Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Steinberger, Eileen K ; Menis, Mikhail ; Kozlovsky, Bernard ; Langenberg, Pat ; Zhan, Min ; ... More +
Steinberger, Eileen K ; Menis, Mikhail ; Kozlovsky, Bernard ; Langenberg, Pat ; Zhan, Min ; Israel, Ebenezer ; Hopkins, Annette ; Dwyer, Diane M ; Groves, Carmela Less -
Description:
Introduction

Overweight and obese individuals are at increased risk for developing and dying from colorectal cancer. Studies suggest that overweight and obese women are more likely to avoid or delay cancer screening. Our objective was to determine whether overweight or obese adults aged 50 years and older living in Maryland in 2002 were less likely to be up-to-date with colorectal cancer screening than normal and underweight adults.

Methods

The relationship between body mass index and colorectal cancer screening was evaluated based on responses from 3436 participants aged 50 years and older to the Maryland Cancer Survey 2002, a population-based random-digit–dial telephone survey. The survey contains self-reported information on colorectal cancer screening, height, weight, and potential confounders. Logistic regression was performed to calculate odds ratios (ORs) and 95% confidence intervals (CIs), adjusted for age, sex, race, employment, marital status, education, area of residence, and health-care–related variables.

Results

Overall, 64.9% of Marylanders aged 50 and older were up-to-date with colorectal cancer screening. Compared with normal and underweight individuals, overweight individuals had similar odds of being up-to-date with colorectal cancer screening (OR, 1.05; 95% CI, 0.83–1.33). Obese individuals had slightly lower odds, but this difference was not statistically significant (OR, 0.84; 95% CI, 0.65–1.09). Recommendation by a health care provider for colorectal cancer screening was strongly associated with up-to-date colorectal cancer screening (OR, 36.7; 95% CI, 28.7–47.0).

Conclusion

Our study shows no statistically significant association between body mass index levels and up-to-date colorectal cancer screening. We recommend that physicians and other health care providers increase up-to-date colorectal cancer screening rates in the population by referring their patients for appropriate screening.


Subjects:
[+]
Aged Body Mass Index Colorectal Neoplasms Female Humans Logistic Models Male Mass Screening Middle Aged Population Surveillance
Source:
Prev Chronic Dis. 2006; 3(3).
Document Type:
Journal Article
Place as Subject:
Maryland
Location:
North America
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:f2d7259919917ba6011616d1b0ec6b831736b2707248b454d2ae1337c0cfc2df
Download URL:
https://stacks.cdc.gov/view/cdc/20063/cdc_20063_DS1.pdf
File Type:

Supporting Files

• 	license.txt	txt
  	PCD33A88.nxml	txt

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