26. Generally, persons with disabilities are not targeted by strategies for health promotion and disease prevention. Children with disabilities are often excluded from immunization programmes, even in countries where overall immunization rates have increased dramatically.³² Several studies have shown that women with disabilities have limited access to cancer screening services.³³ Persons with albinism lack access to adequate sun protection. Deaf persons experience significant knowledge gaps in preventive health. Similarly, efforts to promote healthy behaviours, such as regular exercise and good diet, generally are not accessible and place little emphasis on addressing the needs of persons with disabilities.³⁴
³² UNICEF, “Disability prevention efforts and disability rights: finding common ground on immunization efforts”, working paper, available at www.unicef.org/disabilities/files/ UNICEF_Immunization_and_Disability_Paper_FINAL.pdf.
³³ J. Angus, L. Seto, N. Barry et al., “Access to cancer screening for women with mobility disabilities”, Journal of Cancer Education, vol. 27, No. 1 (March 2012), pp. 75–82; K. Peters and A. Cotton, “Barriers to breast cancer screening in Australia: experiences of women with physical disabilities”, Journal of Clinical Nursing, vol. 24, Nos. 3 and 4 (March 2012), pp. 563–72.
³⁴ J. H. Rimmer, “Health promotion for people with disabilities: the emerging paradigm shift from disability prevention to prevention of secondary conditions ”, Physical Therapy, vol. 79, No. 5 (1 May 1999), pp. 495–502.