Evidence map›Paper›PMID 40616037›Full record

ArticleBMC women's health2025

Healthcare disparities in gynecological health services for women with disabilities: a cross-sectional study from Iraq.

Zainab Abdul Ameer Jaafar, Dina Akeel Salman, Reshed Zeki Obeid, Zaynab Alshaybi

Abstract read
In one paragraph

Article in BMC women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Zainab Abdul Ameer JaafarDepartment of Obstetrics and Gynecology, College of Medicine, Al- Mustansiriya University, Baghdad, Iraq. zainabjaafar@uomustansiriyah.edu.iq.ORCID http://orcid.org/0000-0002-8367-3731
Dina Akeel SalmanDepartment of Obstetrics and Gynecology, College of Medicine, Al- Mustansiriya University, Baghdad, Iraq.ORCID http://orcid.org/0000-0002-7205-1064
Reshed Zeki ObeidDepartment of Obstetrics and Gynecology, College of Medicine, Al- Anbar University, Anbar, Iraq.ORCID http://orcid.org/0000-0001-6384-5340
Zaynab AlshaybiCollege of Medicine, Al-Mustansiriya University, Baghdad, Iraq.ORCID http://orcid.org/0009-0004-7880-6095

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIraqi women with disabilities have significant barriers to health care access for gynecologic services and suffer from adverse reproductive health outcomes. Low cervical cancer screening rates and the inaccessibility of health care perpetuate such disparities.

objectivesThis study aims to quantify the experiences of gynecological health care for women with disabilities in Iraq, to identify barriers to care, and to highlight urgent policy needs.

methodsA cross-sectional study was conducted with 69 women with disabilities in Iraq. Data were collected through structured interviews regarding demographics, reproductive health background, and access to health care. Descriptive statistics, chi-square tests, and binomial logistic regression analyses were used to explore associations between disability categories and key reproductive health outcomes.

resultsOnly 27.9% of participants attended regular gynecological visits, while 5.9% had ever undergone a Pap smear. Menstrual difficulties were reported by 44.8% of participants, with 10.3% undergoing hysterectomy. Participants were grouped into age categories: 10–19, 20–29, 30–39, 40–49, and ≥ 50 years, with the largest proportion falling within the 20–29 age group (26.1%). Significant associations were found between disability type and contraceptive use (p < 0.001), hormonal therapy recommendations (p = 0.008), and reproductive health interventions (p = 0.008).

conclusionIraqi women with disabilities are confronted with severe reproductive health gaps due to inaccessible health facilities, low rates of screening, and lack of reproductive autonomy. There is a need for urgent policy reform, disability-sensitive medical training, and greater health care access to provide equal gynecological care.

Indexed as

GynecologyHealthcare DisparitiesHealth Services AccessibilityPersons with DisabilitiesReproductive Health ServicesAccess to Primary CareAdolescentAdultChildCross-Sectional StudiesFemaleHumansIraqMiddle AgedReproductive HealthYoung AdultAccessibilityDisabilityGynecological healthIraqReproductive health

Identifiers

PMID40616037
PMCPMC12231757

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.