A systematic review of obesity as a barrier to accessing cancer screening services
Open accessAbstract
Introduction: Obesity is a known risk factor for the development of cancers, and a significant proportion of the population may be at risk of developing cancer owing to their weight status. There is acknowledged societal stigma towards people living with obesity, which can influence health behaviors and deter help seeking, such as cancer screening. Healthcare professionals’ attitudes and views toward people living with obesity may adversely affect the patient–professional interface and treatment. Methods: A systematic review was carried out which aimed to explore the impact of living with obesity on the uptake of three main cancer‐screening services: breast, cervical, and colorectal. Results: Ten studies were included in the review. Three main areas were identified from both a patient and healthcare professional perspective: barriers and challenges to screening, gender issues, and disparities in the population living with obesity. Conclusion: Further research is needed to improve uptake of cancer screening services, and for education on weight bias, which is often unconscious, to be considered for healthcare professionals working in cancer screening services. This may help to increase the incidence of early differential diagnosis of potential cancers and improve health outcomes for people living with obesity.
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Obesity bias contributes to decreased use of preventive cancer screenings among patients with obesity, particularly in women.
“Obesity bias contributes to decreased use of preventive cancer screenings among patients with obesity, particularly in women.7”
From Obesity Management in Adults (2023) · cites this paper as [7]
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Cites
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & for the PRISMA Group (2009) · BMJ · doi:10.1136/bmj.b2535 · Cited by 83,823 · see citing works
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & The PRISMA Group (2009) · PLoS Medicine · doi:10.1371/journal.pmed.1000097 · Cited by 64,042 · see citing works
Wang, G., Ma, R., Qiao, G., Wada, K., Aizawa, Y., & Satoh, T. (2015) · Integrative Medicine International · doi:10.1159/000368408 · Cited by 18,759 · see citing works
(2014) · Cited by 15,747 · see citing works
Levesque, R. J. R. (2018) · Springer eBooks · doi:10.1007/978-3-319-33228-4_447 · Cited by 1,698 · see citing works
Impact of weight bias and stigma on quality of care and outcomes for patients with obesity
Phelan, S. M., Burgess, D. J., Yeazel, M. W., Hellerstedt, W. L., Griffin, J. M., & van Ryn, M. (2015) · Obesity Reviews · doi:10.1111/obr.12266 · Cited by 1,361 · see citing works
Calle, E. E., & Thun, M. J. (2004) · Oncogene · doi:10.1038/sj.onc.1207751 · Cited by 791 · see citing works
Wolin, K. Y., Carson, K., & Colditz, G. A. (2010) · The Oncologist · doi:10.1634/theoncologist.2009-0285 · Cited by 778 · see citing works
The impact of the COVID-19 pandemic on cancer care
Richards, M. A., Anderson, M., Carter, P., Ebert, B. L., & Mossialos, E. A. (2020) · Nature Cancer · doi:10.1038/s43018-020-0074-y · Cited by 587 · see citing works
Weight stigma as a psychosocial contributor to obesity.
Puhl, R. M., Himmelstein, M. S., & Pearl, R. L. (2020) · American Psychologist · doi:10.1037/amp0000538 · Cited by 452 · see citing works
Obesity and Cancer Risk: Recent Review and Evidence
Basen-Engquist, K., & Chang, M. (2011) · Current Oncology Reports · doi:10.1007/s11912-010-0139-7 · Cited by 439 · see citing works
The association between weight stigma and mental health: A meta‐analysis
Emmer, C., Bošnjak, M., & Mata, J. (2019) · Obesity Reviews · doi:10.1111/obr.12935 · Cited by 381 · see citing works
Obesity and cancer: existing and new hypotheses for a causal connection
Stone, T. W., McPherson, M., & Gail Darlington, L. (2018) · eBioMedicine · doi:10.1016/j.ebiom.2018.02.022 · Cited by 262 · see citing works
Tomiyama, A. J., Finch, L. E., Belsky, A. C. I., Buss, J., Finley, C., Schwartz, M. B., & Daubenmier, J. (2015) · Obesity · doi:10.1002/oby.20910 · Cited by 199 · see citing works
COVID-19 and Obesity: Dangerous Liaisons
Caci, G., Albini, A., Malerba, M., Noonan, D. M., Pochetti, P., & Polosa, R. (2020) · Journal of Clinical Medicine · doi:10.3390/jcm9082511 · Cited by 189 · see citing works
The Association of Obesity and Cervical Cancer Screening: A Systematic Review and Meta‐analysis
Maruthur, N. M., Bolen, S. D., Brancati, F. L., & Clark, J. M. (2008) · Obesity · doi:10.1038/oby.2008.480 · Cited by 184 · see citing works
Puhl, R. M., Luedicke, J., & Grilo, C. M. (2013) · Obesity · doi:10.1002/oby.20637 · Cited by 183 · see citing works
Obesity and COVID-19: what makes obese host so vulnerable?
