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Obesity affects breast cancer screening rates. Women who are obese are less likely than non-obese white women to obtain a mammogram, over 50 sex a relationship not seen in black women. Among the 5,277 eligible women aged 50 to 75, 72 percent reported mammography use. White women who were obese were more likely than those who were not to report feelings of worthlessness in the preceding 30 days. Black women over 50 sex did not report these feelings. Wee, McCarthy, Davis, and Phillips, J Gen Intern Med 19:324-331, 2004 (AHRQ grant over 50 sex HS11683). Screening mammography is less accurate in overweight and obese women. In this study, overweight women had a 14 percent increased risk and obese women had more than a 20 percent increased risk of having a false-positive mammogram compared with underweight and normal weight women. A false-positive rate increase of 2 percent would lead to about 200,000 additional women with false-positive mammography results entailing an additional $20 million to evaluate the results, or about $600 per false-positive result.
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