February 2008

Document Type


Degree Name



Dept. of Public Health and Preventive Medicine


Oregon Health & Science University


Background: Cancer screening among adults can reduce mortality, especially among obese adults, who are at an increased risk for developing cancer. Little is known about the adequacy of provision of cancer screening in rural primary care clinics or disparities that may exist between obese and non-obese individuals in rural areas. Objective: To determine the relationship between body habitus and provision of recommended adult cancer screening services in clinics associated with a rural practice-based research network. Design: Retrospective audit of 150 randomly selected patient charts per practice. Setting: Six rural primary care clinics in Oregon. Outcome Measures: Documented screening for colorectal, breast, cervical and prostate cancers using USPSTF and ACS recommendations as standards. Results: A total of 902 patient records were audited. Over 24% of patients were obese with an average BMI of 29.5 kg/m[superscript 2]. Twenty-nine percent of patients age 50 or older received colon ca




School of Medicine



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