Mohammad, S., Aziz, R., Mahri, S. A., Malik, S. S., Haji, E. M., Khan, A. H., Khatlani, T., & Bouchama, A. (2021) · Immunity & Ageing · doi:10.1186/s12979-020-00212-x · Cited by 180 · see citing works
Cohen, S. S., Weber, R. P., Nyante, S. J., Koralek, D. O., Kim, S., Bradshaw, P. T., & Olshan, A. F. (2008) · Cancer · doi:10.1002/cncr.23408 · Cited by 165 · see citing works
The Impact of COVID-19 on Cancer Screening: Challenges and Opportunities
Cancino, R. S., Su, Z., Mesa, R. A., Tomlinson, G. E., & Wang, J. (2020) · JMIR Cancer · doi:10.2196/21697 · Cited by 156 · see citing works
Mold, F., & Forbes, A. (2011) · Health Expectations · doi:10.1111/j.1369-7625.2011.00699.x · Cited by 154 · see citing works
A Study of Discrimination within the Medical Community as Viewed by Obese Patients
Kaminsky, J., & Gadaleta, D. J. (2002) · Obesity Surgery · doi:10.1381/096089202321144513 · Cited by 140 · see citing works
Bidstrup, H., Brennan, L., Kaufmann, L. M., & Garcia, X. D. L. P. (2021) · International Journal of Obesity · doi:10.1038/s41366-021-00982-4 · Cited by 135 · see citing works
Clarke, M. A., Fetterman, B. J., Cheung, L. C., Wentzensen, N., Gage, J. C., Katki, H. A., Befano, B., Demarco, M., Schussler, J. E., Kinney, W., et al. (2018) · Journal of Clinical Oncology · doi:10.1200/jco.2017.75.3442 · Cited by 111 · see citing works
The Association Between Obesity and Screening Mammography Accuracy
Elmore, J. G., Carney, P. A., Abraham, L., Barlow, W. E., Egger, J. R., Fosse, J. S., Cutter, G., Hendrick, R. E., D’Orsi, C. J., Paliwal, P., et al. (2004) · Archives of Internal Medicine · doi:10.1001/archinte.164.10.1140 · Cited by 100 · see citing works
Effects of cancer screening restart strategies after COVID-19 disruption
Kregting, L. M., Kaljouw, S., de Jonge, L., Jansen, E. E. L., Peterse, E. F. P., Heijnsdijk, E. A. M., van Ravesteyn, N. T., Lansdorp‐Vogelaar, I., & de Kok, I. M. C. M. (2021) · British Journal of Cancer · doi:10.1038/s41416-021-01261-9 · Cited by 80 · see citing works
Overweight, obesity, and colorectal cancer screening: Disparity between men and women
Heo, M., Allison, D. B., & Fontaine, K. R. (2004) · BMC Public Health · doi:10.1186/1471-2458-4-53 · Cited by 69 · see citing works
Obese Women's Barriers to Mammography and Pap Smear: The Possible Role of Personality
Friedman, A., Hemler, J. R., Rossetti, E., Clemow, L., & Ferrante, J. M. (2012) · Obesity · doi:10.1038/oby.2012.50 · Cited by 63 · see citing works
Family Physicians' Barriers to Cancer Screening in Extremely Obese Patients
Ferrante, J. M., Fyffe, D. C., Vega, M. L., Piasecki, A. K., Ohman‐Strickland, P., & Crabtree, B. F. (2009) · Obesity · doi:10.1038/oby.2009.481 · Cited by 56 · see citing works
National Disparities in Colorectal Cancer Screening Among Obese Adults
