disability and health program vanessa nehusprincipal investigator vanessa smithprogram coordinator...
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Disability and Health Program
Vanessa Nehus Principal Investigator
Vanessa Smith Program Coordinator
Judy Young Promotion Specialist
We envision the inclusion of all women in affordable, accessible screening and equal treatment of breast cancer in Arkansas.
Barriers to Health Care1. Structural or Physical Access to
Facility/Equipment.
2. Financing Issues
3. Health Promotion
4. Provider Knowledge/Attitude
Breaking Down the Barriers to Health Care for Women with Disabilities National Summit, December 2004.
Structural/Physical Access to Facility/Equipment Transportation Inaccessible parking Inaccessible bathrooms Inaccessible exam equipment
Thierry, JM (2000) Observations from the CDC: Increasing Breast & Cervical Cancer Screening among Women with Disabilities. Journal of Women’s Health & Gender-Based Medicine, 9 pgs 9-12.
Mele, Archer & Pusch ( July/August 2005) Access to Breast Cancer Screening Services for Women with Disabilities. Journal of Obstetric, Gynecologic, & Neonatal Nursing pgs 453-464.
Financing Issues Medicare Deductibles Medications Limited number of covered visits
Mele, Archer & Pusch ( July/August 2005) Access to Breast Cancer Screening Services for Women with Disabilities. Journal of Obstetric, Gynecologic, & Neonatal Nursing pgs 453-464.
Health Promotion Inaccessible Materials Do not target women with disabilities Knowledge & confidence of the patient
Thierry, JM (2000) Observations from the CDC: Increasing Breast & Cervical Cancer Screening among Women with Disabilities. Journal of Women’s Health & Gender-Based Medicine, 9 pgs 9-12.Mele, Archer & Pusch ( July/August 2005) Access to Breast Cancer Screening Services for Women with Disabilities. Journal of Obstetric, Gynecologic, & Neonatal Nursing pgs 453-464.
Provider Knowledge/Attitude Previous negative experiences with
providers Felt non-disability related medical
concerns were ignored Do not receive same standards of care
as non-disabled peersMele, Archer & Pusch ( July/August 2005) Access to Breast Cancer Screening Services for Women with Disabilities. Journal of Obstetric, Gynecologic, & Neonatal Nursing pgs 453-464.Beth Israel Deaconess Medical Center. (2006). Disparities in breast cancer treatment for women with disabilities. Retrieved February 25, 2007, from http://www.hms.harvard.edu/news/pressreleases/bid1106breastcancer.htmlVerger, P., Aulagnier, M., Souville, M., Ravaud, J.F., Lussaulat, P.Y., Garnier, J.P., Paraponaris, A. (2005) Women with disabilities: General practitioners and breast cancer screening, American Journal of Preventive Medicine, 28(2), 215-220.
Arkansas StatisticsBehavioral Risk Factor Surveillance System
Women 40+ years of age* 2000-2007 data combined6424 women without disabilities (65%)3411 women with disabilities (35%)
*A mammogram is an x-ray of each breast to look for breast cancer. Have you ever had a mammogram?
"Yes" response
87.82
89.1
No Disability
Disability
Dis
abili
ty S
tatu
s
Percent
*Have you ever had breast cancer?3.58
2.05
0
0.5
1
1.5
2
2.5
3
3.5
4
Disability No Disability
DisabilityNo Disability
*How long has it been since you had your last mammogram?
76.7
14.059.25
81.69
11.656.66
0
10
20
30
40
50
60
70
80
90
Disability No Disability
W/in past 2 years2-5 years ago5 or more years ago
What is the most important reason why you haven’t had a mammogram?
0
5
10
15
20
25
30
35
40
45
50
Disability No Disability
Age/Too young
Cost
Just didn't get around toitNot recommended bydoctorNo need/Low risk
Other
If you wanted to have a mammogram, would you have to pay for all, part or none of the cost?
