title: [Women's cancer screening according to Body Mass Index in a cohort of rural Korean women].
abstract: 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.
authors.affiliation: Department of Endocrine Internal Medicine, Wonju College of Medicine, Yonsei University, Wonju, Korea.
authors.forename: Bo Hwan
authors.initials: BH
authors.lastname: Kim
authors.forename: Sang Baek
authors.initials: SB
authors.lastname: Koh
authors.forename: Hea Kung
authors.initials: HK
authors.lastname: Hur
authors.forename: Jong-Ku
authors.initials: JK
authors.lastname: Park
authors.forename: So Mi
authors.initials: SM
authors.lastname: Park
mesh_terms: 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