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Disability and participation in breast and bowel cancer screening in England: a large prospective study.

Floud S, Barnes I, Verfürden M, Kuper H, Gathani T, Blanks RG, Alison R,
Patnick J, Beral V, Green J, Reeves GK.

Br J Cancer [Epub ahead of print]

BACKGROUND:
There is limited information about participation in organised population-wide screening programmes by people with disabilities.

METHODS:
Data from the National Health Service routine screening programmes in England were linked to information on disability reported by the Million Women Study cohort participants.

RESULTS:
Of the 473 185 women offered routine breast or bowel cancer screening, 23% reported some disability. Women with disabilities were less likely than other women to participate in breast cancer screening (RR=0.64, 95% CI: 0.62-0.65) and in bowel cancer screening (RR=0.75, 0.73-0.76). Difficulties with self-care or vision were associated with the greatest reduction in screening participation.

CONCLUSION:
Participation in routine cancer screening programmes in England is reduced in people with disabilities and participation varies by type of disability.

British Journal of Cancer advance online publication: 3 October 2017; doi:10.1038/bjc.2017.331 www.bjcancer.com.

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