{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,11]],"date-time":"2026-11-11T20:35:17Z","timestamp":1794429317633,"version":"4.9.1"},"reference-count":54,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Ministry of Health & Welfare","award":["2016007"],"award-info":[{"award-number":["2016007"]}]},{"DOI":"10.13039\/501100001321","name":"National Research Foundation","doi-asserted-by":"publisher","award":["2019R1A2C1087507"],"award-info":[{"award-number":["2019R1A2C1087507"]}],"id":[{"id":"10.13039\/501100001321","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001321","name":"National Research Foundation","doi-asserted-by":"publisher","award":["2019R1D1A3A03103862"],"award-info":[{"award-number":["2019R1D1A3A03103862"]}],"id":[{"id":"10.13039\/501100001321","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001321","name":"National Research Foundation","doi-asserted-by":"publisher","award":["2020R1I1A1A01054268"],"award-info":[{"award-number":["2020R1I1A1A01054268"]}],"id":[{"id":"10.13039\/501100001321","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Cancer Control"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Not much is known regarding the disparities in cancer care between women with and without disabilities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The aim of this study was to investigate the potential disparities in the diagnosis, treatment, and survival of women with cervical cancer with and without disabilities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a retrospective cohort study and linked the National Disability Database, Korean Central Cancer Registry, and Korean National Health Insurance claims database. Charlson comorbidity index was used for adjusting the comorbidity. The study population comprised 3 185 women with disabilities (physical\/brain, communication, mental, cardiopulmonary, and other impairment) who were diagnosed with cervical cancer and 13\u00a0582 age- and sex-matched women without disability who were diagnosed with cervical cancer for comparison.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Distant metastatic stage (7.7% vs 3.7%) and unknown stage (16.1% vs 7.0%) were more common in cervical cancer women with grade 1 disabilities, compared with women without disabilities. Women with cervical cancer with disabilities were less likely to undergo surgery (adjusted odds ratio (aOR) 0.81, 95% confidence interval (CI) 0.73\u20130.90) or chemotherapy (aOR 0.86, 95% CI 0.77\u20130.97). Lower rate of surgery was more evident in patients with physical\/brain impairment (aOR 0.46, 95% CI 0.37\u20130.58) and severe mental impairment (aOR 0.57, 95% CI 0.41\u20130.81). The overall mortality risk was also higher in patients with disabilities (adjusted hazard ratio (aHR) 1.36, 95% CI 1.25\u20131.48).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Women with cervical cancer with disabilities, especially with severe disabilities, were diagnosed at later stages, received less treatment, and had higher mortality rates, compared with patients who lacked disabilities. Social support and policies, along with education for women with disabilities, their families, and healthcare professionals, are needed to improve these disparities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10732748211055268","type":"journal-article","created":{"date-parts":[[2022,1,19]],"date-time":"2022-01-19T04:01:41Z","timestamp":1642564901000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":27,"title":["Disparities in the Diagnosis, Treatment, and Survival Rate of Cervical Cancer among Women with and without Disabilities"],"prefix":"10.1177","volume":"28","author":[{"given":"Jin Young","family":"Choi","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Chungbuk National University Hospital, Cheongju, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyoung Eun","family":"Yeob","sequence":"additional","affiliation":[{"name":"College of Medicine\/Graduate School of Health Science Business Convergence, Chungbuk National University, Cheongju, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seung Hwa","family":"Hong","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Chungbuk National University College of Medicine, Cheongju, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"So Young","family":"Kim","sequence":"additional","affiliation":[{"name":"College of Medicine\/Graduate School of Health Science Business Convergence, Chungbuk National University, Cheongju, Republic of Korea"},{"name":"Department of Public Health and Preventive Medicine, Chungbuk National University Hospital, Cheongju, Korea"},{"name":"Harvard TH Chan School of Public Health, Harvard University, Cambridge, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eun-Hwan","family":"Jeong","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Chungbuk National University College of Medicine, Cheongju, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong Wook","family":"Shin","sequence":"additional","affiliation":[{"name":"Supportive Care Center\/ Department of Family Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea"},{"name":"Department of Digital Health, SAIHST, Sungkyunkwan University, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jong Heon","family":"Park","sequence":"additional","affiliation":[{"name":"Big Data Steering Department, National Health Insurance Service, Wonju, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gil-won","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Health Informatics and Management, College of Medicine, Chungbuk National University, Cheongju, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hak Soon","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Chungbuk National University College of Medicine, Cheongju, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3247-0827","authenticated-orcid":false,"given":"Jong Hyock","family":"Park","sequence":"additional","affiliation":[{"name":"College of Medicine\/Graduate School of Health Science Business Convergence, Chungbuk National University, Cheongju, Republic of Korea"},{"name":"Harvard TH Chan School of Public Health, Harvard University, Cambridge, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ichiro","family":"Kawachi","sequence":"additional","affiliation":[{"name":"Harvard TH Chan School of Public Health, Harvard University, Cambridge, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,1,19]]},"reference":[{"key":"bibr1-10732748211055268","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21660"},{"key":"bibr2-10732748211055268","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(19)30482-6"},{"key":"bibr3-10732748211055268","doi-asserted-by":"publisher","DOI":"10.4143\/crt.2021.291"},{"key":"bibr4-10732748211055268","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-199811000-00001"},{"key":"bibr5-10732748211055268","volume-title":"Berek & Novak\u2019s Gynecology","author":"Berek JS","year":"2012","edition":"15"},{"key":"bibr6-10732748211055268","unstructured":"Anderson DMLJ, Elkas JC. 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