Abstract
This study was performed to assess whether the weight status is associated with screening rates of breast and cervical cancer in Korean women. Study participants included women aged between 30 and 80 years from the 4th Korea National Health and Nutrition Examination Survey from 2007 to 2009. Body mass index was classified into ~18.4 kg/m2 (underweight), 18.5~22.9 kg/m2 (normal), 23~24.9 kg/m2 (overweight), 25.0~29.9 kg/m2 (moderate obesity) and 30.0 kg/m2~ (severe obesity) according to the Asia Pacific Standards of WHO recommended definition of obesity. Screening rates of breast and cervical cancer were estimated by the recommendation of the National Cancer Screening Program of the National Cancer Center, Korea. The overall screening rates for breast and cervical cancer were 51.3% and 50.1%, respectively. After covariate adjustment, the screening rates for breast cancer (adjusted odds ratio, 0.70; 95% confidence interval, 0.51 to 0.97) and cervical cancer (adjusted odds ratio, 0.71; 95% confidence interval, 0.53 to 0.94) were significantly lower in the women with severe obesity. Obesity is associated with lower compliance with breast and cervical cancer screening guidelines in Korean women.
Highlights
Materials and MethodsObese women are at increased risk for breast, and cervical cancer (Calle et al, 2003)
SE, standard error. aP-values were calculated by Chi-square test for categorical variables and general linear modeling for continuous variables. bOnly Korean women aged between 40 and 80 years old who had not been diagnosed with breast cancer were included. cThe screening acceptance rate was defined by the recommendation of the National Cancer Screening Program of the National Cancer Center, Korea, which recommended breast cancer screening every 2 years with a mammogram for women aged 40 years or older and cervical cancer screening every 2 years with a Pap test for women aged 30 years or older. dOnly Korean women aged between 30 and 80 years old who had not been diagnosed with cervical cancer were included. eEQ5D index ; Euro QOL index
Descriptive analyses and bivariate analyses were performed with PASW statistics 18 (SPSS Inc., Chicago, IL, USA) to incorporate sampling weight considering the multistage probability sampling design of Korea National Health and Nutrition Examination Survey (KNHANES) and nonresponse
Summary
Materials and MethodsObese women are at increased risk for breast, and cervical cancer (Calle et al, 2003). Purpose : This study was performed to assess whether the weight status is associated with screening rates of breast and cervical cancer in Korean women. Methods: Study participants included women aged between 30 and 80 years from the 4th Korea National Health and Nutrition Examination Survey from 2007 to 2009.
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