ArticlePloS one2014
The effects of obesity and mobility disability in access to breast and cervical cancer screening in france: results from the national health and disability survey.
Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 41 citations in OpenAlex.
- Adherence to breast and cervical cancer screening guidelines according to obesity status: a French cross-sectional multicenter survey.Preventive medicine reports · 2026Article
- Population-based cancer screening access needs of disabled people: A qualitative evidence synthesis.Journal of intellectual disabilities : JOID · 2026Review
- Health inequities among persons with disabilities: a global scoping review.Frontiers in public health · 2025Article
- A Systematic Review to Evaluate the Barriers to Breast Cancer Screening in Women with Disability.Journal of clinical medicine · 2024Review
- Social factors and age play a significant role in cervical cancer and advanced-stage disease among Danish women.BMC cancer · 2024Article
- The Effectiveness of Metabolic Bariatric Surgery in Preventing Gynecologic Cancer - from Pathophysiology to Clinical Outcomes.Journal of Cancer · 2024Review
- A study on obese patients' participation in cancer screening programs: an example from Turkey.Revista da Associacao Medica Brasileira (1992) · 2024Article
- Cancer and Obesity: An Obesity Medicine Association (OMA) Clinical Practice Statement (CPS) 2022.Obesity pillars · 2022Article
- Relationship between body mass index and malignancy rates of MRI-guided breast biopsies: impact of clinicodemographic factors.Breast cancer research and treatment · 2021Article
- Obesity and breast cancer outcomes in chemotherapy patients in New Zealand - a population-based cohort study.BMC cancer · 2018Article
- Mammography Use in Portugal: National Health Survey 2014.Preventing chronic disease · 2017Article
- Impact assessment of a pay-for-performance program on breast cancer screening in France using micro data.The European journal of health economics : HEPAC : health economics in prevention and care · 2017Article
- Obesity and access to kidney transplantation in patients starting dialysis: A prospective cohort study.PloS one · 2017 · on this mapArticle
- Approaching the Hard-to-Reach in Organized Colorectal Cancer Screening: an Overview of Individual, Provider and System Level Coping Strategies.AIMS public health · 2017Review
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesWe aimed to disentangle the effects of obesity and mobility limitation on cervical and breast cancer screening among community dwelling women.
methodsThe data source was the French national Health and Disability Survey - Household Section, 2008. The Body Mass Index (BMI) was used to categorize obesity status. We constructed a continuous score of mobility limitations to assess the severity of disability (Cronbach's alpha = 0.84). Logistic regressions were performed to examine the association between obesity, mobility limitations and the use of Pap test (n = 8 133) and the use of mammography (n = 7 561). Adjusted odds ratios were calculated (AOR). Interaction terms between obesity and the disability score were included in models testing for effect modifications.
resultsCompared with non-obese women, the odds of having a Pap test in the past 3 years was 24% lower in obese women (AOR = 0.76; 95% CI: 0.65 to 0.89), the odds of having a mammogram in the past 2 years was 23% lower (AOR = 0.77; 95% CI: 0.66 to 0.91). Each time the disability score was 5 points higher, the odds of having a Pap test decreases by 20% (AOR = 0.96; 95% CI: 0.94 to 0.98), the odds of having a mammogram decreases by 25% (AOR = 0.95; 95% CI: 0.94 to 0.97). There was no significant interaction between obesity and disability score.
conclusionObesity and mobility limitation are independently associated with a lower likelihood of cervical and breast cancer screening. Protective outreach and follow-up are necessary to reduce inequalities and thus to reduce health disparities in these vulnerable and high-risk populations of obese women with disabilities.
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