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Disparities in Breast Cancer Screening Rates Among Adults With and Without Intellectual and Developmental Disabilities

  • Breast Oncology
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Annals of Surgical Oncology Aims and scope Submit manuscript

Abstract

Background

Individuals with intellectual and developmental disabilities may face barriers in accessing healthcare, including cancer screening and detection services. We sought to assess the association of intellectual and developmental disabilities (IDD) with breast cancer screening rates.

Methods

Data from 2018 to 2020 was used to identify screening-eligible individuals from Medicare Standard Analytic Files. Adults aged 65–79 years who did not have a previous diagnosis of breast cancer were included. Multivariable regression was used to analyze the differences in breast cancer screening rates among individuals with and without IDD.

Results

Among 9,383,349 Medicare beneficiaries, 11,265 (0.1%) individuals met the criteria for IDD. Of note, individuals with IDD were more likely to be non-Hispanic White (90.5% vs. 87.3%), have a Charlson Comorbidity Index score ≤ 2 (66.2% vs. 85.5%), and reside in a low social vulnerability index neighborhood (35.7% vs. 34.4%). IDD was associated with reduced odds of undergoing breast cancer screening (odds ratio (OR) 0.77, 95% confidence interval (CI) 0.74–0.80; p < 0.001). Breast cancer screening rates in individuals with IDD were further influenced by social vulnerability and belonging to a racial/ethnic minority.

Conclusions

Individuals with IDD may face additional barriers to breast cancer screening. The combination of IDD and social vulnerability placed patients at particularly high risk of not being screened for breast cancer.

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Data Availability

The data for this study were obtained from the Medicare Standard Analytic Files. There are restrictions to the availability of this data, which is used under license for this study. Data can be accessed with permission from the Centers for Medicare and Medicaid Services.

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The authors declare no funding or financial support. This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

  1. Division of Surgical Oncology, Department of Surgery, The Urban Meyer III and Shelley Meyer Chair for Cancer Research, The Ohio State University, Wexner Medical Center and James Comprehensive Cancer Center, Columbus, OH, USA

    Muhammad Muntazir Mehdi Khan MBBS, Usama Waqar MBBS, Muhammad Musaab Munir MBBS, Selamawit Woldesenbet PhD, Parit Mavani MBBS, Yutaka Endo MD, PhD, Erryk Katayama BA, Karol Rawicz-Pruszyński MD, Doreen M. Agnese MD, Samilia Obeng-Gyasi MD & Timothy M. Pawlik MD, PhD, MPH, MTS, MBA, FACS, FSSO, FRACS

  2. Medical College, Aga Khan University, Karachi, Pakistan

    Usama Waqar MBBS

  3. Department of Surgical Oncology, Medical University of Lublin, Lublin, Poland

    Karol Rawicz-Pruszyński MD

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Khan, M.M.M., Waqar, U., Munir, M.M. et al. Disparities in Breast Cancer Screening Rates Among Adults With and Without Intellectual and Developmental Disabilities. Ann Surg Oncol 31, 911–919 (2024). https://doi.org/10.1245/s10434-023-14425-z

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