Virginie Cobigo|Hélène Ouellette?Kuntz|Robert Balogh|Felix Leung|Elizabeth Lin|Yona Lunsky
Are cervical and breast cancer screening programmes equitable? The case of women with intellectual and developmental disabilities
University of East Anglia|Queen's University|Institute for Clinical Evaluative Sciences|Institute for Clinical Evaluative Sciences|University of Ontario Institute of Technology|Public Health Ontario|University of Toronto|Institute for Clinical Evaluative Sciences|Centre for Addiction and Mental Health|Institute for Clinical Evaluative Sciences|Centre for Addiction and Mental Health
effective cancer screening must available eligible individuals without discrimination lower rates cervical breast cancer screening reported certain groups compared women general population women intellectual developmental disabilities idd research factors explaining observed differences crucial determine whether practices unfair could improved aim populationbased study describe cancer screening utilisation women idd ontario canada compared women ontario specific objectives 1 estimate rates cervical breast cancer screening among eligible women idd ontario 2 compare rates cervical breast cancer screening eligible women without idd 3 examine observed differences women without idd persist factors age socioeconomic status rurality healthcare utilisation accounted forthis study draws women idd entire population draws randomly selected comparison group population controls important confounders cancer screening within limitations data sources study conducted using health administrative databases registries ontario canada two cohorts created cohort women identified idd cohort consisting random sample 20 women without iddthe proportion women idd screened cervical cancer nearly twice women without idd 15 times mammographyfindings suggest women idd experience inequities access cancer screening public health interventions targeting population implemented