22.87
33.94
43.19
25.21
38 36.79
0
5
10
15
20
25
30
35
40
45
Disability No Disability
AllPart(includes co-pay)None
*How difficult would it be for you to pay for the cost of the mammogram test?
32.56
20.81 20.11
26.53
14.83
19.2522.09
43.83
0
5
10
15
20
25
30
35
40
45
Disability No Disability
Very DifficultSomewhat difficultA little difficultNot at all difficult
*Are you aware that the Health Department offers free/low cost breast exams and mammograms?
"Yes" response
52.03
53.77
No Disability
Disability
Dis
abili
ty S
tatu
s
Percent
*Do you have some type of health insurance plan?
"Yes" response
87.63
87.42
No Disability
Disability
Dis
abili
ty S
tatu
s
Percent
*At any time in the past year, were you without health insurance?
"Yes" response
4.39
7.11
No Disability
Disability
Dis
abili
ty S
tatu
s
Percent
*What type of health insurance do you have?
43.3
29.2
78.
330.
5112
.61
3.98
2
60.1
5
25.8
49.
410.
29 0.29 2.51
1.19
0
10
20
30
40
50
60
70
Disability No Disability
Employer
Someone Else'sEmployerBuys their own
Medicare
Medicaid
Military/CHAMPUS
Other
In the past month, have you noticed any posters, billboards, commercials, or advertisements with a message about having a mammogram test?
"Yes" response
67.4
68.53
No Disability
Disability
Dis
abili
ty S
tatu
s
Percent
The Right to Know Campaign: Increasing The Right to Know Campaign: Increasing Breast Cancer Awareness for Women with Breast Cancer Awareness for Women with
Physical DisabilitiesPhysical Disabilities
The Right to Know Campaign: Increasing The Right to Know Campaign: Increasing Breast Cancer Awareness for Women with Breast Cancer Awareness for Women with
Physical DisabilitiesPhysical Disabilities
Centers for Disease Control and PreventionNational Center on Birth Defects and Developmental Disabilities
PurposePurposePurposePurpose
The purpose of the project is The purpose of the project is to develop culturally relevant to develop culturally relevant concepts, messages, and concepts, messages, and health promotion materials health promotion materials designed to increase breast designed to increase breast cancer screening among cancer screening among women aged 40 years and women aged 40 years and older with physical disabilitiesolder with physical disabilities
DisseminationDisseminationDisseminationDisseminationKey AspectsKey Aspects
Roll out national campaign (2008)Roll out national campaign (2008) Distribute campaign materials to key Distribute campaign materials to key
partnerspartners Conduct national awareness campaignConduct national awareness campaign
AdvertisingAdvertising Public relationsPublic relations Community outreachCommunity outreach
Key AspectsKey Aspects
Roll out national campaign (2008)Roll out national campaign (2008) Distribute campaign materials to key Distribute campaign materials to key
partnerspartners Conduct national awareness campaignConduct national awareness campaign
AdvertisingAdvertising Public relationsPublic relations Community outreachCommunity outreach
DisseminationDisseminationDisseminationDisseminationCampaign Web siteCampaign Web site
Launch the new “Right to Know” Web site Launch the new “Right to Know” Web site (2008)(2008)
Campaign productsCampaign products Spotlight on partnersSpotlight on partners E-cardsE-cards QuizQuiz Success storiesSuccess stories
Campaign Web siteCampaign Web site
Launch the new “Right to Know” Web site Launch the new “Right to Know” Web site (2008)(2008)
Campaign productsCampaign products Spotlight on partnersSpotlight on partners E-cardsE-cards QuizQuiz Success storiesSuccess stories
Arkansas Capacity Goal
Improve the ability of local health organizations to deliver breast cancer screening services to women with disabilities.
Capacity Objectives Assess the ability of local health
organizations to deliver breast cancer screening services to women with disabilities
Identify strengths and weaknesses
Provide feedback, offer training and technical assistance
Arkansas Communication Goal
Raise awareness of breast cancer among women over 40 with physical disabilities.