ArticleJournal of lower genital tract disease2020
Association of Body Mass Index With Adherence to Cervical Cancer Screening Recommendations in Hispanic Women.
Article in Journal of lower genital tract disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Adherence to breast and cervical cancer screening guidelines according to obesity status: a French cross-sectional multicenter survey.Preventive medicine reports · 2026Article
- Seroprevalence of nine human papillomavirus types included in the nonavalent vaccine in unvaccinated women living in Puerto Rico: A population-based study.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2026Article
- Factors associated with women's choice for mode of cervical sampling in future cervical cancer screening.PloS one · 2026Article
- Recent cervical cancer incidence, stage at diagnosis, and mortality trends in Puerto Rico, 2001-2019.BMC medicine · 2024Article
- Association Between Body Mass Index and Cancer Screening Adherence Among Latinas in the United States and Puerto Rico.Women's health reports (New Rochelle, N.Y.) · 2022Article
- Content analysis of digital media coverage of the human papillomavirus vaccine school-entry requirement policy in Puerto Rico.BMC public health · 2021Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveObese women have higher cervical cancer incidence and mortality than their counterparts, possibly related to nonadherence to screening recommendations. We assessed the association of body mass index with adherence to cervical cancer screening recommendations in Hispanic women living in Puerto Rico, a minority population with the highest incidence of cervical cancer in the United States. MATERIALS AND
methodsWe included 536 Hispanic women aged 21 to 64 years enrolled in a population-based study of human papillomavirus (HPV) infection. Demographic and clinical characteristics and risky behaviors were collected using structured interviews. Weight and height were measured to classify body mass index as underweight, normal, overweight, and obesity (class I, class II, class III). Adherence to cervical cancer screening recommendations was self-reported. Logistic regression models were fit to estimate the odds ratio with 95% CI after adjusting for covariates.
resultsNearly one third (29.7%) of women were overweight and 43.5% were obese (class I: 22.6%, class II: 11.0%, class III: 9.9%). Overall adherence to cervical cancer screening within the past 3 years was 78.5%, being lowest among women with class III obesity (60.4%). After multivariable adjustment, only women with class III obesity had significantly higher odds (odds ratio = 2.5, 95% CI: 1.2-5.1) of reporting nonadherence to cervical cancer screening compared with normal weight women.
conclusionsAdherence to cervical cancer screening in this population was below the Healthy People 2020 target of 93%, especially for women with morbid obesity. These findings highlight the importance of adequate interventions to decrease cervical cancer screening disparities in these women.
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