{"doi":"10.1001/jamanetworkopen.2024.57290","title":"Cervical Cancer Screening in Women With Physical Disabilities","abstract":"Importance: Cervical cancer screening is a crucial public health intervention, but screening disparities exist for women with physical disabilities (WWPD). Objective: To explore the experiences of WWPD with both traditional speculum examination-based screening and at-home self-sampling for cervical cancer screening. Design, Setting, and Participants: This qualitative study enrolled 56 WWPD to test self-sampling kits, provide feedback via a survey, and participate in a qualitative interview. An interprofessional team conducted semistructured interviews with 16 key informants and 40 pilot participants for 56 WWPD from November 1, 2021, through April 30, 2023. All completed a self-administered quantitative survey. Key informants' experiences with 4 self-sampling devices helped determine which 2 self-sampling kits would be offered to participants in a pilot study. Main Outcomes and Measures: A coding scheme was developed to represent inductive codes generated through preliminary coding and deductive codes representing domains from the Theoretical Domains Framework. This coding scheme was used to conduct a 2-pass thematic analysis. Results: Of the 56 WWPD (mean [SD] age, 45.4 [9.1] years) who participated in the study, 28 (50.0%) were up to date with cervical cancer screening. Participants described accessibility barriers and clinician ableism that made speculum-based in-office examinations difficult, leading some participants to delay or avoid screening. In contrast, participants described self-screening as more comfortable and convenient, regardless of whether they prefer future speculum-based screening. Their responses also allowed for the exploration of how screening preferences may impact future screening behavior. Conclusions and Relevance: Interviews with WWPD suggested that access to self-sampling screening options would be more comfortable for cervical cancer screening participation. Understanding participants' experiences with self-sampling devices generates insights into improving screening experiences for WWPD.","journal":"JAMA Network Open","year":2025,"id":516397,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":9,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9572,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1382198,"name":"Corrianne Norrid","orcid":null,"position":1,"is_corresponding":false},{"id":1381724,"name":"Elizabeth K. Haro","orcid":"0000-0003-3595-5432","position":2,"is_corresponding":false},{"id":512247,"name":"Susan Ernst","orcid":"0000-0002-2641-6675","position":3,"is_corresponding":false},{"id":1382199,"name":"Christelle El Khoury","orcid":null,"position":4,"is_corresponding":false},{"id":1381725,"name":"Martha L. Alves","orcid":"0000-0001-6772-6306","position":5,"is_corresponding":false},{"id":1381726,"name":"Autumn Kieber-Emmons","orcid":"0000-0002-9135-9099","position":6,"is_corresponding":false},{"id":1381727,"name":"Ashwini Kamath Mulki","orcid":"0000-0003-1888-0643","position":7,"is_corresponding":false},{"id":1381728,"name":"Emma Butcher","orcid":"0000-0002-0622-3198","position":8,"is_corresponding":false},{"id":331732,"name":"Claire Z. Kalpakjian","orcid":"0000-0001-6652-1245","position":9,"is_corresponding":false},{"id":500525,"name":"Michael McKee","orcid":"0000-0002-5561-9885","position":10,"is_corresponding":false},{"id":581620,"name":"Diane M. Harper","orcid":"0000-0001-7648-883X","position":11,"is_corresponding":false},{"id":1381723,"name":"Alexandra H. Vinson","orcid":"0000-0002-9062-7899","position":0,"is_corresponding":true}],"reference_count":17,"raw_metadata":null,"created_at":"2026-07-19T02:48:49.486328Z","pmid":"39878976","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}