. Maggie Campillay-Campillay & Ana Calle-Carrasco & Pablo Dubo & Jorge Moraga-Rodríguez & Juan Coss-Mandiola & Jairo Vanegas-López & Alejandra Rojas & Raúl Carrasco, 2022. "Accessibility in People with Disabilities in Primary Healthcare Centers: A Dimension of the Quality of Care," IJERPH, MDPI, vol. 19(19), pages 1-14, September.
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