An ethnographic exploration of the influences around participation in breast screening for women with learning disabilities.

摘要: Background Greater longevity means that many more women with learning disabilities (LD) are becoming eligible to participate in the NHS Breast Cancer Screening Programme (NHSBCSP). The NHSBCSP is used detect early signs of breast cancer and open all over fifty years age. Participation by LD lower than general population little known about their experience mammography or what influences decision whether not programme. This study explored these gaps. Aim To explore factors influencing screening having mammography. Methods An ethnographic approach was adopted using purposive sampling. One-to-one semi-structured interviews were conducted 12 LD, 10 allied-professionals 13 carers (10 paid-carers, 3 family-carers). These supported periods focused observation behaviour related awareness screening. Field-notes support data collection. Data subjected thematic analysis, a blended framework based on McCarthy (1999), Smith (1999) Osborn (2003). Findings Findings revealed women’s negative, this dissuaded them from returning. Factors attendance at inextricably linked level they received philosophy care observed work place paid-carers. identified as each stage process. Conclusions Findings whilst experiences woman’s journey unique depended upon provided LD. For reason, despite equality access screening, there inequality preparation delivery service.