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Abstract
Cancer screening reduces mortality, particularly among populations at increased cancer risk such as adults with obesity. However, screening practices in rural primary care settings are not well characterized. This retrospective chart audit examined the relationship between body habitus and receipt of recommended adult cancer screening in six rural Oregon primary care clinics. Screening rates for colorectal, breast, cervical, and prostate cancers were assessed using national guidelines as standards. Overall screening rates were substantially below national targets. Body habitus was not significantly associated with receipt of screening services. These findings suggest that efforts to improve cancer screening in rural settings should target all adults rather than focusing solely on obese or overweight individuals.