The Colorado Department of Health uses a statewide computerized system to track the screening status of 150,000 women for their lifetimes and issues reminders to mammography providers. Other strategies include integrating preventive services at primary health care sites and community-based outreach programs. The pilot featured outreach to minority communities and joined with pharmacists about using medicines wisely. FDA also has developed educational programs about teenage smoking and increased calcium consumption among female teenagers. Certain groups of women face particular problems getting needed services.
Sexuality can be a factor.
For example, lesbians are at greater risk for some diseases, such as lung cancer, but may be unaware of the risks, may not seek help, and may not get sensitive care. Chronically ill and disabled women may face more problems than most women, including more difficult access to health care. Sometimes the problem is just equipment-an examination table low enough for a disabled woman to get on and off. Sometimes physicians are more focused on the disability and do not pursue preventive needs, such as pregnancy counseling. Women in prison represent a growing phenomenon for justice and health officials.