{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T17:43:14Z","timestamp":1760031794689,"version":"build-2065373602"},"reference-count":48,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2025,3,24]],"date-time":"2025-03-24T00:00:00Z","timestamp":1742774400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Ministry of Health, Labor, and Welfare of Japan","award":["23EA1030"],"award-info":[{"award-number":["23EA1030"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Functional limitations that compromise preventive healthcare service utilization by people with disabilities in Japan are unelucidated. Secondary data from the Comprehensive Survey of Living Conditions (CSLC) in 2022 on the functional limitations defined by the Washington Group Short Set may bridge the knowledge gap, with evaluation of the generalizability of the knowledge as CSLC2022 was conducted in the aftermath of the COVID-19 pandemic. We described the number and types of functional limitations among people with disabilities who did not participate in the general health examination and cancer screenings. For the generalizability evaluation, we analyzed preventive service uptake and its relevance to disability status and compared them with compatible data from the CSLC from 2016, conducted before the pandemic. Among the eligible data, the percentage of people with disabilities among the preventive healthcare service non-participants was 2.40\u20133.66% (n = 129\u2013239); one-third had two or more types of functional limitations. Functional limitations in mobility and self-care (basic activities of daily living [BADL]) are common and dominant issues. No obvious difference was observed regarding the aforementioned statistics between CSLC2022 and CSLC2016. Reasonable accommodation for people with BADL related to uni- or multifunctional limitations may contribute to increased accessibility to preventive healthcare services.<\/jats:p>","DOI":"10.3390\/ijerph22040484","type":"journal-article","created":{"date-parts":[[2025,3,24]],"date-time":"2025-03-24T13:48:20Z","timestamp":1742824100000},"page":"484","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Functional Limitations and Use of General Health Examination and Cancer Screening Among People with Disabilities Who Need Support from Others: Secondary Data Analysis of the 2022 Comprehensive Survey of Living Conditions in Japan"],"prefix":"10.3390","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7742-8457","authenticated-orcid":false,"given":"Takashi","family":"Saito","sequence":"first","affiliation":[{"name":"Department of Social Rehabilitation, Research Institute of National Rehabilitation Center for Persons with Disabilities, 4-1 Namiki, Tokorozawa 359-8555, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7274-0022","authenticated-orcid":false,"given":"Kumiko","family":"Imahashi","sequence":"additional","affiliation":[{"name":"Department of Social Rehabilitation, Research Institute of National Rehabilitation Center for Persons with Disabilities, 4-1 Namiki, Tokorozawa 359-8555, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chikako","family":"Yamaki","sequence":"additional","affiliation":[{"name":"Institute for Cancer Control, National Cancer Center, 5-1-1 Tsukiji, Chuo-ku 104-0045, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,3,24]]},"reference":[{"key":"ref_1","unstructured":"Medicare Interactive (2024, August 30). Preventive Services Overview. Available online: https:\/\/www.medicareinteractive.org\/get-answers\/medicare-covered-services\/preventive-services\/preventive-services-overview."},{"key":"ref_2","unstructured":"World Health Organization (2015). WHO Global Disability Action Plan 2014\u20132021. Better Health for All People with Disability, WHO. Available online: https:\/\/iris.who.int\/handle\/10665\/199544."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1136\/jech-2016-207557","article-title":"Do health checks for adults with intellectual disability reduce emergency hospital admissions? Evaluation of a natural experiment","volume":"71","author":"Carey","year":"2017","journal-title":"J. Epidemiol. Community Health"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"e049441","DOI":"10.1136\/bmjopen-2021-049441","article-title":"Health checks for adults with intellectual disability and association with survival rates: A linked electronic records matched cohort study in Wales, UK","volume":"12","author":"Kennedy","year":"2022","journal-title":"BMJ Open"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"955","DOI":"10.2105\/AJPH.90.6.955","article-title":"Mobility impairments and use of screening and preventive services","volume":"90","author":"Iezzoni","year":"2000","journal-title":"Am. J. Public Health"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"e024571","DOI":"10.1136\/bmjopen-2018-024571","article-title":"Utilisation of mammography by women with mobility impairment in the UK: Secondary analysis of cross-sectional data","volume":"9","author":"Sakellariou","year":"2019","journal-title":"BMJ Open"},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Chiu, T.Y. (2021). Predictors of use of preventative health services for people with disabilities in Taiwan. