THE RELATIONSHIP OF OBESITY TO THE FREQUENCY OF PELVIC EXAMINATIONS - DO PHYSICIAN AND PATIENT ATTITUDES MAKE A DIFFERENCE
THE RELATIONSHIP OF OBESITY TO THE FREQUENCY OF PELVIC EXAMINATIONS - DO PHYSICIAN AND PATIENT ATTITUDES MAKE A DIFFERENCE
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DOI：
10.1300/j013v20n02_04
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发表时间：
1993-01-01
期刊：
影响因子：
1.6
通讯作者：
GRADY, KE
中科院分区：
文献类型：
--
作者：
ADAMS, CH;SMITH, NJ;GRADY, KE
肥胖女性患子宫内膜癌和卵巢癌的风险较高。生化机制代表了已记录的因果因素，但心理社会态度的作用受到的关注有限。本研究探讨了肥胖和非肥胖女性盆腔筛查频率的差异，以及医生和患者对肥胖的态度对检查频率的影响。共有 291 名女性受试者和 1316 名医生受试者参与了这项研究。本文报告的数据表明，体重会对态度和行为产生负面影响。随着受试者体重的增加，对自己外表的负面看法和不愿接受盆腔检查的情绪也增加，而每年进行盆腔检查的可能性却下降。相当少数（17%）和绝大多数（83%）的医生分别表示他们不愿意对肥胖和不愿意的患者进行盆腔检查。如果医生更不愿意对肥胖和不情愿的女性进行盆腔检查，而肥胖女性更不愿意接受检查，那么女性生殖道腺癌的检测可能会严重延迟。
Obese women are at higher risk for the development of both endometrial and ovarian carcinoma. Biochemical mechanisms represent documented causal factors but the role of psycho-social attitudes has received limited attention. This study examined the difference in the frequency of pelvic screening examinations between obese and non-obese women and the effect of physician and patient attitudes toward obesity on examination frequency. A total of 291 women subjects and 1316 physician subjects participated in this study. Data reported in this paper suggest that attitudes and behaviors are negatively influenced by weight. As subjects' weight went up, negative opinions about their appearance and reluctance to obtain pelvic examinations also increased while the likelihood of having annual pelvic examinations decreased. A substantial minority (17%) and an overwhelming majority (83%) of physicians indicated they were reluctant to perform pelvic examinations on obese and reluctant patients respectively. If physicians are more reluctant to perform pelvic examinations on obese and reluctant women and obese women are more reluctant to be examined, there may be a critical delay in detecting adenocarcinomas of the female genital tract.