강원지역 농촌코호트 여성의 체질량 지수에 따른 여성암 검진행위 = Women’s Cancer Screening According to Body Mass Index in a Cohort of Rural Korean Women

다국어 초록 (Multilingual 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.

다국어 초록 (Multilingual 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.

참고문헌 (Reference)

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