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Association of Body Mass Index With Adherence to Cervical Cancer Screening Recommendations in Hispanic Women.

Abstract：

OBJECTIVE:Obese women have higher cervical cancer incidence and mortality than their counterparts, possibly related to nonadherence to screening recommendations. We assessed the association of body mass index with adherence to cervical cancer screening recommendations in Hispanic women living in Puerto Rico, a minority population with the highest incidence of cervical cancer in the United States. MATERIALS AND METHODS:We included 536 Hispanic women aged 21 to 64 years enrolled in a population-based study of human papillomavirus (HPV) infection. Demographic and clinical characteristics and risky behaviors were collected using structured interviews. Weight and height were measured to classify body mass index as underweight, normal, overweight, and obesity (class I, class II, class III). Adherence to cervical cancer screening recommendations was self-reported. Logistic regression models were fit to estimate the odds ratio with 95% CI after adjusting for covariates. RESULTS:Nearly one third (29.7%) of women were overweight and 43.5% were obese (class I: 22.6%, class II: 11.0%, class III: 9.9%). Overall adherence to cervical cancer screening within the past 3 years was 78.5%, being lowest among women with class III obesity (60.4%). After multivariable adjustment, only women with class III obesity had significantly higher odds (odds ratio = 2.5, 95% CI: 1.2-5.1) of reporting nonadherence to cervical cancer screening compared with normal weight women. CONCLUSIONS:Adherence to cervical cancer screening in this population was below the Healthy People 2020 target of 93%, especially for women with morbid obesity. These findings highlight the importance of adequate interventions to decrease cervical cancer screening disparities in these women.

journal_name

J Low Genit Tract Dis

journal_title

Journal of lower genital tract disease

authors

Pérez CM,González-Barrios D,Ramos-Cartagena JM,Ortiz AP

doi

10.1097/LGT.0000000000000504

subject

Has Abstract

pub_date

2020-01-01 00:00:00

pages

14-20

issue

eissn

1089-2591

issn

1526-0976

pii

00128360-202001000-00002

journal_volume

pub_type

杂志文章

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Association of Body Mass Index With Adherence to Cervical Cancer Screening Recommendations in Hispanic Women.