Breast and Cervical Cancer Screening Experiences and Barriers Among Visually Impaired Women: A Mixed Method Study

IF 1.1 4区 医学 Q3 REHABILITATION Sexuality and Disability Pub Date : 2024-05-30 DOI:10.1007/s11195-024-09853-y
Meltem Ugurlu, Derya Yuksel Kocak
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Abstract

This study aims to identify the experiences of visually impaired women regarding breast and cervical cancer screening and the barriers they encounter. A mixed-method approach was employed using surveys and semi-structured interviews. The survey questionnaire investigated the participation and knowledge of visually impaired women in breast and cervical cancer screenings, while the interviews supported the survey results and provided insights into women’s experiences and barriers related to breast and cervical cancer screening. The quantitative part of the research was completed with 210 visually impaired women, while the qualitative part was completed with 15 participants. It was determined that 13.3% of the participants undergo breast self-examination (BSE) monthly, 4.7% undergo clinical breast examination (CBE) annually, and 33.3% of women aged 40 and above regularly undergo mammography. Additionally, 18.1% of the participants reported having regular gynecological examinations, and 31.3% reported having regular pap smears. The interview data revealed three main themes: personal factors, environmental factors, and barriers and facilitators. Participants face difficulties such as lack of knowledge about accessing healthcare facilities, screening, and preventive measures, limited mobility, economic challenges, negative attitudes of healthcare personnel, and inadequate environmental adjustments for disabled individuals. The study has revealed that visually impaired women in Turkey may not have sufficient participation in breast and cervical cancer screenings.

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视障妇女的乳腺癌和宫颈癌筛查经历与障碍:混合方法研究
本研究旨在了解视障妇女在乳腺癌和宫颈癌筛查方面的经历以及遇到的障碍。研究采用了调查和半结构化访谈的混合方法。调查问卷调查了视障妇女参与乳腺癌和宫颈癌筛查的情况和对筛查的了解程度,而访谈则为调查结果提供了支持,并深入了解了妇女在乳腺癌和宫颈癌筛查方面的经历和遇到的障碍。研究的定量部分由 210 名视障妇女完成,定性部分由 15 名参与者完成。结果显示,13.3%的参与者每月进行一次乳房自我检查(BSE),4.7%的参与者每年进行一次临床乳房检查(CBE),33.3%的 40 岁及以上女性定期进行乳房 X 光检查。此外,18.1% 的参与者表示定期进行妇科检查,31.3% 表示定期进行子宫颈抹片检查。访谈数据揭示了三大主题:个人因素、环境因素以及障碍和促进因素。参与者面临的困难包括:缺乏使用医疗设施、筛查和预防措施的知识,行动不便,经济困难,医护人员的消极态度,以及为残疾人提供的环境调整不足。研究显示,土耳其的视障妇女可能无法充分参与乳腺癌和宫颈癌筛查。
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来源期刊
Sexuality and Disability
Sexuality and Disability REHABILITATION-
CiteScore
2.70
自引率
20.00%
发文量
47
期刊介绍: Sexuality and Disability is an international forum for the publication of peer-reviewed original interdisciplinary scholarly papers that address the psychological and medical aspects of sexuality in relation to rehabilitation. Publishing timely research articles, review articles, case studies, clinical practice reports, brief research reports, survey data reports, and book and film reviews, the journal offers the latest developments in the area of sexuality as it relates to a wide range of disabilities and conditions. Contributions address: clinical and research progress; community programs; independent-living programs; guidelines for clinical practice; special grand-rounds topics; consumer issues; and contemporary developments in special programs in sex education and counseling for people with disabilities. The journal features special issues with internationally renowned guest editors focusing on current topics in sexual health. By publishing research, best-practice, evidence-based, and educational articles, the journal seeks to contribute to the field''s knowledge base and advancement. Sexuality and Disability is an essential resource for the exchange of new knowledge, issues, techniques, and available modalities for researchers and other professionals addressing the psychological and medical aspects of sexuality in rehabilitation, medical, academic, and community settings.
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