Obesity, gynecological factors, and abnormal mammography follow-up in minority and medically underserved women.
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| Title: | Obesity, gynecological factors, and abnormal mammography follow-up in minority and medically underserved women. |
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| Authors: | Fair AM (AUTHOR), Wujcik D (AUTHOR), Lin JS (AUTHOR), Grau A (AUTHOR), Wilson V (AUTHOR), Champion V (AUTHOR), Zheng W (AUTHOR), Egan KM (AUTHOR) |
| Source: | Journal of Women's Health (15409996). Jul2009, Vol. 18 Issue 7, p1033-1039. 7p. |
| Subjects: | Obesity, Breast cancer, Cancer risk factors, Women's health, Mammograms, Gynecology |
| Geographic Terms: | Nashville (Tenn.), Tennessee |
| Abstract: | Background: The relationship between obesity and screening mammography adherence has been examined previously, yet few studies have investigated obesity as a potential mediator of timely follow-up of abnormal (Breast Imaging Reporting and Data System [BIRADS-0]) mammography results in minority and medically underserved patients. Methods: We conducted a retrospective cohort study of 35 women who did not return for follow-up >6 months from index abnormal mammography and 41 who returned for follow-up 6 months (adjusted OR 4.09, p = 0.02). Conversely, hysterectomized women were significantly more likely to return for timely mammography follow-up |
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| Database: | Psychology and Behavioral Sciences Collection |
| Abstract: | Background: The relationship between obesity and screening mammography adherence has been examined previously, yet few studies have investigated obesity as a potential mediator of timely follow-up of abnormal (Breast Imaging Reporting and Data System [BIRADS-0]) mammography results in minority and medically underserved patients. Methods: We conducted a retrospective cohort study of 35 women who did not return for follow-up >6 months from index abnormal mammography and 41 who returned for follow-up </=6 months in Nashville, Tennessee. Patients with a BIRADS-0 mammography event in 2003-2004 were identified by chart review. Breast cancer risk factors were collected by telephone interview. Multivariate logistic regression was performed on selected factors with return for diagnostic follow-up. Results: Obesity and gynecological history were significant predictors of abnormal mammography resolution. A significantly higher frequency of obese women delayed return for mammography resolution compared with nonobese women (64.7% vs. 35.3%). A greater number of hysterectomized women returned for diagnostic follow-up compared with their counterparts without a hysterectomy (77.8% vs. 22.2%). Obese patients were more likely to delay follow-up >6 months (adjusted OR 4.09, p = 0.02). Conversely, hysterectomized women were significantly more likely to return for timely mammography follow-up </=6 months (adjusted OR 7.95, p = 0.007). Conclusions: Study results suggest that weight status and gynecological history influence patients' decisions to participate in mammography follow-up studies. Strategies are necessary to reduce weight-related barriers to mammography follow-up in the healthcare system including provider training related to mammography screening of obese women. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 15409996 |
| DOI: | 10.1089/jwh.2008.0791 |
