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Breast cancer and the uptake of mammography screening services by women with intellectual disabilities.

机译:乳腺癌和智障妇女对乳房X光检查的接受。

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Background. It is estimated that approximately 50% of women in Australia with intellectual disability will live to 70 years of age and as a result many will fall within the age group at highest risk for breast cancer (50-69 years).Methods. Subjects were identified through the Western Australia Disability Services database. To determine the number of women diagnosed with breast cancer during the period 1982-2000, individual records (n = 2,370) were linked to the Western Australia Cancer Registry and the Mammography Screening Registry.Results. The incidence of breast cancer among women with intellectual disability was 64.0 per 100,000 person-years, by comparison with 146.7 per 100,000 person-years in the general population. The uptake of breast cancer screening was examined in a subgroup of 380 women, 34.7% of whom had used mammographic screening, as opposed to 54.6% screening uptake in the general population. Failure to use screening services was highest in women who were unmarried, and was positively associated with severity of intellectual disability, presence of physical disabilities, and urban residence.Conclusions. The lower incidence of breast cancer in women with intellectual disability may in part be attributable to decreased life expectancy, but it also appears to reflect significant under utilization of the readily available screening services.
机译:背景。据估计,在澳大利亚,约有50%的智障妇女将活到70岁,因此许多人将处于罹患乳腺癌风险最高的年龄组(50-69岁)。通过西澳大利亚州残障服务数据库识别受试者。为了确定1982年至2000年期间被诊断出患有乳腺癌的女性人数,将个人记录(n = 2,370)与西澳大利亚州癌症登记处和乳腺X线摄影筛查登记处联系起来。智力残疾妇女的乳腺癌发病率为每100,000人年64.0人,而普通人群中乳腺癌的发生率为每100,000人年146.7人。在一个380名妇女的亚组中检查了乳腺癌筛查的摄取率,其中34.7%的人使用了乳房X线筛查,而在普通人群中筛查的摄取率为54.6%。未婚妇女中未使用筛查服务的比例最高,并且与智力残疾,身体残障和城市居住状况的严重程度呈正相关。智力残疾妇女乳腺癌的发病率较低可能部分归因于预期寿命的缩短,但它似乎也反映出在利用现成的筛查服务方面存在显着不足。

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