TY - JOUR
T1 - Overweight, obesity, and colorectal cancer screening
T2 - Disparity between men and women
AU - Heo, Moonseong
AU - Allison, David B.
AU - Fontaine, Kevin R.
PY - 2004/11/8
Y1 - 2004/11/8
N2 - Background: To estimate the association between body-mass index (BMI: kg/m2) and colorectal cancer (CRC) screening among US adults aged ≥ 50 years. Methods: Population-based data from the 2001 Behavioral Risk Factor Surveillance Survey. Adults (N = 84,284) aged ≥ 50 years were classified by BMI as normal weight (18.5-1 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. Results: Results 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. Conclusion: Weight may be a correlate of CRC screening behavior but in a different way between men and women.
AB - Background: To estimate the association between body-mass index (BMI: kg/m2) and colorectal cancer (CRC) screening among US adults aged ≥ 50 years. Methods: Population-based data from the 2001 Behavioral Risk Factor Surveillance Survey. Adults (N = 84,284) aged ≥ 50 years were classified by BMI as normal weight (18.5-1 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. Results: Results 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. Conclusion: Weight may be a correlate of CRC screening behavior but in a different way between men and women.
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U2 - 10.1186/1471-2458-4-53
DO - 10.1186/1471-2458-4-53
M3 - Article
C2 - 15533259
AN - SCOPUS:12244313497
SN - 1471-2458
VL - 4
JO - BMC Public Health
JF - BMC Public Health
M1 - 53
ER -