Disparities in Care: Obesity and Cancer Screening

肥胖是可预防死亡的第二大原因。 结肠癌、前列腺癌、乳腺癌和宫颈癌是其中的主要原因 死亡尽管她们的风险更高，但初步分析表明， 肥胖女性的乳腺癌筛查频率可能低于非肥胖女性 和宫颈癌。癌症筛查的差异是否延伸到男性 与肥胖的关系尚不清楚。由于文化和性别差异， 认知、种族和性别也可能影响肥胖与 和筛选的差异。 该项目将使用作为1998年国家统计数据库的一部分收集的国家数据。 健康访问调查及1996年医疗开支专题调查 （MEPS）与1）比较结肠、前列腺、乳腺和 根据国家统计局的数据， 筛查指南，2）检查癌症筛查率的差异 与肥胖相关的因素因性别和种族而异，3）检查是否 筛查率的差异完全可以解释为 肥胖者所承受的负担。使用统计建模， 研究人员将量化不同人群之间的筛查率差异， 在考虑了社会人口因素（如 年龄、种族、教育、收入、国家地区）、获得护理的机会，以及 医疗条件。调查人员还将调查 体重和癌症筛查之间的关系。结肠 癌症筛查，肥胖和筛查之间的关系将是 分别对男性和女性进行了检查。 该项目的发现将有助于确定肥胖是否是一个障碍， 癌症筛查，帮助研究人员和临床医生开始了解 导致筛查差异的因素。承认和 首先要了解肥胖作为一种潜在的保健障碍的作用， 提高肥胖症患者护理质量的一步。

DESCRIPTION: Obesity is the second leading cause of preventable deaths. Cancers of the colon, prostate, breast, and cervix account for many of these deaths. Despite their higher risk, preliminary analyses suggests that women with obesity may be screened less often than women without obesity for breast and cervical cancer. Whether disparities in cancer screening extend to men with obesity is unknown. Because of cultural and gender differences in self- perception, race and sex may also influence the relationship between obesity and disparities in screening. This project will use national data collected as part of the 1998 National Health Interview Survey (NHIS) and the 1996 Medical Expenditure Panel Survey (MEPS) to 1) compare the rates of screening for colon, prostate, breast, and cervical cancer between persons with and without obesity based on national screening guidelines, 2) examine whether differences in cancer screening rates associated with obesity vary by sex and race, and 3) examine whether differences in screening rates can be explained entirely by the higher illness burden experienced by persons with obesity. Using statistical modeling, the investigators will quantify differences in screening rates between persons with and without obesity after accounting for sociodemographic factors (such as age, race, education, income, region of the country), access to care, and medical conditions. The investigators will also examine the association between weight and cancer screening in different racial subgroups. For colon cancer screening, the relationship between obesity and screening will be examined among men and women separately. Findings from this project will help determine whether obesity is a barrier to cancer screening and help researchers and clinicians begin to understand factors that contribute to disparities in screening. Recognizing and understanding the role of obesity as a potential barrier to care is the first step towards improving quality of care for patients with obesity.