Overweight, obesity, and colorectal cancer screening: Disparity between men and womenReport as inadecuate




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BMC Public Health

, 4:53

First Online: 08 November 2004Received: 20 May 2004Accepted: 08 November 2004DOI: 10.1186-1471-2458-4-53

Cite this article as: Heo, M., Allison, D.B. & Fontaine, K.R. BMC Public Health 2004 4: 53. doi:10.1186-1471-2458-4-53

Abstract

BackgroundTo estimate the association between body-mass index BMI: kg-m and colorectal cancer CRC screening among US adults aged ≥ 50 years.

MethodsPopulation-based data from the 2001 Behavioral Risk Factor Surveillance Survey. Adults N = 84,284 aged ≥ 50 years were classified by BMI as normal weight 18.5–<25, overweight 25–<30, obesity class I 30–<35, obesity class II 35–<40, and obesity class III ≥ 40. Interval since most recent screening fecal occult blood test FOBT: 0 = >1 year since last screening vs. 1 = screened within the past year, and screening sigmoidoscopy SIG: 0 = > 5 years since last screening vs. 1 = within the past 5 years were the outcomes.

ResultsResults differed between men and women. After adjusting for age, health insurance, race, and smoking, we found that, compared to normal weight men, men in the overweight odds ratio OR 1.25, 95% CI = 1.05–1.51 and obesity class I OR = 1.21, 95% CI = 1.03–1.75 categories were more likely to have obtained a screening SIG within the previous 5 years, while women in the obesity class I OR = 0.86, 95%CI = 0.78–0.94 and II OR = 0.88, 95%CI = 0.79–0.99 categories were less likely to have obtained a screening SIG compared to normal weight women. BMI was not associated with FOBT.

ConclusionWeight may be a correlate of CRC screening behavior but in a different way between men and women.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2458-4-53 contains supplementary material, which is available to authorized users.





Author: Moonseong Heo - David B Allison - Kevin R Fontaine

Source: https://link.springer.com/







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