Barriers and facilitators to mammography among women with intellectual disabilities: a qualitative approach. Issue 8 (13th September 2020)

• Record Type: Journal Article
• Authors: Arana-Chicas, Evelyn; Kioumarsi, Avat; Carroll-Scott, Amy; Massey, Philip M.; Klassen, Ann C.; Yudell, Michael
• Is Part Of: Disability & society. Volume 35:Issue 8(2020)
• Page Start: 1290
• Page End: 1314
• Publication Date: 2020-09-13
• Subjects: Intellectual disability -- disparities -- mammograms -- women's health; People with disabilities -- Periodicals; People with disabilities -- Social conditions -- Periodicals; Special education -- Periodicals; Rehabilitation -- Periodicals; 362.4
• DOI: 10.1080/09687599.2019.1680348
• Languages: English
• ISSNs: 0968-7599

Abstract

Abstract: Although women with intellectual disabilities have the same breast cancer incidence rate as women without intellectual disabilities, they have fewer mammograms and higher mortality rates. Qualitative inquiry was employed to explore barriers and facilitators to mammography among this population. In-depth qualitative interviews were conducted with 30 women with intellectual disabilities and their caregivers in Philadelphia during 2015–2016. Thematic analysis was conducted using inductive and deductive coding. While results provide further evidence for prior research on barriers to mammography among women with intellectual disabilities (e.g. being unprepared, fear of the exam), this study generated novel barriers such as lack of breast ultrasound awareness, sedation failing to work, and lack of mammogram education in adult day programs, and novel facilitators such as extended family support and positive attitudes. Results support the need to address barriers and promote facilitators to improve the breast cancer screening experience among women with intellectual disabilities.