Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Women's Cancer Screening According to Body Mass Index in a Cohort of Rural Korean Women

강원지역 농촌코호트 여성의 체질량 지수에 따른 여성암 검진행위

  • Kim, Bo-Hwan (Department of Endocrine Internal Medicine, Wonju College of Medicine) ;
  • Koh, Sang-Baek (Department of Preventive Medicine, Institute of Genomic Cohort, Wonju College of Medicine, Yonsei University) ;
  • Hur, Hea-Kung (Department of Nursing, Wonju College of Medicine, Yonsei University) ;
  • Park, Jong-Ku (Department of Preventive Medicine, Institute of Genomic Cohort, Wonju College of Medicine, Yonsei University) ;
  • Park, So-Mi (Department of Nursing, Institute of Genomic Cohort, Wonju College of Medicine, Yonsei University)
  • 김보환 (연세대학교 원주의과대학 내분비내과학) ;
  • 고상백 (연세대학교 원주의과대학 예방의학교실, 유전체 코호트 연구소) ;
  • 허혜경 (연세대학교 원주의과대학 간호학과) ;
  • 박종구 (연세대학교 원주의과대학 예방의학교실, 유전체 코호트 연구소) ;
  • 박소미 (연세대학교 원주의과대학 간호학과, 유전체 코호트 연구소)
  • Published : 2009.10.30
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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.

Keywords

References

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