Women with disabilities have been almost completely overlooked in local, state and national initiatives to promote early detection of breast cancer through regular use of screening mammography, clinical breast examination, and breast self-examination. This project conducted research to advance the development and dissemination of a pioneering program of outreach, education, service, and advocacy aimed at increasing access to breast health screening for women with physical disabilities.

With other members of a research partnership that includes health care professionals and community-based organizations, BPA designed and conducted a computer-assisted telephone survey of 320 women ages 20 and over who have physical disabilities and who reside in Alameda or Contra Costa County. To further document the extent and nature of the problem, BPA conducted secondary analysis of data from the 1994 National Health Interview Survey and Disability Supplement. The team also prepared a manual to consolidate what has been learned about increasing access to breast health for women with disabilities through outreach, public and professional education, modifications in screening service delivery, policy, and advocacy.