Advancing a Universal European Cancer Prevention Methodology for People With Intellectual Disability: Findings From CUPID Workshops in Ireland and Türkiye

IF 1.3 4区 医学 Q3 EDUCATION, SPECIAL
Martin McMahon, Ercan Asi, Vera Dimitrievska, Sebahat Gozum, Aysegul Ilgaz, Cara Martin, Mairead O'Connor, Kate Sykes, Peter Knapp
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Abstract

Background

People with intellectual disability have higher rates of cancer mortality than the general population. Cancer prevention programmes and screenings are recommended in adults, including those with intellectual disability. The opinions of relevant parties are important to ensure that people with intellectual disability can achieve equity in cancer outcomes. The aim of this paper is to report the findings of two workshops held in Ireland and Türkiye in 2023, which identified key issues affecting prevention, diagnosis and management of cancer in people with intellectual disability.

Methods

Researchers, practitioners, policymakers and other stakeholders with a role in cancer prevention programmes or cancer care (n = 44) participated in ‘World Café’ workshop meetings in Dublin and Ankara. The findings were synthesised under the Dahlgren and Whitehead (1991) Social Determinants of Health framework.

Results

Both workshops identified that people with intellectual disability face challenges including: limited available cancer data in this population, health issues overshadowing cancer diagnosis, and social barriers such as low health literacy. Involving families, professionals and promoting self-advocacy, while tailoring health services with inclusive decision making were prominent themes in both workshops as solutions. Research and person-centered healthcare were identified as critical for developing effective cancer prevention programmes.

Conclusion

For people with intellectual disability to benefit from effective cancer prevention programmes, reasonable adjustments must be made by policymakers, health institutions, primary healthcare professionals and non-government organisations, and research evidence must underpin decisions.

促进智障人士普遍的欧洲癌症预防方法:来自爱尔兰和爱尔兰的丘比特研讨会的发现
智力残疾者的癌症死亡率高于一般人群。建议对成人,包括智障人士进行癌症预防规划和筛查。有关各方的意见对于确保智障人士在癌症治疗结果方面能够实现公平至关重要。本文的目的是报告2023年在爱尔兰和爱尔兰举行的两次研讨会的结果,这些研讨会确定了影响智力残疾者癌症预防、诊断和管理的关键问题。研究人员、从业人员、政策制定者和其他在癌症预防规划或癌症治疗中发挥作用的利益相关者(n = 44)参加了在都柏林和安卡拉举行的“世界咖啡”研讨会。这些发现是在Dahlgren和Whitehead(1991)健康的社会决定因素框架下综合得出的。结果两个研讨会都确定了智力残疾者面临的挑战,包括:这一人群中可用的癌症数据有限,健康问题掩盖了癌症诊断,以及健康素养低等社会障碍。让家庭、专业人员参与和促进自我宣传,同时通过包容性决策来定制保健服务,是这两个讲习班的突出主题。研究和以人为本的保健被认为是制定有效的癌症预防方案的关键。为了让智障人士从有效的癌症预防规划中受益,决策者、卫生机构、初级卫生保健专业人员和非政府组织必须做出合理的调整,研究证据必须作为决策的基础。
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来源期刊
CiteScore
2.30
自引率
20.00%
发文量
74
期刊介绍: The British Journal of Learning Disabilities is an interdisciplinary international peer-reviewed journal which aims to be the leading journal in the learning disability field. It is the official Journal of the British Institute of Learning Disabilities. It encompasses contemporary debate/s and developments in research, policy and practice that are relevant to the field of learning disabilities. It publishes original refereed papers, regular special issues giving comprehensive coverage to specific subject areas, and especially commissioned keynote reviews on major topics. In addition, there are reviews of books and training materials, and a letters section. The focus of the journal is on practical issues, with current debates and research reports. Topics covered could include, but not be limited to: Current trends in residential and day-care service Inclusion, rehabilitation and quality of life Education and training Historical and inclusive pieces [particularly welcomed are those co-written with people with learning disabilities] Therapies Mental health issues Employment and occupation Recreation and leisure; Ethical issues, advocacy and rights Family and carers Health issues Adoption and fostering Causation and management of specific syndromes Staff training New technology Policy critique and impact.
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