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Prev Med. 2012 May;54(5):302-5. doi: 10.1016/j.ypmed.2012.02.010. Epub 2012 Feb 25.

Prospective association between body mass index and receipt of preventive services: results from the Central Pennsylvania Women's Health Study (CePAWHS).

Author information

  • 1Pennsylvania State University, College of Medicine, Hershey, PA 17033, USA. jkraschnewski@hmc.psu.edu

Abstract

OBJECTIVE:

We examine whether overweight and obesity are associated with disparities in clinical preventive services receipt in a unique, prospective, population-based cohort of reproductive-age women.

METHOD:

We used data from the Central Pennsylvania Women's Health Study (CePAWHS) longitudinal survey of women ages 18-45. The baseline random-digit-dial telephone survey was conducted in 2004-2005 and a second telephone interview two years later; 1342 participants comprised the analytic sample. Dependent variables were seven preventive services identified at follow-up. In addition to baseline body mass index (BMI) category, independent variables were selected based on the behavioral model of health services utilization.

RESULTS:

Forty-six percent of the sample was classified as normal weight, 28% as overweight, and 26% as obese. In adjusted analyses, women who were overweight and obese, compared to women with normal weight, were more likely to receive preventive counseling for diet/nutrition, physical activity, and weight management (p<0.01). Overweight and obese women received more cholesterol and diabetes screening (p<0.05 and p<0.01, respectively). However, there were no differences by BMI category in receipt of Pap testing or reproductive counseling.

CONCLUSION:

Overall, we found that women with overweight and obesity were more likely to receive preventive services, especially services relevant for overweight and obese populations.

Copyright © 2012 Elsevier Inc. All rights reserved.

PMID:
22391575
[PubMed - indexed for MEDLINE]
PMCID:
PMC3345091
Free PMC Article
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