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Preventive Healthcare Services01:30

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Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
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Cervical Cancer Screening in Women With Physical Disabilities.

Alexandra H Vinson1, Corrianne Norrid2, Elizabeth K Haro3

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Women with physical disabilities face barriers to cervical cancer screening. At-home self-sampling offers a more comfortable and convenient alternative to traditional methods, improving screening participation.

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Area of Science:

  • Public Health
  • Gynecology
  • Disability Studies

Background:

  • Cervical cancer screening is vital but presents disparities for women with physical disabilities (WWPD).
  • Traditional speculum examinations pose accessibility challenges for WWPD, potentially leading to delayed or avoided screening.
  • Exploring alternative screening methods is crucial to improve equitable access for WWPD.

Purpose of the Study:

  • To investigate the experiences of WWPD with both traditional speculum-based cervical cancer screening and at-home self-sampling kits.
  • To identify barriers and facilitators to cervical cancer screening participation among WWPD.
  • To explore how preferences for screening methods may influence future screening behaviors in WWPD.

Main Methods:

  • A qualitative study involving 56 WWPD who tested self-sampling kits and provided feedback.
  • Semistructured interviews were conducted with 16 key informants and 40 pilot participants.
  • A two-pass thematic analysis was performed using a coding scheme developed from inductive and deductive approaches.

Main Results:

  • Participants reported significant accessibility barriers and clinician ableism associated with speculum-based screening.
  • Self-sampling was perceived as more comfortable and convenient by WWPD, irrespective of their future screening preferences.
  • Fifty percent of participants (28/56) were up-to-date with cervical cancer screening at the time of the study.

Conclusions:

  • Access to at-home self-sampling options can enhance comfort and participation in cervical cancer screening for WWPD.
  • Understanding WWPD's experiences with self-sampling devices provides valuable insights for optimizing screening protocols.
  • Implementing user-friendly self-sampling methods is essential for reducing screening disparities among women with physical disabilities.