马里兰州50岁及以上人群的体重指数与最新的结直肠癌筛查
Body mass index and up-to-date colorectal cancer screening among Marylanders aged 50 years and older.
作者信息
Menis Mikhail, Kozlovsky Bernard, Langenberg Pat, Zhan Min, Dwyer Diane M, Israel Ebenezer, Groves Carmela, Hopkins Annette, Steinberger Eileen K
机构信息
Department of Epidemiology and Preventive Medicine, University of Maryland School of Medicine, Baltimore, Md 21201, USA.
出版信息
Prev Chronic Dis. 2006 Jul;3(3):A88. Epub 2006 Jun 15.
INTRODUCTION
Overweight and obese individuals are at increased risk for developing and dying from colorectal cancer. Studies suggest that overweight and obese women are more likely to avoid or delay cancer screening. Our objective was to determine whether overweight or obese adults aged 50 years and older living in Maryland in 2002 were less likely to be up-to-date with colorectal cancer screening than normal and underweight adults.
METHODS
The relationship between body mass index and colorectal cancer screening was evaluated based on responses from 3436 participants aged 50 years and older to the Maryland Cancer Survey 2002, a population-based random-digit-dial telephone survey. The survey contains self-reported information on colorectal cancer screening, height, weight, and potential confounders. Logistic regression was performed to calculate odds ratios (ORs) and 95% confidence intervals (CIs), adjusted for age, sex, race, employment, marital status, education, area of residence, and health-care-related variables.
RESULTS
Overall, 64.9% of Marylanders aged 50 and older were up-to-date with colorectal cancer screening. Compared with normal and underweight individuals, overweight individuals had similar odds of being up-to-date with colorectal cancer screening (OR, 1.05; 95% CI, 0.83-1.33). Obese individuals had slightly lower odds, but this difference was not statistically significant (OR, 0.84; 95% CI, 0.65-1.09). Recommendation by a health care provider for colorectal cancer screening was strongly associated with up-to-date colorectal cancer screening (OR, 36.7; 95% CI, 28.7-47.0).
CONCLUSION
Our study shows no statistically significant association between body mass index levels and up-to-date colorectal cancer screening. We recommend that physicians and other health care providers increase up-to-date colorectal cancer screening rates in the population by referring their patients for appropriate screening.
引言
超重和肥胖个体患结直肠癌及因结直肠癌死亡的风险增加。研究表明，超重和肥胖女性更有可能避免或推迟癌症筛查。我们的目标是确定2002年居住在马里兰州的50岁及以上超重或肥胖成年人与正常体重和体重不足的成年人相比，进行结直肠癌筛查的最新情况是否更低。
方法
基于3436名50岁及以上参与者对2002年马里兰州癌症调查的回答，评估体重指数与结直肠癌筛查之间的关系，该调查是一项基于人群的随机数字拨号电话调查。该调查包含有关结直肠癌筛查、身高、体重和潜在混杂因素的自我报告信息。进行逻辑回归以计算比值比（OR）和95%置信区间（CI），并对年龄、性别、种族、就业、婚姻状况、教育程度、居住地区和医疗保健相关变量进行调整。
结果
总体而言，马里兰州50岁及以上的居民中有64.9%进行了结直肠癌筛查。与正常体重和体重不足的个体相比，超重个体进行结直肠癌筛查的最新情况几率相似（OR，1.05；95%CI，0.83 - 1.33）。肥胖个体的几率略低，但这种差异无统计学意义（OR，0.84；95%CI，0.65 - 1.09）。医疗保健提供者对结直肠癌筛查的建议与进行结直肠癌筛查的最新情况密切相关（OR，36.7；95%CI，28.7 - 47.0）。
结论
我们的研究表明体重指数水平与进行结直肠癌筛查的最新情况之间无统计学意义上的关联。我们建议医生和其他医疗保健提供者通过为患者推荐适当的筛查来提高人群中进行结直肠癌筛查的最新情况比率。
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