Body weight and cancer screening among women

被引:89
作者
Fontaine, KR
Heo, M
Allison, DB
机构
[1] Univ Maryland, Baltimore VA Med Ctr, Ctr Geriatr Res Educ & Clin, Baltimore, MD 21201 USA
[2] Columbia Univ Coll Phys & Surg, St Lukes Roosevelt Hosp Ctr, Obes Res Ctr, New York, NY 10032 USA
[3] Univ Alabama Birmingham, Dept Biostat, Sect Stat Genet, Birmingham, AL 35294 USA
[4] Univ Alabama Birmingham, Ctr Res Clin Nutr, Birmingham, AL USA
来源
JOURNAL OF WOMENS HEALTH & GENDER-BASED MEDICINE | 2001年 / 10卷 / 05期
关键词
D O I
10.1089/152460901300233939
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Obesity increases cancer risk, yet small-scale surveys indicate that obese women delay or avoid cancer screening even more so than do nonobese women. We sought to estimate the association between body mass index (BMI) (kg/m(2)) and delayed cancer screening among adult women in a population-based survey. Subjects were women classified by BMI as underweight (<18.5), desirable weight (18.5-24.9), overweight (25-29.9), obese class I (30-34.9), obese class II (35-39.9), and obese class III (<greater than or equal to>40). Outcome measures were intervals (0 for less than or equal to2 years versus 1 for >2 years) since most recent screening for Papanicolaou (Pap) smear, mammography, and clinical breast examination (CBE). Adjusting for age, race, smoking, and health insurance, we observed J-shaped associations between BMI and screening. Compared with desirable weight women, underweight women (odds ratios [OR] = 1.21, 95% confidence interval [95% CI] 1.09-1.34), overweight women (OR = 1.13, 95% CI 1.07-1.18), and obese women (OR range 1.22-1.69) were significantly more likely to delay Pap smear testing for >2 years. Underweight (OR = 1.32, 95% CI 1.13-1.54), obesity class I (OR = 1.12, 95% CI 1.02-1.23), and obesity class III women (OR = 1.32, 95% CI 1.10-1.54) were more likely to delay mammography, and overweight (OR = 1.10, 95% CI 1.01-1.19), obesity class I (OR = 1.18, 95% CI 1.08-1.30), and obesity class III women (OR = 1.47, 95% CI 1.23-1.75) were more likely to delay CBE. White women were more likely to delay CBE as a function of BMI than were nonwhite women. Weight may be an important correlate of cancer screening behavior, particularly for white women.
引用
收藏
页码:463 / 470
页数:8
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