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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.
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
Copyright of Journal of Women's Health (15409996) is the property of Mary Ann Liebert, Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Availability: 0
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 105390318
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
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  Data: Obesity, gynecological factors, and abnormal mammography follow-up in minority and medically underserved women.
– Name: Author
  Label: Authors
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  Data: <searchLink fieldCode="AR" term="%22Fair+AM%22">Fair AM</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wujcik+D%22">Wujcik D</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lin+JS%22">Lin JS</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Grau+A%22">Grau A</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wilson+V%22">Wilson V</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Champion+V%22">Champion V</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zheng+W%22">Zheng W</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Egan+KM%22">Egan KM</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Women's+Health+%2815409996%29%22">Journal of Women's Health (15409996)</searchLink>. Jul2009, Vol. 18 Issue 7, p1033-1039. 7p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Obesity%22">Obesity</searchLink><br /><searchLink fieldCode="DE" term="%22Breast+cancer%22">Breast cancer</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer+risk+factors%22">Cancer risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Women's+health%22">Women's health</searchLink><br /><searchLink fieldCode="DE" term="%22Mammograms%22">Mammograms</searchLink><br /><searchLink fieldCode="DE" term="%22Gynecology%22">Gynecology</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Nashville+%28Tenn%2E%29%22">Nashville (Tenn.)</searchLink><br /><searchLink fieldCode="DE" term="%22Tennessee%22">Tennessee</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: 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]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Women's Health (15409996) is the property of Mary Ann Liebert, Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=105390318
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        Value: 10.1089/jwh.2008.0791
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 7
        StartPage: 1033
    Subjects:
      – SubjectFull: Obesity
        Type: general
      – SubjectFull: Breast cancer
        Type: general
      – SubjectFull: Cancer risk factors
        Type: general
      – SubjectFull: Women's health
        Type: general
      – SubjectFull: Mammograms
        Type: general
      – SubjectFull: Gynecology
        Type: general
      – SubjectFull: Nashville (Tenn.)
        Type: general
      – SubjectFull: Tennessee
        Type: general
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      – TitleFull: Obesity, gynecological factors, and abnormal mammography follow-up in minority and medically underserved women.
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              M: 07
              Text: Jul2009
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              Y: 2009
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