[Women's cancer screening according to Body Mass Index in a cohort of rural Korean women].
OBJECTIVE
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.


CONCLUSIONS
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.
Kim
Bo Hwan
BH
Department of Endocrine Internal Medicine, Wonju College of Medicine, Yonsei University, Wonju, Korea.
Koh
Sang Baek
SB
Hur
Hea Kung
HK
Park
Jong-Ku
JK
Park
So Mi
SM
D000328:Adult; D000368:Aged; D015992:Body Mass Index; D001943:Breast Neoplasms / Q000000981:diagnostic imaging* / Q000517:prevention & control; D015331:Cohort Studies; D003710:Demography; D005260:Female; D006801:Humans; D008327:Mammography; D008875:Middle Aged; D009765:Obesity / Q000523:psychology; D065006:Papanicolaou Test; D056910:Republic of Korea; D012424:Rural Population; D002583:Uterine Cervical Neoplasms / Q000473:pathology* / Q000517:prevention & control; D014626:Vaginal Smears; D016387:Women's Health