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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

Author

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  • Takashi Saito

    (Department of Social Rehabilitation, Research Institute of National Rehabilitation Center for Persons with Disabilities, 4-1 Namiki, Tokorozawa 359-8555, Japan
    These authors contributed equally to this work.)

  • Kumiko Imahashi

    (Department of Social Rehabilitation, Research Institute of National Rehabilitation Center for Persons with Disabilities, 4-1 Namiki, Tokorozawa 359-8555, Japan
    These authors contributed equally to this work.)

  • Chikako Yamaki

    (Institute for Cancer Control, National Cancer Center, 5-1-1 Tsukiji, Chuou 104-0045, Japan
    These authors contributed equally to this work.)

Abstract

Research on preventive healthcare services among people with disability in Japan is scarce. This study aimed to (1) examine the relationship between disability and the use of general health examination (GHE) and cancer screening (lung, gastric, colorectal, breast and cervical cancer) and (2) explore the reasons for not using GHE. This cross-sectional study used secondary data from individuals aged 20–74 years ( n = 15,294) from the Comprehensive Survey of Living Conditions of 2016. Binomial logistic regression analysis was conducted to examine the relationship between disability and non-participation in preventive services. In addition, a descriptive analysis was conducted to explore the reasons for non-participation in GHE. Consequently, disability was identified as an independently associated factor for non-participation in GHE (odds ratios (OR): 1.73; 95% confidence interval (95%CI): 1.14–2.62) and screening for colorectal (OR: 1.78; 95%CI: 1.08–2.94), gastric (OR: 2.27; 95%CI: 1.27–4.05), cervical (OR: 2.12; 95%CI: 1.04–4.32) and breast cancer (OR: 2.22; 95%CI: 1.04–4.72), controlling for confounding factors. The most dominant reason for non-participation was “I can go to see the doctor anytime, if I am worried (25/54, 46.3%).” Our findings imply the existence of disability-based disparity in preventive healthcare service use in Japan.

Suggested Citation

  • Takashi Saito & Kumiko Imahashi & Chikako Yamaki, 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," IJERPH, MDPI, vol. 21(2), pages 1-19, February.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:2:p:219-:d:1338239
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    References listed on IDEAS

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    1. Iezzoni, L.I. & McCarthy, E.P. & Davis, R.B. & Siebens, H., 2000. "Mobility impairments and use of screening and preventive services," American Journal of Public Health, American Public Health Association, vol. 90(6), pages 955-961.
    2. Tzu-Ying Chiu, 2021. "Predictors of Use of Preventative Health Services for People with Disabilities in Taiwan," IJERPH, MDPI, vol. 18(4), pages 1-9, February.
    3. Fahrin Ramadan Andiwijaya & Calum Davey & Khaoula Bessame & Abdourahmane Ndong & Hannah Kuper, 2022. "Disability and Participation in Breast and Cervical Cancer Screening: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 19(15), pages 1-20, August.
    4. Tess Bright & Sarah Wallace & Hannah Kuper, 2018. "A Systematic Review of Access to Rehabilitation for People with Disabilities in Low- and Middle-Income Countries," IJERPH, MDPI, vol. 15(10), pages 1-34, October.
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