J Korean Acad Nurs.  2009 Oct;39(5):641-650. 10.4040/jkan.2009.39.5.641.

Women's Cancer Screening According to Body Mass Index in a Cohort of Rural Korean Women

• Kim BH
• Koh SB
• Hur HK
• Park JK
• Park SM

• KMID: 820241
• DOI: http://doi.org/10.4040/jkan.2009.39.5.641

Abstract

PURPOSE
This study was done to examine the difference in cancer screening with mammography and Papanicolaou smear according to Body Mass Index (BMI).
METHODS
The participants in this study were 5,912 women ages 40 to 69 yr, selected from the Korean Genomic Regional Cohort in Kangwon province. Mammography and Papanicolaou smear were assessed by questionnaire and body weight (kg) and height (m) measured to calculate BMI.
RESULTS
The distribution of BMI was as follows: low weight (1.5%), normal weight (31.1%), over weight (24.6%), mildly obese (36.4%) and severely obese (6.3%). After adjusting for age, education and monthly income, compared with normal weight women, overweight women (odds ratio [OR]=1.283, 95% confidence interval [CI]=1.089-1.513) and mildly obese women (OR=1.214, 95% CI=1.048-1.406) were less likely to have had mammography. In contrast to mammography, cancer screening with Papanicolaou smear was not significantly different by BMI.
CONCLUSION
Obese women in rural areas are less likely to screen for breast cancer by using mammography than non obese women. To ensure regular screening for breast cancer, health care providers need to give scrupulous care to obese women and remove barriers originated from obesity. Also, educational and clinical implications are considered to increase the Papanicolaou smear rate.

Keyword

Body mass index; Mammography; Papanicolaou smear

MeSH Terms

Adult
Aged
*Body Mass Index
Breast Neoplasms/prevention & control/*radiography
Cohort Studies
Demography
Female
Humans
*Mammography
Middle Aged
Obesity/psychology
Republic of Korea
Rural Population
Uterine Cervical Neoplasms/*pathology/prevention & control
*Vaginal Smears
Women's Health

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