The Impact of Obesity on Gynecologic Cancer Screening: An Integrative Literature Review

Journal of Midwifery and Women's Health - Tập 55 - Trang 344-356 - 2010
Tess Aldrich, Barbara Hackley

Tóm tắt

Introduction: Evidence indicates lower rates of breast and cervical cancer screening among obese compared to nonobese women. This integrative review examines the association between gynecologic cancer screening and body weight, as well as potential barriers to screening.Methods: A literature search of standard computerized databases was conducted for peer‐reviewed articles published between 1950 and January 2009.Results: Twenty‐three studies met the criteria for review. Of the 17 studies that evaluated rates of cervical cancer screening, 13 found obese women significantly less likely than their nonobese counterparts to have had a recent Papanicolaou test, a trend that was stronger in white women when compared to African American women. Eight of the 15 studies examining routine mammography found an inverse association between increasing body weight and recent screening, although findings generally pertained only to women who were white and/or severely obese. Possible barriers to care included embarrassment and perceived weight stigma in the clinical setting, lack of appropriately sized examination equipment, and poor patient–provider communication.Discussion: Further research is needed to clarify the challenges that obese women face in accessing care and to evaluate strategies such as ensuring the availability of appropriate equipment and supplies, the use of alternative screening methodologies, and more culturally sensitive counseling approaches that may improve screening rates in obese women.J Midwifery Womens Health 2010;55:344–356 © 2010 by the American College of Nurse‐Midwives.

Tài liệu tham khảo

10.1001/jama.288.14.1723 10.1001/jama.295.13.1549 10.1111/j.1467-789X.2006.00261.x 10.1097/01.ogx.0000180866.62409.01 10.1093/aje/152.6.514 10.1093/oxfordjournals.aje.a009292 10.1093/aje/153.3.284 10.1056/NEJMoa021423 10.7326/0003-4819-103-6-1034 10.1002/cncr.11567 10.1300/J013v20n02_04 10.1353/hpu.2010.0582 10.1038/sj.ijo.0803105 10.1002/cncr.10681 10.1007/s10552-007-9019-3 10.1002/cncr.20583 10.1002/cncr.21660 10.1089/jwh.2006.15.531 10.1016/j.amepre.2007.02.004 10.1089/152460901300233939 10.1001/archfami.7.4.381 10.1016/S0002-9343(99)80350-7 10.1001/archfami.3.10.888 10.2105/AJPH.2004.047803 10.1023/A:1018754307718 10.7326/0003-4819-132-9-200005020-00003 10.1111/j.1525-1497.2004.30357.x-i1 10.1016/j.ypmed.2006.01.020 10.1038/oby.2000.49 10.1093/epirev/mxm007 10.1007/s10549-008-0037-y Coughlin SS, 2004, Nonadherence to breast and cervical cancer screening: What are the linkages to chronic disease risk?, Prev Chronic Dis, 1, A04 10.1016/j.amepre.2008.03.031 10.1038/oby.2005.152 10.2307/4594704 10.1002/cncr.23408 10.1111/j.1365-2648.2007.04450.x 10.1038/oby.2003.142 10.1038/sj.ijo.0801745 10.1046/j.1467-789X.2003.00122.x 10.1111/j.1745-7599.2002.tb00089.x 10.1038/oby.2005.49 10.1038/oby.2004.184 10.1002/j.1550-8528.1999.tb00705.x 10.1017/S1368980007000651 10.1097/00000441-200604000-00002 10.2337/diacare.24.12.2049 10.2105/AJPH.87.7.1190 10.1046/j.1525-1497.1998.00115.x 10.2105/AJPH.79.6.721 10.1006/pmed.2002.1079 10.1038/oby.2000.75 10.1245/ASO.2006.03.049 10.1001/archfami.7.4.385 10.1177/000313480707300605 10.1001/archinte.164.10.1140 10.2214/ajr.174.5.1741251 10.1158/1055-9965.EPI-07-2935 10.1080/00016340601033667 10.1016/j.pec.2008.09.021 Centers for Disease Control and Prevention.Obesity: Halting the epidemic by making health easier. Available from:http:www.cdc.govNCCDPHPpublicationsAAGobesity.htmAccessed March 26 2009.
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Journal of Midwifery and Women's Health

Tập 55

344-356

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