Seibert, R. G., Hanchate, A. D., Berz, J. P. B., & Schroy, P. C. (2017) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2017.01.006 · Cited by 42 · see citing works
Sex Differences in the Incidence of Obesity-Related Gastrointestinal Cancer
Heo, J.-W., Kim, S., & Sung, M. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22031253 · Cited by 40 · see citing works
Body mass index and screening for colorectal cancer: Gender and attitudinal factors
Messina, C. R., Lane, D. S., & Anderson, J. C. (2012) · Cancer Epidemiology · doi:10.1016/j.canep.2012.02.002 · Cited by 30 · see citing works
Body mass index and participation in organized mammographic screening: a prospective cohort study
Hellmann, S. S., Njor, S. H., Lynge, E., von Euler‐Chelpin, M., Olsen, A., Tjønneland, A. M., Vejborg, I., & Andersen, Z. J. (2015) · BMC Cancer · doi:10.1186/s12885-015-1296-8 · Cited by 30 · see citing works
Effect of Obesity on Cervical Cancer Screening and Outcomes
Gnade, C. M., Hill, E. K., Botkin, H. E., Hefel, A. R., Hansen, H. E., Sheets, K. A., Mott, S. L., Hardy-Fairbanks, A. J., & Stockdale, C. K. (2020) · Journal of Lower Genital Tract Disease · doi:10.1097/lgt.0000000000000570 · Cited by 27 · see citing works
Kelkar, A. H., Zhao, J., Wang, S., & Cogle, C. R. (2022) · Healthcare · doi:10.3390/healthcare10020264 · Cited by 24 · see citing works
Curll, S. L., & Brown, P. (2020) · Body image · doi:10.1016/j.bodyim.2020.09.006 · Cited by 23 · see citing works
McBride, K. A., Fleming, C., George, E. S., Steiner, G. Z., & MacMillan, F. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16040534 · Cited by 22 · see citing works
Race moderates the relationship between obesity and colorectal cancer screening in women
Leone, L. A., Campbell, M. K., Satia, J. A., Bowling, J. M., & Pignone, M. P. (2009) · Cancer Causes & Control · doi:10.1007/s10552-009-9469-x · Cited by 22 · see citing works
Fair, A. M., Wujcik, D. M., Lin, J.-M. S., Grau, A. M., Wilson, V., Champion, V. L., Zheng, W., & Egan, K. M. (2009) · Journal of Women s Health · doi:10.1089/jwh.2008.0791 · Cited by 14 · see citing works
Tekkel, M., Veideman, T., & Rahu, M. (2011) · Public Health · doi:10.1016/j.puhe.2011.06.013 · Cited by 13 · see citing works
Franck, J.-E., Ringa, V., Cœuret-Pellicer, M., Chauvin, P., & Menvielle, G. (2019) · Cancer Causes & Control · doi:10.1007/s10552-019-01251-6 · Cited by 10 · see citing works
Obesity-related stigma—hiding in plain sight
Endocrinology, T. L. D. (2020) · The Lancet Diabetes & Endocrinology · doi:10.1016/s2213-8587(20)30123-6 · Cited by 7 · see citing works
Franck, J.-E., Ringa, V., Rigal, L., Sassenou, J., Cœuret-Pellicer, M., Chauvin, P., & Menvielle, G. (2020) · Journal of Medical Screening · doi:10.1177/0969141320914323 · Cited by 5 · see citing works
Flagged first, then by citations
1 of the 44 references couldn’t be matched to a known paper.
