Women with learning disabilities and access to cervical screening: retrospective cohort study using case control methods

Reynolds, Fiona; Stanistreet, Debbi; Elton, Peter
January 2008
BMC Public Health;2008, Vol. 8 Issue 1, p30
Academic Journal
Background: Several studies in the UK have suggested that women with learning disabilities may be less likely to receive cervical screening tests and a previous local study in had found that GPs considered screening unnecessary for women with learning disabilities. This study set out to ascertain whether women with learning disabilities are more likely to be ceased from a cervical screening programme than women without; and to examine the reasons given for ceasing women with learning disabilities. It was carried out in Bury, Heywood-and-Middleton and Rochdale. Methods: Carried out using retrospective cohort study methods, women with learning disabilities were identified by Read code; and their cervical screening records were compared with the Call-and-Recall records of women without learning disabilities in order to examine their screening histories. Analysis was carried out using case-control methods - 1:2 (women with learning disabilities: women without learning disabilities), calculating odds ratios. Results: 267 women's records were compared with the records of 534 women without learning disabilities. Women with learning disabilities had an odds ratio (OR) of 0.48 (Confidence Interval (CI) 0.38 - 0.58; X²: 72.227; p.value <.001) of receiving a cervical screening test; an OR of 2.05 (CI 1.88 - 2.22; X²: 24.236; p.value <.001) of being ceased from screening; and an OR of 0.14 (CI 0.001 - 0.28; X²: 286.341; p.value <0.001 of being a non-responder compared to age and practice-matched women without learning disabilities. Conclusion: The reasons given for ceasing and/or not screening suggest that merely being coded as having a learning disability is not the sole reason for these actions. There are training needs among smear takers regarding appropriate reasons not to screen and providing screening for women with learning disabilities.


Related Articles

  • Effect Size Use in Studies of Learning Disabilities. Ives, Bob // Journal of Learning Disabilities;Nov/Dec2003, Vol. 36 Issue 6, p490 

    The misinterpretation and overuse of significance testing in the social sciences has been widely criticized. This criticism is reviewed, along with several recommendations found in the literature, including the use of effect size measures to enhance the interpretation of significance testing. A...

  • Protecting people with learning disabilities from abuse: a key role for learning disability nurses. Davies, Rachel; Jenkins, Robert // Journal of Adult Protection;Sep2004, Vol. 6 Issue 2, p31 

    Learning disability nurses are in a prime position to help protect clients from abuse. But current training programmes are not preparing nurses adequately to fulfill this role. This article argues that a shift in organisational culture is required in order to ensure new knowledge is properly...

  • Graduate Training in the "Specialty" of Learning Disabilities: Some Thoughts. Adelman, Howard S. // Journal of Learning Disabilities;Feb1970, Vol. 3 Issue 2, p66 

    In an effort to stimulate an interchange among professionals concerned with graduate training in the "specialty "of Learning Disabilities, (1) a number of basic issues currently confronting training programs are reviewed and explored and (2) an experience-based analysis of the strengths,...

  • assessing the health screening choices of women with learning disabilities.  // Learning Disability Practice;Nov2007, Vol. 10 Issue 9, p10 

    The article presents a study that explores psychological factors that influence women with learning disabilities decision's to participate in cervical screening initiatives. A questionnaire was completed to measure health locus of control, knowledge of cervical screening and perceived value of...

  • Diagnostic Performance of an Executive Clock Drawing Task (CLOX) as a Screening Test for Mild Cognitive Impairment in Elderly Persons with Cognitive Complaints. Forti, Paola; Olivelli, Valentina; Rietti, Elisa; Maltoni, Benedetta; Ravaglia, Giovanni // Dementia & Geriatric Cognitive Disorders;2010, Vol. 30 Issue 1, p20 

    Background: CLOX, a clock drawing test protocol uniquely sensitive to impairment of executive functions, has been proposed as a screening tool for mild cognitive impairment (MCI), but data about its diagnostic efficiency are lacking. Methods: There are data for 196 subjects, age ≥60 years,...

  • Editorial.  // Journal of Learning Disabilities;Jun/Jul1974, Vol. 7 Issue 6, p331 

    This article informs that as of June 30, 1974, the funding of the Leadership Training Institute (LTI) in Learning Disabilities at the University of Arizona ceases. Apparently, the Bureau of Education for the Handicapped (BEH) was unhappy with the way the LTI was working out. It did not seem...

  • the use of online clinical 'quandaries' in professional training. McKenzie, Karen; O'Shea, Clara // Learning Disability Practice;Sep2007, Vol. 10 Issue 7, p16 

    The article reports on the initiative of some professionals who undergo training to help individuals with a range of complex psychological, physical, emotional and behavioral needs. They are working in the field of learning disability and their training must enable them to apply professional...

  • Computer Simulation: A Technique For Training Educational Diagnosticians. Lerner, Janet W.; Schuyler, James A. // Journal of Learning Disabilities;Oct1974, Vol. 7 Issue 8, p471 

    This paper describes the use of computer simulation of the diagnostic process - a method of training learning disabilities specialists. Prospective learning disabilities specialists gained experience in the diagnostic process via operational computer simulations. The simulated settings provided...

  • SMALL STEP FORWARD. Heddell, Fred // Community Care;1/16/2003, Issue 1455, p38 

    Offers a personal view on the progress made in implementing the forward-looking learning difficulties strategy, Valuing People in its first year in Great Britain. Highlights of the 'Annual Report on Valuing People,' published by the Learning Disability Task Force; Importance of learning...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics