Exploring the impact of obesity and community health programs on enhancing endometrial cancer detection among low-income and native American women through a public health lens

David Oche Idoko 1, *, Okoroji Emmanuel Mbachu 2, Idayat Ninilola Ololade Babalola 3, Erondu Okechukwu Felix 4, Eke Kalu Okereke 5 and Paul Owhenagbo Alemoh 6

1 Department of Fisheries and Aquaculture, J.S Tarkaa University, Makurdi, Nigeria.
2 Department of Obstetrics and gynecology, David Umahi Federal University Teaching Hospital, Uburu, Ebonyi state, Nigeria.
3 Supported Living Services, Time 4 U Ltd, Chatham, UK.
4 Department of Radiography and Radiation Sciences, Gregory University, Uturu, Abia State, Nigeria.
5 Department of Obstetrics and Gynaecology, Abia State University Teaching Hospital, Aba, Nigeria.
6 Department of Bioinformatic, University of Arkansas, Little Rock, USA.
 
Review Article
International Journal of Frontiers in Medicine and Surgery Research, 2024, 06(02), 001–018.
Article DOI: 10.53294/ijfmsr.2024.6.2.0043
Publication history: 
Received on 18 August 2024; revised on 28 September 2024; accepted on 01 October 2024
 
Abstract: 
This review examines the intricate relationship between obesity, endometrial cancer detection, and the role of community health programs, with a particular focus on low-income and Native American populations. Obesity is identified as a significant modifiable risk factor for endometrial cancer, disproportionately affecting vulnerable communities, which exacerbates existing health disparities. The paper explores the epidemiological link between obesity and endometrial cancer, highlighting disparities in detection and the compounded risks faced by underserved populations. It also reviews the effectiveness of public health initiatives aimed at improving cancer screening rates and obesity prevention among these groups.
Despite the progress made through various community health programs, substantial gaps remain, particularly in ensuring culturally competent, accessible, and sustainable care. A lack of longitudinal studies evaluating the long-term impact of these programs on cancer detection and obesity management underscores the need for more robust research. Additionally, social, psychological, and systemic barriers continue to hinder screening uptake, further perpetuating health inequities. This review concludes by emphasizing the need for integrated public health approaches that combine obesity prevention with cancer screening, as well as policy reforms to enhance healthcare access and provider availability in underserved communities. Recommendations are provided for future research that addresses these gaps, with the goal of improving early detection and overall health outcomes for low-income and Native American women.

 

Keywords: 
Obesity; Endometrial Cancer; Cancer Detection; Native American Women; Health Disparities; Cancer Screening.
 
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