The Impact of Obesity on Gynecologic Cancer Screening: An Integrative Literature Review

Tess Aldrich, MSc, APRN; Barbara Hackley, CNM, MS


J Midwifery Womens Health. 2010;55(4):344-356. 

In This Article


A literature search was conducted of English language peer-reviewed journal articles published between 1950 and January 2009 using the standard computerized databases Medline, PubMed, and the Cumulative Index to Nursing and Allied Health Literature (CINAHL). The following terms and/or combinations of terms were used: "obesity," "body mass index," "breast neoplasms," "uterine cervical neoplasms," "screening," "mammography," "Pap smear," "barriers," "weight stigma," "weight bias," "comorbidity," and "minority health." The search included quantitative studies examining predictors of gynecologic cancer screening and research on attitudes and practices of obese women and providers who manage this population, regarding both Pap tests and mammography. Citations from the reference lists of reviewed articles were also searched for relevant papers.


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