Factors associated with cervical cancer screening utilisation by people with physical disabilities: A systematic review

• Published in: Health policy (Amsterdam) Vol. 126; no. 10; pp. 1039 - 1050
• Main Authors: Chan, Dorothy N.S., Law, Bernard M.H., So, Winnie K.W., Fan, Ning
• Format: Journal Article
• Language: English
• Published: Ireland Elsevier B.V 01.10.2022
• Subjects: Barriers; Cervical cancer screening; Early Detection of Cancer; Facilitators; Female; Health Services Accessibility; Humans; Internal Medicine; Mass Screening; Persons with Disabilities; Physical disabilities; Uterine Cervical Neoplasms - diagnosis; Facilitators; Cervical cancer screening; Physical disabilities; Barriers
• ISSN: 0168-8510; 1872-6054; 1872-6054
• DOI: 10.1016/j.healthpol.2022.08.003

•Physically disabled individuals face multiple barriers to accessing cervical cancer screening services.•Healthcare professionals may need training in conducting screening for physically disabled people.•Screening providers may provide transportation and attendant services to these individuals. Previous studies showed that cervical cancer screening uptake among people with physical disabilities is low. A better understanding of the factors affecting their screening uptake is needed to devise strategies to address this issue. This review explores the factors that impede or enhance cervical cancer screening utilisation by people with physical disabilities, such as mobility, visual and hearing impairments. Five electronic databases were searched, resulting in the inclusion of nine studies focusing on people with physical disabilities and their utilisation of cervical cancer screening services. Extracted data from these studies were summarised narratively. Their methodological quality was assessed using the Mixed Methods Appraisal Tool, Version 2018. Three major impeding factors were reported: 1) lack of knowledge of cervical cancer screening and how it can be accessed; 2) difficulties and inconveniences in accessing cancer screening providers and undergoing the screening procedures; and 3) uncomfortable experiences during the screening procedures. The availability of attendant services and wheelchair-accessible facilities and a longer duration of screening procedures enhanced screening utilisation by the subjects. This review highlights the need to provide training for healthcare professionals on working with people with physical disabilities, enhance supportive services to allow them to access cervical cancer screening and educate them on the importance of screening.