Obese White Women Shying Away From Colon Cancer Screening

WEDNESDAY, April 4 (HealthDay News) — Obese white women are less
likely than normal-weight white women or blacks of any weight or gender to
seek potentially life-saving colon cancer screenings, according to a new
study.

This reluctance is especially serious because obesity is associated
with a higher risk for colon cancer and an increased risk of death from
the disease, noted study leader Dr. Nisa Maruthur, an assistant professor
in the general internal medicine division at Johns Hopkins University
School of Medicine in Baltimore.

“Being concerned about your weight usually is good, but here it appears
to be keeping people from a test we know saves lives,” Maruthur said in a
Hopkins news release. “Obese white women may avoid screening because they
feel stigmatized and embarrassed to disrobe for the tests.”

Colonoscopy and fecal occult blood tests are two methods of colon
cancer screening. The U.S. Preventive Services Task Force recommends that
adults aged 50 to 75 undergo colonoscopy on a periodic basis, but only 20
percent of women and 24 percent of men over age 50 do so, the study
authors pointed out in background information in the news release.

For the new study, the researchers reviewed the findings of 23
published studies that included information on body mass index (BMI) and
colon cancer screening. BMI is a measurement that takes into account
height and weight. A BMI between 18.5 and 24.9 is considered normal
weight, between 25 and 29.9 is considered overweight and 30 or more is
considered obese.

Overall, the Hopkins team found no link between higher BMI and lower
rates of colon cancer screening. They did find such a link in obese white
women, however.

Compared to normal-weight white women, those with a BMI between 30 and
34.9 were 13 percent less likely to be screened, and those with a BMI of
40 or higher were 27 percent less likely to be screened.

There was some indication that obese white men also are reluctant to
undergo colon cancer screening, but further research is needed to confirm
that data.

The study is published in the April 4 online issue of the journal
Cancer Epidemiology, Biomarkers and Prevention.

Previous research by the same Johns Hopkins team found that obese white
women are also less likely to seek mammography breast cancer screening and
Pap smear screening for cervical cancer.

In addition to feeling reluctant to disrobe, another reason obese women
may avoid the screening is because they may be dealing with other
higher-priority health concerns, the researchers suggested.

More information

The U.S. National Cancer Institute has more about colorectal cancer screening.

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