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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

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, Chuo-ku 104-0045, Japan
    These authors contributed equally to this work.)

Abstract

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 2.40–3.66% ( n = 129–239); 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.

Suggested Citation

  • Takashi Saito & Kumiko Imahashi & Chikako Yamaki, 2025. "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 ," IJERPH, MDPI, vol. 22(4), pages 1-18, March.
    • Handle: RePEc:gam:jijerp:v:22:y:2025:i:4:p:484-:d:1619368
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    References listed on IDEAS

    as
    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. 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.
    4. Takashi Saito & Kumiko Imahashi & Chikako Yamaki, 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," IJERPH, MDPI, vol. 21(12), pages 1-19, December.
    5. 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.
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