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18041661"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"e016614","DOI":"10.1136\/bmjopen-2017-016614","article-title":"Access to healthcare for men and women with disabilities in the UK: Secondary analysis of cross-sectional data","volume":"7","author":"Sakellariou","year":"2017","journal-title":"BMJ Open"},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Andiwijaya, F.R., Davey, C., Bessame, K., Ndong, A., and Kuper, H. (2022). Disability and participation in breast and cervical cancer screening: A systematic review and meta-analysis. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19159465"},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Almohammed, H.I. (2024). A systematic review to evaluate the barriers to breast cancer screening in women with disability. J. Clin. Med., 13.","DOI":"10.3390\/jcm13113283"},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Saito, T., Imahashi, K., and Yamaki, C. (2024). Use of general health examination and cancer screening among people with disability who need support from others: Analysis of the 2016 Comprehensive Survey of Living Conditions in Japan. Int. J. Environ. Res. Public Health, 21.","DOI":"10.3390\/ijerph21020219"},{"key":"ref_12","unstructured":"Cabinet Office, the Government of Japan (2024, August 30). Annual Report on Government Measures for Persons with Disabilities (Summary) 2023, Available online: https:\/\/www8.cao.go.jp\/shougai\/english\/annualreport\/2023\/pdf\/index.pdf."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"S159","DOI":"10.2188\/jea.6.3sup_159","article-title":"Community screening programs of cancer and cardiovascular diseases in Japan","volume":"6","author":"Hisamichi","year":"1996","journal-title":"J. Epidemiol."},{"key":"ref_14","unstructured":"(2024, August 30). Ministry of Health, Labour and Welfare of Japan. (In Japanese)."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"813","DOI":"10.1111\/pcn.12554","article-title":"Cancer screening participation in schizophrenic outpatients and the influence of their functional disability on the screening rate: A cross-sectional study in Japan","volume":"71","author":"Fujiwara","year":"2017","journal-title":"Psychiatry Clin. Neurosci."},{"key":"ref_16","first-page":"404","article-title":"The study of medical checkup for person with intellectual disability: As a focus of person with intellectual disability in the community","volume":"40","author":"Muraoka","year":"2018","journal-title":"Jpn. J. Dev. Disabil."},{"key":"ref_17","first-page":"908","article-title":"An investigation of the experiences of hearing-impaired people undergoing medical examinations in health-checkups","volume":"50","author":"Takahashi","year":"2003","journal-title":"Nihon Koshu Eisei Zasshi"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"122","DOI":"10.3804\/jjabcs.16.122","article-title":"Breast cancer screening for severely disabled patients: Present status and future problems","volume":"16","author":"Matsuo","year":"2007","journal-title":"J. Jpn. Assoc. Breast Cancer Screen."},{"key":"ref_19","first-page":"270","article-title":"Medical examination, cancer screening, and health information channels of people with sight impairment: A survey of the resisters of a braille library or a sight impairment support group","volume":"64","author":"Yamaki","year":"2017","journal-title":"Nihon Koshu Eisei Zasshi"},{"key":"ref_20","unstructured":"(2024, September 25). Ministry of Health, Labour and Welfare of Japan. Available online: https:\/\/www.mhlw.go.jp\/english\/database\/db-hss\/cslc-report2022.html."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1179\/2045772315Y.0000000031","article-title":"Modifiable and non-modifiable factors associated with employment outcomes following spinal cord injury: A systematic review","volume":"38","author":"Trenaman","year":"2015","journal-title":"J. Spinal Cord. Med."},{"key":"ref_22","unstructured":"Washington Group on Disability Statistics (2024, August 30). An introduction to the Washington Group on Disability Statistics Questions Sets. Available online: https:\/\/www.washingtongroup-disability.com\/fileadmin\/uploads\/wg\/The_Washington_Group_Primer_-_English.pdf."},{"key":"ref_23","unstructured":"Tokyo Metropolitan Institute for Geriatrics and Gerontology (2024, August 30). Measures for COVID19. (In Japanese)."},{"key":"ref_24","unstructured":"(2025, February 13). Ministry of Health, Labour and Welfare of Japan. (In Japanese)."},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Abubakar, A.K., Kaneda, Y., Ozaki, A., Saito, H., Murakami, M., Hori, D., Gonda, K., Tsubokura, M., and Tabuchi, T. (2024). Two-year-span breast cancer screening uptake in Japan after the COVID-19 pandemic and its association with the COVID-19 vaccination. Cancers, 16.","DOI":"10.3390\/cancers16091783"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"102649","DOI":"10.1016\/j.pmedr.2024.102649","article-title":"Cancer screening in Japan 2 years after the COVID-19 pandemic: Changes in participation, 2017\u20132021","volume":"39","author":"Machii","year":"2024","journal-title":"Prev. Med. Rep."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"102313","DOI":"10.1016\/j.canep.2022.102313","article-title":"Japanese cancer screening programs during the COVID-19 pandemic: Changes in participation between 2017\u20132020","volume":"82","author":"Machii","year":"2023","journal-title":"Cancer Epidemiol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"417","DOI":"10.3862\/jcoloproctology.75.417","article-title":"Colon cancer screening during the COVID-19 pandemic","volume":"75","author":"Kobayashi","year":"2022","journal-title":"Nihon Daicho Komonbyo Gakkai Zasshi"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"4352","DOI":"10.1200\/JCO.22.02170","article-title":"Cancer screening in the United States during the second year of the COVID-19 pandemic","volume":"41","author":"Star","year":"2023","journal-title":"J. Clin. Oncol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1177\/09691413221090892","article-title":"COVID-19 disruption to cervical cancer screening in England","volume":"29","author":"Castanon","year":"2022","journal-title":"J. Med. Screen."