Body mass index and screening for colorectal cancer: gender and attitudinal factors.
Body mass index and screening for colorectal cancer: gender and attitudinal factors.
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DOI：
10.1016/j.canep.2012.02.002
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发表时间：
2012-08
影响因子：
2.6
通讯作者：
Anderson, Joseph C.
中科院分区：
文献类型：
--
作者：
Messina, Catherine R.;Lane, Dorothy S.;Anderson, Joseph C.
关键词：
Overweight/obese women and men are at increased risk for colorectal cancer (CRC) incidence and mortality. Research examining body mass index (BMI) and CRC screening has had mixed results. A clearer understanding of the extent to which high-BMI subgroups are screened for CRC is needed to inform planning for CRC screening promotions targeting BMI. Data were obtained from a random, population-based sample of women and men at average-risk for CRC (aged 50–75 years) during 2004 (n=1098). Multiple logistic regression analyses were conducted to evaluate whether BMI category was significantly associated with the probability of reporting recent CRC screening and with the probability of agreeing with statements denoting attitudes/perceptions about CRC and screening. Attitudes/perceptions about CRC and screening were evaluated as potential mediators and moderators of the association between BMI category and CRC screening. After controlling for characteristics associated with CRC screening, overweight and obese women were each 40% less likely to have CRC screening than women with normal-BMI (OR=0.6, 95%CI:0.4–0.9 and OR=0.6, 95%CI:0.3–0.9). BMI category was unrelated to screening among men. Obese women (but not men) were less aware than normal-BMI women that obesity increased risk for CRC (OR=0.5, 95%CI:0.3–0.9) and less worried about CRC (OR=0.5, 95%CI:0.3–0.8). However, findings suggest that attitudes/perceptions about CRC and screening did not mediate or moderate the association between BMI category and CRC screening. Overweight/obese women are at increased risk for CRC because of their greater BMI and their propensity to not screen for CRC. Study findings suggest that potentially modifiable perceptions, e.g. lack of awareness of risk for CRC and less worry about CRC, in this subgroup may not explain the relationship between BMI category and reduced screening.
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影响因子：
120.7
作者：
Flegal, Katherine M.;Carroll, Margaret D.;Curtin, Lester R.
通讯作者：
Curtin, Lester R.
影响因子：
7.6
作者：
BARON, RM;KENNY, DA
通讯作者：
KENNY, DA
影响因子：
7.1
作者：
Larsson, Susanna C.;Wolk, Alicja
通讯作者：
Wolk, Alicja
DOI：
10.1038/oby.2001.138
发表时间：
2001-11-01
期刊：
OBESITY RESEARCH
影响因子：
--
作者：
Anderson, JW;Konz, EC
通讯作者：
Konz, EC
影响因子：
3.8
作者：
Jones, Resa M.;Mongin, Steven J.;Yaezel, Mark W.
通讯作者：
Yaezel, Mark W.