title: Factors facilitating acceptable mammography services for women with disabilities.
abstract: BACKGROUND
  Prior research has described general barriers to breast cancer screening for women with disabilities (WWD). We explored specific accommodations described as necessary by WWD who have accessed screening services, and the presence of such accommodations in community-based screening programs.
  
  
  METHODS
  We surveyed WWD in the Carolina Mammography Registry to determine what accommodations were needed when accessing breast screening services, and whether or not these needs were met. The sample of 1,348 WWD was identified through a survey of limitations, with a response rate of 45.5% (4,498/9,885). Of the 1,348 WWD eligible for the second survey, 739 responded for a response rate of 54.8%.
  
  
  RESULTS
  The most frequently needed accommodations were an accessible changing area with a bench (60.0%), oral description of the procedure by the technologist (60.5%), and handicapped/accessible parking (27.6%). Handicapped parking was the need most likely to go unmet (3.1%).
  
  
  CONCLUSIONS
  Most needs are being met by radiology facilities and staff, and the few needs going unmet are related to the physical/built environment. Overall, for WWD who are in screening, the mammography system seems to be more accessible than generally perceived.
authors: Department of Radiology, University of North Carolina at Chapel Hill, NC 27599, USA. mpjarman@med.unc.edu
authors: Molly P
authors: MP
authors: Jarman
authors: J Michael
authors: JM
authors: Bowling
authors: Pamela
authors: P
authors: Dickens
authors: Karen
authors: K
authors: Luken
authors: Bonnie C
authors: BC
authors: Yankaskas
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000517:prevention & control*; D006233:Persons with Disabilities / Q000523:psychology*; D005260:Female; D019538:Health Care Surveys; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D006801:Humans; D008327:Mammography / Q000706:statistics & numerical data*; D008403:Mass Screening / Q000379:methods; D008875:Middle Aged; D020380:Needs Assessment; D009657:North Carolina; D010342:Patient Acceptance of Health Care / Q000523:psychology; D011159:Population Surveillance; D012042:Registries; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires