Disparities in Care: Obesity and Cancer Screening

描述：肥胖是可预防的死亡的第二大原因。 结肠癌、前列腺癌、乳腺癌和子宫颈癌是其中的许多原因。 死亡。尽管风险较高，但初步分析表明，女性 有肥胖症的女性可能比非肥胖者更少进行乳房筛查 和宫颈癌。癌症筛查中的差异是否延伸到男性 与肥胖的关系尚不清楚。由于文化和性别的差异，在自我 知觉、种族和性别也可能影响肥胖之间的关系 以及筛查方面的差异。 该项目将使用收集的国家数据，作为1998年国家 健康访谈调查(NHIS)和1996年医疗费用小组调查 (MEP)到1)比较结肠、前列腺、乳房和 根据全国肥胖者和非肥胖者之间的宫颈癌 筛查指南，2)检查癌症筛查率的差异 与肥胖有关的因素因性别和种族而异，以及3)检查 筛查率的差异完全可以用较高的疾病来解释 肥胖者所经历的负担。使用统计建模， 调查人员将量化人与人之间筛查率的差异 在考虑了社会人口统计因素(如 如年龄、种族、教育、收入、所在地区)、获得护理的机会以及 医疗条件。调查人员还将检查两者之间的联系 不同种族亚群的体重和癌症筛查之间的差异。对于冒号 癌症筛查，肥胖和筛查之间的关系将是 分别在男性和女性中进行检查。 该项目的发现将有助于确定肥胖是否会阻碍 癌症筛查并帮助研究人员和临床医生开始了解 造成筛查差异的因素。认识到和 了解肥胖作为护理的潜在障碍的作用是第一 逐步提高肥胖症患者的护理质量。

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.