Women with learning disabilities: risk behaviours and experiences of the cervical smear test

Broughton, Sallyanne; Thomson, Karen

doi:10.1046/j.1365-2648.2000.t01-1-01555.x

Cited by 41 publications

(29 citation statements)

References 11 publications

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“…The majority of the women (17) expressed a preference for seeing a woman doctor when it came to matters relating to contraception (see also McCarthy 2002; Broughton & Thomson 2000). Most women felt this way because it was simply more comfortable for them to talk to another woman (‘I’d be embarrassed with a man’), but for some women it was that they felt vulnerable with male doctors (‘I have to have a lady doctor.…”

Section: Resultsmentioning

confidence: 99%

Exercising choice and control – women with learning disabilities and contraception

McCarthy¹

2010

Brit J Learn Disabil

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Accessible summary• This project was about contraception. Contraception is the things people use to stop a woman from getting pregnant. • We spoke to 23 women with learning disabilities and 162 doctors wrote to us.• Sometimes women with learning disabilities made their own decisions, but mostly it was other people who decided for them. • We suggest some ways to help women with learning disabilities get more information and be helped to decide for themselves. SummaryThis research project used semi-structured in-depth interviews to ask women with learning disabilities about the experience of being prescribed contraception. It also asked general practitioners about their prescribing practices through a postal survey. A service user group was involved at different stages of the project. Most of the women reported that it was other people who made the key decisions about starting to use contraception and which method to use. Both the women and the doctors said they liked having a third party (staff member or relative) present for the consultations. Many of the doctors were unclear about responding to issues of capacity to consent to treatment.

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Section: Resultsmentioning

confidence: 99%

Exercising choice and control – women with learning disabilities and contraception

McCarthy¹

2010

Brit J Learn Disabil

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“…These authors make the telling comment that is was not possible to predict which women had been sexually active, a significant point given the assumption that because a woman has intellectual disabilities, she is therefore unlikely to be sexually active. Broughton & Thomson (2000) report that women who have had the cervical smear test experience pain and find the procedure a difficult one. They note the importance of extended preparation for examination, of good communication and provision of information and the key role of carers.…”

Section: Resultsmentioning

confidence: 99%

Cancer and Intellectual Disability: A Review of Some Key Contextual Issues

Hogg

Tuffrey‐Wijne

2008

Research Intellect Disabil

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Research into the health of people with intellectual disabilities has increasingly focused on the occurrence of cancer in this population. Information on the incidence and prevalence of cancer is reviewed in both institutional and community settings. Examples of environmental causation are considered including Helicobacter pylori. Gender-specific issues are considered with respect to both women and men, and screening services discussed. The overall issue of timely diagnosis of cancer in members of this population is reviewed with special reference to avoidable deaths. The need for methodologically sound studies to clarify the epidemiology of cancer in people with intellectual disabilities is discussed.

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“…The results provide the vital information to the further health policy initiation to increase the screening rate of this vulnerable population. Other studies also found many factors to affect the Pap smear screening in women with ID, such as Broughton and Thomson (2000) found the factors that influenced whether women with ID had a smear test included: sexual activity; number of sexual partners; pregnancy; and a past history of smoking.…”

Section: Reynolds Stanistreet and Eltonmentioning

confidence: 99%

Papanicolaou smear screening of women with intellectual disabilities: A cross-sectional survey in Taiwan

Lin¹,

Lin²,

Sung³

et al. 2010

Research in Developmental Disabilities

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Although little is known about the incidence of cervical cancer in women with intellectual disabilities (ID), Pap smear screening is an effective public health program to prevent cervical cancer to this group of people. The purposes of this study were to identify and evaluate the factors regarding the utilization of the Pap smears in women with ID seen in the preventive health screening program. We employed a cross-sectional survey "2009 National Survey on Preventive Health Use and Determinants among People with Disabilities", with the study sample 508 women with ID (aged > or =15 years) participated in the research in Taiwan. Results showed that there were 22.1% women with ID had ever used Pap smear screening previously and mean age of the first screening was nearly 40 years old. Comparing to the general population in Taiwan, the ID women at age group <35 years was less likely to use screening and the age group > or =35 years was more likely to use Pap smears than did the general women. Finally, a logistic regression analysis showed that marital status and had experience of accepted tubal ligation surgery were two factors which predicted Pap smear test use in the study. Those women with ID who had marital status were 8.99 times (95% CI=1.65-49.15) more likely than those had not marital status to use Pap smear test. Women with ID had experience on tubal ligation surgery were 10.48 times (95% CI=1.40-78.26) more likely to use Pap smear test than their counterparts. This study highlights that to acknowledge the rights of women with ID to access Pap smear screening service, health professionals will need to become more flexible and competent in the service that they provide.

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Women with learning disabilities: risk behaviours and experiences of the cervical smear test

Cited by 41 publications

References 11 publications

Exercising choice and control – women with learning disabilities and contraception

Exercising choice and control – women with learning disabilities and contraception

Cancer and Intellectual Disability: A Review of Some Key Contextual Issues

Papanicolaou smear screening of women with intellectual disabilities: A cross-sectional survey in Taiwan

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