Women with learning disabilities and access to cervical screening: retrospective cohort study using case control methods

Several studies in the UK have suggested that women with learning disabilities may be less likely to receive cervical screening tests and a previous local study in had found that GPs considered screening unnecessary for women with learning disabilities. This study set out to ascertain whether women...

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Bibliographic Details
Published in:BMC public health 2008-01, Vol.8 (1), p.30-30, Article 30
Main Authors: Reynolds, Fiona, Stanistreet, Debbi, Elton, Peter
Format: Article
Language:English
Subjects:
Adult
Cohort Studies
Diagnosis
Disability
Educational aspects
England
Female
Health aspects
Health Services Accessibility - statistics & numerical data
Healthcare Disparities
Humans
Learning Disorders
Mass Screening - utilization
Middle Aged
Prevention
Retrospective Studies
Uterine Cervical Neoplasms - diagnosis
Women
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Summary:Several studies in the UK have suggested that women with learning disabilities may be less likely to receive cervical screening tests and a previous local study in had found that GPs considered screening unnecessary for women with learning disabilities. This study set out to ascertain whether women with learning disabilities are more likely to be ceased from a cervical screening programme than women without; and to examine the reasons given for ceasing women with learning disabilities. It was carried out in Bury, Heywood-and-Middleton and Rochdale. Carried out using retrospective cohort study methods, women with learning disabilities were identified by Read code; and their cervical screening records were compared with the Call-and-Recall records of women without learning disabilities in order to examine their screening histories. Analysis was carried out using case-control methods - 1:2 (women with learning disabilities: women without learning disabilities), calculating odds ratios. 267 women's records were compared with the records of 534 women without learning disabilities. Women with learning disabilities had an odds ratio (OR) of 0.48 (Confidence Interval (CI) 0.38 - 0.58; X2: 72.227; p.value
ISSN:1471-2458
1471-2458
DOI:10.1186/1471-2458-8-30