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Anthony Ramirez, BA, Gail C. Farmer, DrPH, David Grant, PhD and Theodora Papachristou, MPH

Anthony Ramirez is with the University of California, Los Angeles (UCLA) Center for Health Policy Research and the California Health Interview Survey, Los Angeles. Gail C. Farmer is with the Department of Sociology and Health Services, California State University, Long Beach. David Grant is with the UCLA Center for Health Policy Research and the California Health Interview Survey, Los Angeles. Theodora Papachristou is with the California State University, Long Beach.

Correspondence: Requests for reprints should be sent to Anthony Ramirez, Research Associate, California Health Interview Survey, UCLA Center for Health Policy Research, 10911 Weyburn Avenue, Suite 300, Los Angeles, CA USA 90024, (email: tonyram{at}ucla.edu).

Objective. We sought to evaluate preventive cancer screening compliance among adults with disability in California.

Methods. We used data from the 2001 California Health Interview Survey to compare disabled and nondisabled adults for differences in preventive cancer screening behaviors. Compliance rates for cancer screening tests (mammography, Papanicolaou test, prostate-specific antigen, sigmoidoscopy/colonoscopy, and fecal occult blood test) between the 2 subpopulations were evaluated.

Results. Women with disabilities were 17% (Papanicolaou tests) and 13% (mammograms) more likely than women without disabilities to report noncompliance with cancer screening guidelines. Interactions between disability and reports of a doctor recommendation on cervical cancer screening were significant; women with disabilities had a lower likelihood of receiving a recommendation. Men with disabilities were 19% less likely than men without disabilities to report a prostate-specific antigen test within the last 3 years.

Conclusions.secondary to structural and/or clinical factors underpinning the differences found.

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