Research works printed but not linked: 1
- [31]Cohen SS, Palmieri RT, Nyante SJ, et al. Obesity and screening for breast, cervical, and colorectal cancer in women: a review. Cancer. 2008; 112(9): 1892‐ 1904. 18361400
Cited by
Sorted by citations
Definition and diagnostic criteria of clinical obesity
Rubino, F., Cummings, D. E., Eckel, R. H., Cohen, R. V., Wilding, J. P. H., Brown, W. A., Stanford, F. C., Batterham, R. L., Farooqi, I. S., Farpour-Lambert, N. J., et al. (2025) · The Lancet Diabetes & Endocrinology · doi:10.1016/s2213-8587(24)00316-4 · Cited by 1,811 · see citing works
Elmaleh-Sachs, A., Schwartz, J. L., Bramante, C. T., Nicklas, J. M., Gudzune, K. A., & Jay, M. (2023) · JAMA · doi:10.1001/jama.2023.19897 · Cited by 748 · see citing works
Alfaris, N., Alqahtani, A. M., Alamuddin, N., & Rigas, G. (2023) · Gastroenterology Clinics of North America · doi:10.1016/j.gtc.2023.03.002 · Cited by 100 · see citing works
Cancer and Obesity: An Obesity Medicine Association (OMA) Clinical Practice Statement (CPS) 2022
Lazarus, E., & Bays, H. E. (2022) · Obesity Pillars · doi:10.1016/j.obpill.2022.100026 · Cited by 55 · see citing works
Sand, F. L., Urbutė, A., Ring, L. L., Kjær, A. K., Belmonte, F., & Kjær, S. K. (2023) · Preventive Medicine · doi:10.1016/j.ypmed.2023.107519 · Cited by 26 · see citing works
Kost, C., Jamie, K., & Mohr, E. (2024) · Frontiers in Sociology · doi:10.3389/fsoc.2024.1303919 · Cited by 17 · see citing works
Baska, A., Swider, K. J., Zgliczyński, W. S., Kłoda, K., Mastalerz–Migas, A., & Babicki, M. (2024) · Nutrients · doi:10.3390/nu16070999 · Cited by 16 · see citing works
Gülle, B. T., Tozduman, B., & Ören, M. M. (2025) · BMC Public Health · doi:10.1186/s12889-025-23847-1 · Cited by 16 · see citing works
Obesity and climate change: co-crises with common solutions
Behrens, P., Champagne, C. M., Halford, J. C. G., Moodie, M., Proietto, J., Rutter, G. A., Samaras, K., & Holly, J. M. P. (2025) · Frontiers in Science · doi:10.3389/fsci.2025.1613595 · Cited by 13 · see citing works
Rodríguez, Y. M. A., González, C. M. M., & Hernández, A. M. G. (2025) · Nursing Reports · doi:10.3390/nursrep15020066 · Cited by 8 · see citing works
Neighborhood Factors Related to Cancer Screening in Texas: A Spatioecological Study
Rathod, R. A., Beauchamp, A., Shahan, K. L., Lin, K., Henry, K., Shariff‐Marco, S., Pruitt, S. L., & Hughes, A. E. (2024) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2024.12.012 · Cited by 5 · see citing works
McBride, K. A., O'Fee, A., Hogan, S., Stewart, E., Madeley, C., Wilkes, J., Wylie, E. J., White, A., Hickey, M., & Stone, J. (2024) · Radiography · doi:10.1016/j.radi.2024.04.011 · Cited by 5 · see citing works
Team-Based Approach to Reduce Malignancies in People with Diabetes and Obesity
Zhu, Z., Wong, S. Y. S., Sung, J. J. �., & Lam, T. Y. T. (2023) · Current Diabetes Reports · doi:10.1007/s11892-023-01518-y · Cited by 4 · see citing works
Obesity Severity and Cancer Screening in US Adults
Corpodean, F., Kachmar, M., Yang, S., Cook, M. W., Schauer, P. R., & Albaugh, V. L. (2025) · JAMA Network Open · doi:10.1001/jamanetworkopen.2025.32402 · Cited by 4 · see citing works
Pack, A. P., O’Conor, R. M., Curran, Y., Huang, W., Zuleta, A., Zuleta, R., Herman, M. P., Kymes, S. M., & Bailey, S. C. (2024) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2024.102659 · Cited by 3 · see citing works
Salabat, D., Sarrafzadeh, S., Tabatabaei‐Malazy, O., Rezaei, N., Khosravi, S., Golestani, A., Kompani, F., & Akbarpour, S. (2025) · BMC Public Health · doi:10.1186/s12889-025-22423-x · Cited by 2 · see citing works
Murata, F., Maeda, M., & Fukuda, H. (2023) · Cancer Epidemiology · doi:10.1016/j.canep.2023.102335 · Cited by 2 · see citing works
Does size matter? Weight bias, stigma, and medical radiation technology practice in Canada
