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Table 6 Logistic regression model: influencing factors on the utilisation of clinical cancer prevention screenings among women with obesity

From: Cancer prevention in females with and without obesity: Does perceived and internalised weight bias determine cancer prevention behaviour?

 

Pap smear (women with obesity, aged ≥ 20

Clinical breast examination (women with obesity, aged ≥ 30)

Mammography* (women with obesity, aged ≥ 50)

Faecal occult blood test* (women with obesity, aged ≥ 50)

Colonoscopy* (women with obesity, aged ≥ 55)

OR

p

95% CI

OR

p

95% CI

OR

p

95% CI

OR

p

95% CI

OR

p

95% CI

Self-perceived Weight Status1

 Slightly overweight

1.39

.730

(0.21–9.12)

1.55

.642

(0.24–9.98)

0.29

.207

(0.04–1.98)

1.76

.635

(0.17–18.00)

1.26

.632

(0.49–3.24)

 Overweight

0.74

.737

(0.12–4.38)

0.55

.501

(0.10–3.14)

0.34

.244

(0.05–2.10)

3.24

.300

(0.35–30.01)

1.13

.709

(0.59–2.20)

 Extremely overweight

0.49

.438

(0.08–2.96)

0.53

.484

(0.09–3.10)

0.33

.237

(0.05–2.09)

3.53

.272

(0.37–33.32)

Omitted because of collinearity

Experienced weight bias

 Inadequate treatment by HCPs2

0.89

.604

(0.56–1.39)

0.93

.760

(0.58–1.48)

0.96

.938

(0.57–1.68)

1.34

.315

(0.76–2.36)

1.08

.810

(0.57–2.06)

 Treatment refused3

0.88

.842

(0.24–3.16)

0.54

.316

(0.16–1.81)

0.71

.726

(0.11–4.67)

0.87

.867

(0.17–4.53)

0.79

.860

(0.06–10.70)

 Weight-based discrimination by HPCs4

1.03

.894

(0.62–1.72)

0.95

.860

(0.56–1.61)

1.04

.914

(0.55–1.94)

0.83

.566

(0.44–1.56)

1.60

.208

(0.77–3.33)

 General weight-based discimination5

1.04

.887

(0.64–1.67)

1.04

.864

(0.64–1.71)

1.21

.538

(0.66–2.20)

0.96

.889

(0.52–1.75)

0.77

.478

(0.38–1.57)

Internalised weight bias

 WBIS

0.99

.520

(0.98–1.01)

1.01

.518

(0.99–1.02)

0.99

.174

(0.96–1.01)

1.00

.885

(0.98–1.02)

1.05***

.001

(1.02–1.08)

Cancer awareness

 Current/previous (other) cancer diagnosis in participants6

2.43*

.036

(1.06–5.58)

1.78

.160

(0.80–3.95)

3.93**

.002

1.62–9.55)

0.63

.290

(0.27–1.48)

3.62*

.012

(1.32–9.92)

 Current/previous (other) cancer in participant’s environment7

1.11

.647

(0.69–1.84)

1.31

.291

(0.79–2.18)

1.64

.169

(0.86–2.37)

1.07

.827

(0.57–2.04)

1.61

.166

(0.82–3.17)

 CPS knowledge8

2.17***

 < .001

(1.43–3.30)

3.33***

.001

(1.66–6.66)

1.43

.169

(0.86–2.37)

1.45

.205

(0.82–2.55)

3.84***

 < .001

(2.10–7.02)

Confounding variables

 Health Insurance9

1.39

.452

(0.59–3.32)

1.98

.174

(0.74–5.27)

0.90

.809

(0.37–2.18)

2.03

.120

(0.83–4.94)

2.18

.142

(0.77–6.16)

 Age

0.98*

.033

(0.95–1.00)

0.99

.294

(0.96–1.01)

0.80***

 < .001

(0.75–0.86)

0.84***

 < .001

(0.79–0.89)

1.13*

.012

(1.03–1.24)

 Educational Level10

1.04

.873

(0.67–1.60)

0.98

.940

(0.63–1.54)

1.03

.926

(0.60–1.75)

1.24

.430

(0.72–2.13)

1.33

.376

(0.71–2.50)

 Marital Status11

1.55

.040

(1.02–2.35)

1.70

.016

(1.11–2.62)

1.18

.515

(0.54–2.36)

0.94

.827

)0.56–1.59)

1.23

.497

(0.41–2.16)

 Household income12

  2. Quartile

1.05

.860

(0.62–1.78

1.69

.060

(1.07–3.13)

0.94

.865

(0.47–1.88)

1.03

.925

(0.50–2.12)

1.00

.998

(0.45–2.23)

  3. Quartile

1.43

.249

(0.78–2.64

1.78

.067

(1.04–3.49)

1.10

.789

(0.53–2.29)

2.10*

.046

(1.01–4.36)

1.72

.216

(0.73–4.05)

  4. Quartile

1.21

.552

(0.65–2.26

1.93*

.049

(0.98–3.58)

1.13

.739

(0.54–2.36)

1.00

.990

(0.46–2.19)

0.94

.876

(0.41–2.16)

n

473

  

463

  

339

  

336

  

247

  

Prob > chi2

0.003

  

0.001

  

 < 0.001

  

 < 0.001

  

 < 0.001

  

Pseudo R2

0.065

  

0.075

  

0.185

  

0.145

  

0.170

  
  1. Bold indiciates the siginnificant values: ***p ≤ 0.001, **p ≤ 0.01, *p ≤ 0.05
  2. *Women who reported a current breast (n = 5) or colorectal (n = 1) cancer diagnosis were excluded in the corresponding models since diagnostic procedures or interventions could have been misclassified as CPS behaviour; Outcome variable sufficient utilisation cancer screenings (0 = not sufficient, 1 = sufficient); OR Odds ratios; HCP = Health care professional; CPS = Cancer prevention screening
  3. 1Reference category (= 0): not overweight
  4. 280 = no, 1 = yes
  5. 90 = statutory health insurance, 1 = private health insurance
  6. 100 = less than 12 years of education
  7. 110 = not married or not living together, 1 = married and living together
  8. 12Reference category (= 0): first quartile
  9. ***p ≤ 0.001, **p ≤ 0.01, *p ≤ 0.05; Insignificant variables were excluded (i.e., experiences with cancer in participants’ environment)