Breast cancer and screening in persons with an intellectual disability living in institutions in France

Trétarre, Brigitte; Bourgarel, Sophie; Stoebner-Delbarre, Anne; Jacot, William; Bessaoud, Faïza; Satgé, Daniel

doi:10.1111/jir.12336

Cited by 19 publications

(13 citation statements)

References 40 publications

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“…6 A Canadian study demonstrated a low uptake of cancer screening among adults with intellectual and development disabilities. 7,8 One report from France on women with an intellectual disability living in institutions found participation in breast cancer screening to be slightly higher than among the general population (64.4% vs. 62% respectively), 3 but another found a low cervical cancer screening rate amongst women living in institutions in France. 9 A review on colorectal cancer in people with intellectual disabilities concluded that, although this group has a risk of colorectal cancer comparable with the general population, their uptake of screening is lower.…”

Section: Discussionmentioning

confidence: 99%

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Uptake of cancer screening among adults with disabilities in Flanders (Belgium)

Kellen¹,

Nuyens

Molleman³

et al. 2019

J Med Screen

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Objective To explore the association between disability and participation in breast, cervical, and colorectal cancer screening in Flanders (Belgium). Methods Data from the Centre for Cancer Detection were linked to data of the Flemish Agency for disabled persons by the Crossroads Bank for Social Security, using National Social Security Numbers. Results The study population consisted of 92,334 invited individuals registered as disabled in 2013–2015. For breast cancer screening (including both opportunistic screening and participation in the screening program), 51.7% of disabled women had undergone mammography in the last two years, compared with the Flemish uptake of 61.8%. In cervical screening, 45% of the women with a disability had undergone a PAP smear in the last three years (overall Flemish uptake was 60.7%). For colorectal cancer screening, 40.7% of individuals with a disability had undergone a fecal immunochemical test in the last two years (overall Flemish uptake was 51.5%). Participation in breast and colorectal cancer screening among persons with a disability was 10% points less than the Flemish average during the same period. In the cervical cancer screening program, the difference between the participation of disabled women and the Flemish average was 10% points. Persons with any type of disability had a lower uptake of cancer screening than the Flemish average, except for individuals with a hearing impairment. Conclusions Participation disparities in the Flemish cancer screening programs between persons with and without disabilities require specific efforts to increase cancer screening among people with a disability.

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Section: Discussionmentioning

confidence: 99%

“…Although their cancer risk equals that of the general population. 3,4 The objective of this study was to explore the association between different disabilities and participation in cancer screening in Flanders.…”

Section: Introductionmentioning

confidence: 99%

Uptake of cancer screening among adults with disabilities in Flanders (Belgium)

Kellen¹,

Nuyens

Molleman³

et al. 2019

J Med Screen

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“…Similar to our results, a few previous studies have found considerably lower participation in breast cancer screening among women with ID compared with women without ID. The proportions of participation differ widely across studies (4%-64%), [8][9][10][11][12][13][14][15] and comparison of results are challenging.…”

Section: Discussionmentioning

confidence: 99%

“…First, the studies were conducted in Taiwan, 11 Australia, 9 France, 12 the US, 8,13 Canada, 14 and South Korea, 10 where the health care systems, screening programs, and access to cancer screening differ widely. Second, various definitions of screening participation were applied.…”

