尽管宫颈癌可以通过早期筛查和疫苗接种策略来预防，但宫颈癌仍然是女性中最常见的癌症类型之一。超重或肥胖与各种不良健康结果，包括升高的癌症风险之间的联系已经得到充分确认。在本研究中，我们的中心目标是探讨身体质量指数（BMI）与宫颈癌筛查（CCS）率之间的相关性。此外，我们还试图调查社会经济地位是否可能调节这种关系。我们的分析涵盖了1791名受访者，他们参与了2014年在斯威士兰进行的世界卫生组织非传染性疾病风险因素监测方法（STEPwise approach to noncommunicable disease risk factor surveillance）调查。我们通过未经调整和经过调整的逻辑回归模型评估了BMI以及其他决定因素与CCS的联系。CCS的接受率为14.4％，超重和肥胖的患病率分别估计为28.1％和34.9％。在考虑其他相关变量之后，肥胖人群获得CCS的可能性增加（调整后的比值比[aOR]=1.99，95％置信区间[CI]=1.26-3.12），超重人群获得CCS的可能性也增加（aOR=1.98，95％ CI=1.05-3.74）。此外，离婚或分居身份（aOR=2.03，95% CI=1.11-3.72）以及进行定期体育锻炼（aOR=3.02，95% CI=1.21-6.02）等因素与进行CCS的可能性增加有关。本研究强调了超重和肥胖，以及各种社会经济因素与接受CCS的模式之间的关键作用。对于斯威士兰来说，针对性的干预措施应该考虑到这项调查中强调的多方面因素。©2023 BioMed Central Ltd。，施普林格自然出版集团的一部分。

Cervical cancer stands as one of the most prevalent cancer types among women, despite its preventable nature through early screening and vaccination strategies. The link between being overweight or obese and various adverse health outcomes, including an elevated cancer risk, is well established. Within this study, our central objective was to explore the correlation between body mass index (BMI) and cervical cancer screening (CCS) rates. Moreover, we sought to investigate whether socioeconomic status potentially modulates this relationship.Our analysis encompassed 1791 respondents who participated in the World Health Organization's STEPwise approach to noncommunicable disease risk factor surveillance carried out in Eswatini in 2014. We assessed the connection between BMI, along with other determinants, and CCS through both unadjusted and adjusted logistic regression models.The uptake of CCS was 14.4% and the prevalence of overweight and obesity was estimated at 28.1 and 34.9% respectively. After accounting for other pertinent variables, the likelihood of obtaining CCS was amplified for individuals classified as obese (adjusted odds ratio [aOR] = 1.99, 95% confidence interval [CI] = 1.26-3.12) or overweight (aOR = 1.98, 95% CI = 1.05-3.74). Furthermore, factors such as being separated or divorced (aOR = 2.03, 95% CI = 1.11-3.72) and engaging in regular physical exercise (aOR = 3.02, 95% CI = 1.21-6.02) were associated with increased odds of undergoing CCS.This study underscores the noteworthy role played by both overweight and obesity, in conjunction with various socioeconomic factors, in shaping CCS patterns among the surveyed women. For Eswatini, targeted interventions aimed at enhancing CCS participation should take into account the multifaceted factors highlighted within this investigation.© 2023. BioMed Central Ltd., part of Springer Nature.