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"E05","DOI":"10.5888\/pcd21.230234","article-title":"The effect of disability and social determinants of health on breast and cervical cancer screenings during the COVID-19 pandemic","volume":"21","author":"Rolle","year":"2024","journal-title":"Prev. Chronic Dis."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"101156","DOI":"10.1016\/j.nmni.2023.101156","article-title":"Resurgence of infectious diseases in post-COVID-19 era: A Japanese perspective","volume":"53","author":"Kaneda","year":"2023","journal-title":"New Microbes New Infect."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"101130","DOI":"10.1016\/j.nmni.2023.101130","article-title":"The unprecedented avian influenza crisis in Japan: Strategies for prevention and response","volume":"53","author":"Kaneda","year":"2023","journal-title":"New Microbes New Infect."},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"Saito, T., Imahashi, K., and Yamaki, C. (2024). The first use of the Washington Group Short Set in a national survey of Japan: Characteristics of the new disability measure in comparison to an existing disability measure. Int. J. Environ. Res. Public Health, 21.","DOI":"10.3390\/ijerph21121643"},{"key":"ref_35","unstructured":"Ministry of Health, Labour and Welfare of Japan (2024, August 30). Policies for Health Education for Cancer Prevention and Cancer Screening, (In Japanese)."},{"key":"ref_36","unstructured":"Ministry of Health, Labour and Welfare of Japan (2024, August 30). Basic Plan to Promote Cancer Control Program, (In Japanese)."},{"key":"ref_37","unstructured":"Japan Cancer Society (2024, August 30). A Survey of Cancer Screening Policy. (In Japanese)."},{"key":"ref_38","unstructured":"Ministry of Health, Labour and Welfare of Japan (2024, August 30). (In Japanese)."},{"key":"ref_39","first-page":"61","article-title":"Functional evaluation: The Barthel Index","volume":"14","author":"Mahoney","year":"1965","journal-title":"Md. State Med. J."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"S17","DOI":"10.1097\/00002060-199705001-00005","article-title":"Primary care for persons with disabilities. The internal medicine perspective","volume":"76","author":"Andriacchi","year":"1997","journal-title":"Am. J. Phys. Med. Rehabil."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1016\/j.whi.2019.10.002","article-title":"Gynecologic care for women with physical disabilities: A qualitative study of patients and providers","volume":"30","author":"Sonalkar","year":"2020","journal-title":"Womens Health Issues"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1016\/j.puhe.2023.02.014","article-title":"Association between ideal cardiovascular health and multiple disabilities among US adults, BRFSS 2017\u20132019","volume":"218","author":"Kelekar","year":"2023","journal-title":"Public Health"},{"key":"ref_43","doi-asserted-by":"crossref","unstructured":"Satg\u00e9, D., Nishi, M., and Tr\u00e9tarre, B. (2023). Assessing cancer in people with profound and multiple disabilities. BMC Cancer, 23.","DOI":"10.1186\/s12885-023-11313-3"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"100413","DOI":"10.1016\/j.ssmph.2019.100413","article-title":"Social determinants of multimorbidity and multiple functional limitations among the ageing population of England, 2002\u20132015","volume":"8","author":"Singer","year":"2019","journal-title":"SSM Popul. Health"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"120","DOI":"10.14391\/ajhs.8.120","article-title":"The definitions of multimorbidity and multiple disabilities (MMD) and the rehabilitation for MMD","volume":"8","author":"Kohzuki","year":"2015","journal-title":"Asian J. Human. Serv."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1370\/afm.1337","article-title":"A systematic review of prevalence studies on multimorbidity: Toward a more uniform methodology","volume":"10","author":"Fortin","year":"2012","journal-title":"Ann. Fam. Med."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"1287","DOI":"10.1001\/jamaoncol.2022.2617","article-title":"Global association of COVID-19 pandemic measures with cancer screening: A systematic review and meta-analysis","volume":"8","author":"Teglia","year":"2022","journal-title":"JAMA Oncol."},{"key":"ref_48","unstructured":"(2024, August 30). Ministry of Health, Labour and Welfare of Japan. (In Japanese)."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/22\/4\/484\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T16:59:23Z","timestamp":1760029163000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/22\/4\/484"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,24]]},"references-count":48,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2025,4]]}},"alternative-id":["ijerph22040484"],"URL":"https:\/\/doi.org\/10.3390\/ijerph22040484","relation":{},"ISSN":["1660-4601"],"issn-type":[{"type":"electronic","value":"1660-4601"}],"subject":[],"published":{"date-parts":[[2025,3,24]]}}}