Obesity Status and Colorectal Cancer Screening in the United States
Background. Findings from previous studies on an association between obesity and colorectal cancer (CRC) screening are inconsistent and very few studies have utilized national level databases in the United States (US). Methods. A cross-sectional study was conducted using data from the 2005 Medicar...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Journal of Obesity |
| Online Access: | http://dx.doi.org/10.1155/2013/920270 |
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| author | Karima A. Kendall Euni Lee Ilene H. Zuckerman Linda Simoni-Wastila Marlon Daniel Pauline M. Green Beatrice Adderley-Kelly Anthony K. Wutoh |
| author_facet | Karima A. Kendall Euni Lee Ilene H. Zuckerman Linda Simoni-Wastila Marlon Daniel Pauline M. Green Beatrice Adderley-Kelly Anthony K. Wutoh |
| author_sort | Karima A. Kendall |
| collection | DOAJ |
| description | Background. Findings from previous studies on an association between obesity and colorectal cancer (CRC) screening are inconsistent and very few studies have utilized national level databases in the United States (US).
Methods. A cross-sectional study was conducted using data from the 2005 Medicare Current Beneficiary Survey to describe CRC screening rate by obesity status. Results. Of a 15,769 Medicare beneficiaries sample aged 50 years and older reflecting 39 million Medicare beneficiaries in the United States, 25% were classified as obese, consisting of 22.4% “obese” (30 ≤ body mass index (BMI) < 35) and 3.1% “morbidly obese” (BMI ≥ 35) beneficiaries. Almost 38% of the beneficiaries had a body mass index level equivalent to overweight (25 ≤ BMI < 30). Of the study population, 65.3% reported having CRC screening (fecal occult blood testing or colonoscopy). Medicare beneficiaries classified as “obese” had greater odds of CRC screening compared to “nonobese” beneficiaries after controlling for other covariates (ORadj = 1.25; 95% CI: 1.12–1.39). Conclusions. Findings indicate that obesity was not a barrier but rather an assisting factor to CRC screening among Medicare beneficiaries. Future studies are needed to evaluate physicians’ ordering of screening tests compared to screening claims among Medicare beneficiaries to better understand patterns of patients’ and doctors’ adherence to national CRC screening guidelines. |
| format | Article |
| id | doaj-art-e1f656491cef48d2be2ea2ceec6a8387 |
| institution | Kabale University |
| issn | 2090-0708 2090-0716 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Obesity |
| spelling | doaj-art-e1f656491cef48d2be2ea2ceec6a83872025-02-03T01:33:04ZengWileyJournal of Obesity2090-07082090-07162013-01-01201310.1155/2013/920270920270Obesity Status and Colorectal Cancer Screening in the United StatesKarima A. Kendall0Euni Lee1Ilene H. Zuckerman2Linda Simoni-Wastila3Marlon Daniel4Pauline M. Green5Beatrice Adderley-Kelly6Anthony K. Wutoh7Science Applications International Corporation, Rockville, MD, USADepartment of Clinical and Administrative Pharmacy Sciences, Center for Minority Health Services Research, College of Pharmacy, Howard University, Washington, DC 20059, USADepartment of Pharmaceutical Health Services Research, School of Pharmacy, University of Maryland, Baltimore, MD 21201, USADepartment of Pharmaceutical Health Services Research, School of Pharmacy, University of Maryland, Baltimore, MD 21201, USADepartment of Clinical and Administrative Pharmacy Sciences, Center for Minority Health Services Research, College of Pharmacy, Howard University, Washington, DC 20059, USADivision of Nursing, College of Nursing and Allied Health Science, Howard University, Washington, DC 20059, USADivision of Nursing, College of Nursing and Allied Health Science, Howard University, Washington, DC 20059, USADepartment of Clinical and Administrative Pharmacy Sciences, Center for Minority Health Services Research, College of Pharmacy, Howard University, Washington, DC 20059, USABackground. Findings from previous studies on an association between obesity and colorectal cancer (CRC) screening are inconsistent and very few studies have utilized national level databases in the United States (US). Methods. A cross-sectional study was conducted using data from the 2005 Medicare Current Beneficiary Survey to describe CRC screening rate by obesity status. Results. Of a 15,769 Medicare beneficiaries sample aged 50 years and older reflecting 39 million Medicare beneficiaries in the United States, 25% were classified as obese, consisting of 22.4% “obese” (30 ≤ body mass index (BMI) < 35) and 3.1% “morbidly obese” (BMI ≥ 35) beneficiaries. Almost 38% of the beneficiaries had a body mass index level equivalent to overweight (25 ≤ BMI < 30). Of the study population, 65.3% reported having CRC screening (fecal occult blood testing or colonoscopy). Medicare beneficiaries classified as “obese” had greater odds of CRC screening compared to “nonobese” beneficiaries after controlling for other covariates (ORadj = 1.25; 95% CI: 1.12–1.39). Conclusions. Findings indicate that obesity was not a barrier but rather an assisting factor to CRC screening among Medicare beneficiaries. Future studies are needed to evaluate physicians’ ordering of screening tests compared to screening claims among Medicare beneficiaries to better understand patterns of patients’ and doctors’ adherence to national CRC screening guidelines.http://dx.doi.org/10.1155/2013/920270 |
| spellingShingle | Karima A. Kendall Euni Lee Ilene H. Zuckerman Linda Simoni-Wastila Marlon Daniel Pauline M. Green Beatrice Adderley-Kelly Anthony K. Wutoh Obesity Status and Colorectal Cancer Screening in the United States Journal of Obesity |
| title | Obesity Status and Colorectal Cancer Screening in the United States |
| title_full | Obesity Status and Colorectal Cancer Screening in the United States |
| title_fullStr | Obesity Status and Colorectal Cancer Screening in the United States |
| title_full_unstemmed | Obesity Status and Colorectal Cancer Screening in the United States |
| title_short | Obesity Status and Colorectal Cancer Screening in the United States |
| title_sort | obesity status and colorectal cancer screening in the united states |
| url | http://dx.doi.org/10.1155/2013/920270 |
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