Access to breast cancer screening services for women with disabilities.
OBJECTIVE
To identify barriers to breast cancer screening services encountered by women with physical disabilities.


METHODS
Phenomenologic design using a semi-structured interview guide to explore the experiences of women with disabilities seeking breast cancer screening services.


METHODS
Face-to face interviews conducted in the homes of women from the urban and rural mid-south.


METHODS
A purposive sample of women with motor or sensory disabilities, age 21 to 65, was recruited for this study based on community type and type and severity of disability. Community collaborators working with people with disabilities identified eligible participants.


RESULTS
Although the study focused on breast cancer screening services, women also described financial, architectural, environmental, and attitudinal barriers that affected all of their health care services. Women described poor transportation, heavy doors, and inaccessible exam tables and bathrooms. They felt devalued by their providers and believed that their symptoms were often overlooked. Women with disabilities want to be partners in their own health care.


CONCLUSIONS
Women with physical disabilities face both financial and nonfinancial barriers to access that may result in delayed detection and increased risk of poorer outcomes from breast cancer. Providers require education about working with women with disabilities.
Mele
Nancy
N
University of Memphis, Loewenberg School of Nursing, 610 Goodman Street, Memphis, TN 38152, USA. nmele@memphis.edu
Archer
Jeanne
J
Pusch
Burton D
BD
D000328:Adult; D000368:Aged; D001107:Architectural Accessibility / Q000592:standards; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D001943:Breast Neoplasms / Q000175:diagnosis*; D006233:Persons with Disabilities / Q000523:psychology*; D005260:Female; D006297:Health Services Accessibility / Q000592:standards*; D006301:Health Services Needs and Demand; D006801:Humans; D008403:Mass Screening / Q000523:psychology / Q000592:standards; D008875:Middle Aged; D008960:Models, Psychological; D015404:Nursing Methodology Research; D011287:Prejudice; D012307:Risk Factors; D012423:Rural Health; D012959:Socioeconomic Factors; D015144:Southeastern United States; D011795:Surveys and Questionnaires; D014504:Urban Health; D014932:Women's Health Services / Q000592:standards*