ArticleAmerican journal of preventive medicine2007
Cancer screening in women: body mass index and adherence to physician recommendations.
Article in American journal of preventive medicine, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
39 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pooled it
- Obesity and mammography: a systematic review and meta-analysis.Journal of general internal medicine · 2009Pooled it
- Patient and physician characteristics affect adherence to screening mammography: A population-based cohort study.PloS one · 2018Trial
- Medical student bias and care recommendations for an obese versus non-obese virtual patient.International journal of obesity (2005) · 2011Trial
- Neighborhood Social Cohesion Associated With Chronic Liver Disease Prevalence and All-Cause Mortality.Gastro hep advances · 2026Article
- Screening Mammography Adherence Improves After Bariatric Surgery.The Journal of surgical research · 2024Article
- The Relationship Between Death Anxiety and COVID-19 Fear and Anxiety in Women With Breast Cancer.Omega · 2024Article
- Understanding mechanisms of racial disparities in breast cancer: an assessment of screening and regular care in the Carolina Breast Cancer Study.Cancer causes & control : CCC · 2024Article
- Associated factors and global adherence of cervical cancer screening in 2019: a systematic analysis and modelling study.Globalization and health · 2022Article
- Cervical Cancer Screening Among Patients with Physical Disability.Journal of women's health (2002) · 2022Article
- The Influence of Selected Psychological Factors on Medication Adherence in Patients with Chronic Diseases.Healthcare (Basel, Switzerland) · 2022Article
- Choices of (in)action in obesity: Implications for research on treatment and prevention.Frontiers in psychiatry · 2022Article
- Factors associated with mammography use: A side-by-side comparison of results from two national surveys.Cancer medicine · 2020Article
- Association of Body Mass Index With Adherence to Cervical Cancer Screening Recommendations in Hispanic Women.Journal of lower genital tract disease · 2020Article
- Weight bias and health care utilization: a scoping review.Primary health care research & development · 2019Article
- Association of body mass and systemic immune-inflammation indices with endocrine therapy resistance in luminal breast cancers.The Journal of international medical research · 2019Article
- Double Discourse: Qualitative Perspectives on Breast Screening Participation among Obese Women and Their Health Care Providers.International journal of environmental research and public health · 2019Article
- Chronic comorbidities and cervical cancer screening and adherence among US-born and foreign-born women.Cancer causes & control : CCC · 2018Article
- Using Social Media to Characterize Public Sentiment Toward Medical Interventions Commonly Used for Cancer Screening: An Observational Study.Journal of medical Internet research · 2017Observational
- Body mass index and participation in organized mammographic screening: a prospective cohort study.BMC cancer · 2015Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundThe reasons that obese women are less likely to obtain mammograms and Papanicolaou tests (Pap smears) are poorly understood. This study evaluated associations between body mass index (BMI) and receipt of and adherence to physician recommendations for mammography and Pap smear.
methodsData from the 2000 National Health Interview Survey (8289 women aged 40 to 74 years) were analyzed in 2006 using logistic regression. Women with previous hysterectomy were excluded from Pap smear analyses (n=5521). Outcome measures were being up-to-date with screening, receipt of physician recommendations, and women's adherence to physician recommendations for mammography and Pap smear.
resultsAfter adjusting for sociodemographic variables, healthcare access, health behaviors, and comorbidity, severely obese women (BMI > 40 kg/m(2)) were less likely to have had mammography within 2 years (odds ratio [OR]=0.50, 95% confidence interval [CI]=0.37-0.68) and a Pap smear within 3 years (OR=0.43, 95% CI=0.27-0.70). Obese women were as likely as normal-weight women to receive physician recommendations for mammography and Pap smear. Severely obese women were less likely to adhere to physician recommendations for mammography (OR=0.49, 95% CI=0.32-0.76). Women in all obese categories (BMI > 30 kg/m(2)) were less likely to adhere to physician recommendations for Pap smear (ORs ranged from 0.17 to 0.28, p<0.001).
conclusionsObese women are less likely to adhere to physician recommendations for breast and cervical cancer screening. Interventions focusing solely on increasing physician recommendations for mammography and Pap smears will probably be insufficient for obese women. Additional strategies are needed to make cancer screening more acceptable for this high-risk group.
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