{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T05:37:58Z","timestamp":1791437878638,"version":"4.3.3"},"reference-count":38,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2013,3,19]],"date-time":"2013-03-19T00:00:00Z","timestamp":1363651200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Canadian Institutes of Health Research Partnerships","award":["103973"],"award-info":[{"award-number":["103973"]}]},{"DOI":"10.13039\/100010523","name":"Centre for Addiction and Mental Health","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100010523","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100012665","name":"Institute for Clinical Evaluative Sciences","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100012665","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J intellect Disabil Res"],"published-print":{"date-parts":[[2013,5]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n \n Effective cancer screening must be available for all eligible individuals without discrimination. Lower rates of cervical and breast cancer screening have been reported in certain groups compared with women from the general population, such as women with intellectual and developmental disabilities (\n IDD<\/jats:styled-content>\n ). Research on the factors explaining those observed differences is crucial to determine whether practices are unfair and could be improved. The aim of this population\u2010based study was to describe cancer screening utilisation by women with\n IDD<\/jats:styled-content>\n in\n O<\/jats:styled-content>\n ntario,\n C<\/jats:styled-content>\n anada compared with other women in\n O<\/jats:styled-content>\n ntario. The specific objectives were (1) to estimate the rates of cervical and breast cancer screening among eligible women with\n IDD<\/jats:styled-content>\n in\n O<\/jats:styled-content>\n ntario; (2) to compare the rates of cervical and breast cancer screening between eligible women with and without\n IDD<\/jats:styled-content>\n ; and (3) to examine if any observed differences between women with and without\n IDD<\/jats:styled-content>\n persist after factors such as age, socio\u2010economic status, rurality and healthcare utilisation are accounted for.\n <\/jats:p>\n <\/jats:sec>\n \n Method<\/jats:title>\n \n This study draws women with\n IDD<\/jats:styled-content>\n from an entire population, and draws a randomly selected comparison group from the same population. It controls for important confounders in cancer screening within the limitations of the data sources. The study was conducted using health administrative databases and registries in\n O<\/jats:styled-content>\n ntario,\n C<\/jats:styled-content>\n anada. Two cohorts were created: a cohort of all women identified as having an\n IDD<\/jats:styled-content>\n and a cohort consisting of a random sample of 20% of the women without\n IDD<\/jats:styled-content>\n .\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The proportion of women with\n IDD<\/jats:styled-content>\n who are not screened for cervical cancer is nearly twice what it is in the women without\n IDD<\/jats:styled-content>\n , and 1.5 times what it is for mammography.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n Findings suggest that women with\n IDD<\/jats:styled-content>\n experience inequities in their access to cancer screening. Public health interventions targeting this population should be implemented.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jir.12035","type":"journal-article","created":{"date-parts":[[2013,3,19]],"date-time":"2013-03-19T05:11:01Z","timestamp":1363669861000},"page":"478-488","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":96,"title":["Are cervical and breast cancer screening programmes equitable? 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