Smith, S. C., Smoke, M., Farrell, T. J., Reis, V., & Brydon, M. (2025) · Journal of medical imaging and radiation sciences · doi:10.1016/j.jmir.2025.101886 · Cited by 1 · see citing works
Oshiro, C. E. S., Cushing‐Haugen, K. L., Vecchio, N. J. D., Alonge, O. D., Ghai, N. R., Green, B. B., Honda, S. A., Neslund-Dudas, C. M., Ritzwoller, D. P., Skinner, C. S., et al. (2026) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2026.108434 · Cited by 1 · see citing works
Udi, Y., Gilad-Bachrach, R., Cohen, H., & Sagi‐Dain, L. (2024) · Preventive Medicine · doi:10.1016/j.ypmed.2024.108045 · Cited by 1 · see citing works
Cedeño, K., Amaya-Ardila, C. P., Ramos‐Cartagena, J. M., Guiot, H. M., Muñoz, C., Tírado-Gómez, M., & Ortiz, A. P. (2024) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2024.102810
Meng-Han, T., Pollard, E. M., Vernon, M., & Chen, J. (2025) · Cancer Causes & Control · doi:10.1007/s10552-025-01970-z
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Iskander, O. A., Jareebi, M. A., Daak, L. I., Areeshi, R. A., Aljudayba, R. M., Akoor, F. A., Abutaleb, Y. B., Mobarki, O. A., Ageeli, A. I., Alibrahim, A. M., et al. (2025) · Cancer Control · doi:10.1177/10732748251405927
Rajpathy, O., & Oancea, S. C. (2025) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph23010023
Richardson, S. K., & Richardson, A. (2025) · Nursing Clinics of North America · doi:10.1016/j.cnur.2025.11.003
Foucault, E., Macioce, V., Soler, M., Pers, Y., Bonnet, J., Avignon, A., Chevalier, N., & Sultan, A. (2026) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2026.103405
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Seum, T., Mandic, M., Safizadeh, F., Hoffmeister, M., & Brenner, H. (2026) · International Journal of Cancer · doi:10.1002/ijc.70448
Oluwole, O. E., Jacobs, D. R., & Aremu, T. O. (2026) · Cureus · doi:10.7759/cureus.107664
Lytvyak, E., Mittal, N., Wei, J., Lin, T., Yang, K. Y., Tu, X. M., Lunde, O., Ross, E., Cheng, J., DeConde, J., et al. (2026) · Obesity Research & Clinical Practice · doi:10.1016/j.orcp.2026.05.001
Depression Associated with Other Medical Conditions
Sunzeri, F., & Sunzeri, E. (2026) · Springer eBooks · doi:10.1007/978-3-032-14465-2_12
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Ba’th, F., & Wilson, R. L. (2026) · Springer eBooks · doi:10.1007/978-3-032-24278-5_11
Li, E., Guo, B., Ai, F., Wen, K., Tang, P., & Wen, H. (2026) · Journal of Health Psychology · doi:10.1177/13591053261465387
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Agurs‐Collins, T., & Sauter, E. R. (2026) · Cancers · doi:10.3390/cancers18162714
Sehrawat, A., Aslan, A., Aldam, E. L., Wood, C., & Buckland, N. J. (2026) · British Journal of Health Psychology · doi:10.1111/bjhp.70116
- Authors
- Graham, Y., Hayes, C., Cox, J., Mahawar, K., Fox, A., & Yemm, H.
- Affiliations
- Universidad Anáhuac (MX)
- University of Sunderland (GB)
- South Tyneside and Sunderland NHS Foundation Trust (GB)
- Corresponding author
- Graham, Yitka
- Venue
- Obesity Science & Practice
- Publisher
- Wiley
- Published
- 2022-04-27
- Volume
- 8
- Issue
- 6
- Pages
- 715-727
- ISSN
- 2055-2238 (ISSN-L)
- PMC
- PMC9722456
- OpenAlex
- W4223985081
- Cited by
- 37
- References
- 44
- Citations by year
- 2026: 10 · 2025: 13 · 2024: 7 · 2023: 5 · 2022: 2
- FWCI
- 1.54
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Obesity Science & Practice (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Sunderland Repository (University of Sunderland) (acceptedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
- Health Sciences › Medicine › Oncology › Cancer Risks and Factors
- Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
- Keywords
- obesity, cancer screening, screening uptake, barriers to health care access, weight stigma, weight bias, clinician attitudes, breast cancer screening, cervical cancer screening, colorectal cancer screening, gender differences, health disparities
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