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Obese Women Less Likely to Receive Preventive Care
Physicians Weekly October 17, 2005
Middle-aged, elderly Caucasian women who are obese receive preventive services less frequently than other patients, according to a Duke University Medical Center study. Researchers evaluated the association between BMI and receipt of screening mammography and Pap tests among middle-aged women. They examined the association between BMI and receipt of influenza vaccinations among the elderly based on data from the Health and Retirement Study and the Asset and Health Dynamics Among the Oldest Old Study. In patients with a BMI greater than 18.5 kg/m2, the study team found an "inverse dose-response relationship between BMI and receipt of screening mammography and Pap tests among white, but not black, middle-aged women." A similar association was found between BMI and influenza vaccination among the elderly. The study team noted that the clinical preventive service goals set by Healthy People 2010 remain elusive, especially for overweight and obese white people. The study was published in the September 2005 American Journal of Public Health.
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