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김보환 ( Kim Bo-Hwan ) - 연세대학교 원주의과대학 내분비내과학교실
고상백 ( Koh Sang-Baek ) - 연세대학교 원주의과대학 예방의학교실
허혜경 ( Hur Hea-Kung ) - 연세대학교 원주의과대학 간호학과
박종구 ( Park Jong-Ku ) - 연세대학교 원주의과대학 예방의학교실
박소미 ( Pakr So-Mi ) - 연세대학교 원주의과대학 간호학과
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Abstract
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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.
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KeyWords
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체질량지수, 유방촬영술, 자궁경부세포검사
Body mass index, Mammography, Papanicolaou smear
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원문 및 링크아웃 정보
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등재저널 정보
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