Section: Discussionmentioning

confidence: 99%

Breast Cancer Screening Among Women With Intellectual Disability in Denmark

et al. 2023

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ImportanceBreast cancer–specific mortality is increased among women with intellectual disability (ID), and knowledge about participation in breast cancer screening in this group is needed.ObjectiveTo examine participation in the Danish national breast cancer screening program among women with ID compared with women without ID.Design, Setting, and ParticipantsThis dynamic population-based cohort study assessed participation in the Danish national breast cancer screening program initiated in 2007, targeting women aged 50 to 69 years with a screening interval of 2 years. In all, 6357 women with ID born between 1941 and 1967 and eligible for the screening program were identified in national registers. Women entered the study between January 1, 2007, and December 31, 2017. Subsequently, 273 women were excluded due to a history of carcinoma in situ or breast cancer, and 489 due to registration errors in registers. Each woman was individually age-matched with 10 women without ID (reference group). All women were followed up until March 31, 2021, or censoring (due to death, carcinoma in situ, or breast cancer). Data were analyzed from December 1, 2021, to June 31, 2022.ExposuresIntellectual disability was defined as being registered with an ID diagnosis or a diagnosis most likely leading to ID or residing at an institution for persons with ID.Main Outcomes and MeasuresParticipation in breast cancer screening (fully, partly, and never).ResultsA total of 5595 women with ID and 49 423 age-matched women in the reference group were included in the analysis. Of these, 2747 women with ID (49%) and 24 723 in the reference group (50%) were 50 years of age at study entry; for those older than 50 years, the median age was 51 years (IQR, 50-58 years) in both groups. In all, 1425 women with ID (25%) were fully screened according to guidelines for the Danish breast cancer screening program compared with 30 480 women in the reference group (62%). Women with ID had nearly 5 times higher odds of never being screened compared with the reference group (odds ratio, 4.90 [95% CI, 4.60-5.22]). In all, 2498 women with ID (45%) and 6573 in the reference group (13%) were never screened. The proportion of never-screened women increased with severity of ID, from 834 of 2287 (36%) among women with mild ID to 173 of 212 (82%) among women with profound ID.Conclusions and RelevanceThe findings of this cohort study suggest that women with ID are markedly less likely to participate in breast cancer screening compared with women without ID. These findings further suggest a need for tailored guidelines and approaches for breast cancer screening in this group of women.

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“…People with intellectual disabilities experience higher levels of obesity, with fewer than 10% of individuals residing in supported accommodation, eating a balanced diet, and less than 20% meeting the UK government guidance level for physical activity (Emerson, Baines, Allerton, & Welch, ). A French study also showed that women with intellectual disabilities , who developed breast cancer were twice as likely to be obese, than those who had not contracted the disease (Trétarre et al., ). However, fewer people with intellectual disabilities smoke or drink alcohol than the general population (Emerson et al., ).…”

Section: Introductionmentioning

confidence: 99%

Exploring the impact of mental capacity on breast screening for women with intellectual disabilities

Bates

Triantafyllopoulou

2018

Health Soc Care Community

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This study explores the impact of mental capacity in relation to breast screening for women with intellectual disabilities in the UK. Participation in breast screening is considerably lower for women with intellectual disabilities compared to the general population. Barriers to screening include poor mobility and behavioural difficulties. There is currently no research which primarily explores the relationship between mental capacity and breast screening for this group of individuals. This paper presents the results of a cross‐sectional survey of 131 women with intellectual disabilities supported by eight Social Care Providers within England and Wales. The data were collected between January 2017 and July 2017. The current research explores the decision‐making process surrounding breast screening, considering the impact of associated risk factors during this process. Participants completed a specifically created survey addressing the aforementioned issues. The results indicated that women who lacked capacity, were less likely to engage in breast screening. It was also demonstrated that the process outlined in the Mental Capacity Act (MCA; 2005) was not always followed; women were not routinely assessed if there were doubts regarding their decision‐making ability around breast screening and best interest meetings (BIM) were not always held if the person lacked capacity. In order to be able to generalise the current findings, further research is needed to gain a broader understanding of how professionals make decisions around breast screening for women with intellectual disabilities in case the individuals are unable to decide this independently.

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Breast cancer and screening in persons with an intellectual disability living in institutions in France

Cited by 19 publications

References 40 publications

Uptake of cancer screening among adults with disabilities in Flanders (Belgium)

Uptake of cancer screening among adults with disabilities in Flanders (Belgium)

Breast Cancer Screening Among Women With Intellectual Disability in Denmark

Exploring the impact of mental capacity on breast screening for women with intellectual disabilities

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