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Exploring Autistic People’s Experiences of and Attitudes Towards Cervical Screening: A Mixed-Methods Study

Shona Murdoch, Bethany Donaghy, Aimee Grant Orcid Logo, Kayleigh Sheen, David John Moore Orcid Logo

Autism

Swansea University Author: Aimee Grant Orcid Logo

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Abstract

Cervical screening can be lifesaving, yet attendance rates are lower than recommended within the general population and even lower within the autistic population. There is currently no published research systematically exploring autistic people’s cervical screening experiences. This research aimed t...

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Published in: Autism
ISSN: 1362-3613 1461-7005
Published: SAGE Publications 2026
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa71831
Abstract: Cervical screening can be lifesaving, yet attendance rates are lower than recommended within the general population and even lower within the autistic population. There is currently no published research systematically exploring autistic people’s cervical screening experiences. This research aimed to explore the experience of cervical (“smear”) screening for autistic people in the United Kingdom. Autistic people (N = 97) completed an online mixed-methods questionnaire about their cervical screening experiences. Questions considered experiences of pain, sensory and communication issues, knowledge of cervical cancer, attitudes towards screening, and experience of sexual assault. Findings suggest that an autistic person’s intention to attend their screening is important to understand their actual attendance at the screening. Quantitatively, pain, sensory and communication issues, or knowledge of cervical cancer were not associated with screening attendance. However, qualitatively, they were. Two themes emerged: “Communication disconnect across the care journey” and” Echoes of the past: the lasting impact of previous care encounters” were discussed as barriers to screening engagement. This research highlights the need to improve healthcare communication and other accessibility needs for autistic people when attending cervical screening and for further development of appropriate measurement tools. More research is needed to further inform methods of improving cervical screening services for autistic people.
Keywords: autism; cancer screening; cervical screening; mixed methods; theory of planned behaviour
College: Faculty of Medicine, Health and Life Sciences
Funders: None