Preventive Gynecologic Care for Patients With Disabilities

Patients with disabilities face significant disparities in preventive gynecologic care due to systemic barriers, limited provider training, and pervasive bias. These challenges contribute to reduced uptake of HPV vaccination, cervical and breast cancer screening, resulting in higher rates of late-stage diagnoses and mortality. Gynecologic clinicians play a critical role in addressing these inequities by fostering autonomy-centered communication, providing appropriate accommodations, and adhering to evidence-based screening guidelines. This review summarizes key practices to enhance preventive care for patients with disabilities and highlights areas of needed improvement in clinical training, clinical environments, and access to cancer prevention services.

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Publication Details

Journal
Clinical Obstetrics & Gynecology
Published
2026-02-03
DOI
https://doi.org/10.1097/grf.0000000000000994
Primary Topic
Down syndrome and intellectual disability research
Type
article
Field-Weighted Citation Impact
0.00
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article

Preventive Gynecologic Care for Patients With Disabilities

Beth I. Schwartz, Julie Barbera
Clinical Obstetrics & Gynecology
Down syndrome and intellectual disability research
article

Preventive Gynecologic Care for Patients With Disabilities

Beth I. Schwartz, Julie Barbera
article en

Abstract

Patients with disabilities face significant disparities in preventive gynecologic care due to systemic barriers, limited provider training, and pervasive bias. These challenges contribute to reduced uptake of HPV vaccination, cervical and breast cancer screening, resulting in higher rates of late-stage diagnoses and mortality. Gynecologic clinicians play a critical role in addressing these inequities by fostering autonomy-centered communication, providing appropriate accommodations, and adhering to evidence-based screening guidelines. This review summarizes key practices to enhance preventive care for patients with disabilities and highlights areas of needed improvement in clinical training, clinical environments, and access to cancer prevention services.

Clinical Obstetrics & Gynecology
Thomas Jefferson University (US), Hospital of the University of Pennsylvania (US), Nemours Children's Health System (US)
Openalex Percentile: Top 70%
Down syndrome and intellectual disability research
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Preventive Gynecologic Care for Patients With Disabilities — Beth I. Schwartz, Julie Barbera · Clinical Obstetrics & Gynecology (2026) | TGRS Research Map | TGRS