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Screening for Cervical and Breast Cancer: Is Obesity an Unrecognized Barrier to Preventive Care?

Christina C. Wee, MD, MPH; Ellen P. McCarthy, PhD; Roger B. Davis, ScD; and Russell S. Phillips, MD
[+] Article and Author Information

From Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.


Presented in part at the 22nd Annual Meeting of the Society of General Internal Medicine, San Francisco, California, May 1999.

Disclaimer: The analyses, interpretations, and conclusions in this paper are those of the authors and do not reflect those of the National Center for Health Statistics.

Acknowledgments: The authors thank the National Center for Health Statistics for providing the initial data and Erin Hartman for editorial comments.

Grant Support: Dr. Wee and this investigation were supported in part by a grant from the Medical Foundation, Inc. (Boston, Massachusetts), and a National Research Service Award (#1 F32 HS00137-01) from the Agency for Healthcare Research and Quality.

Requests for Single Reprints: Christina C. Wee, MD, MPH, Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Libby 330, Boston, MA 02215; e-mail, cweekuo@caregroup.harvard.edu.

Requests To Purchase Bulk Reprints (minimum, 100 copies): the Reprints Coordinator; phone, 215-351-2657; e-mail, reprints@mail.acponline.org.

Current Author Addresses: Drs. Wee, McCarthy, Davis, and Phillips: Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Libby 330, Boston, MA 02215.

Author Contributions: Conception and design: C.C. Wee, R.S. Phillips.

Analysis and interpretation of the data: C.C. Wee, E.P. McCarthy, R.B. Davis, R.S. Phillips.

Drafting of the article: C.C. Wee, R.S. Phillips.

Critical revision of the article for important intellectual content: C.C. Wee, E.P. McCarthy, R.B. Davis, R.S. Phillips.

Final approval of the article: C.C. Wee, E.P. McCarthy, R.B. Davis, R.S. Phillips.

Statistical expertise: C.C. Wee, E.P. McCarthy, R.B. Davis.

Obtaining of funding: C.C. Wee, R.S. Phillips.

Administrative, technical, or logistic support: C.C. Wee, E.P. McCarthy, R.S. Phillips.


Ann Intern Med. 2000;132(9):697-704. doi:10.7326/0003-4819-132-9-200005020-00003
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Obese women have higher mortality rates for breast and cervical cancer than do thinner women (12). Obesity also has important social, economic, and psychological consequences, including societal discrimination and poor self-perception (38). Whether these consequences influence the quality of medical care received by obese patients is unclear.

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Summary for Patients

Is Obesity a Barrier to Screening for Cervical and Breast Cancer?

The summary below is from the full report titled “Screening for Cervical and Breast Cancer: Is Obesity an Unrecognized Barrier to Preventive Care?” It is in the 2 May 2000 issue of Annals of Internal Medicine (volume 132, pages 697-704). The authors are C.C. Wee, E.P. McCarthy, R.B. Davis, and R.S. Phillips.

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