{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T07:56:00Z","timestamp":1778658960949,"version":"3.51.4"},"reference-count":31,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2012,9,6]],"date-time":"2012-09-06T00:00:00Z","timestamp":1346889600000},"content-version":"vor","delay-in-days":1405,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity"],"published-print":{"date-parts":[[2008,11]]},"abstract":"<jats:p>Obesity is associated with higher cervical cancer mortality, but its relationship with sexual behavioral risk factors that predispose women to human papilloma virus (HPV) and cervical cancer is unclear. We used data from 3,329 women participants, aged 20\u201359 years, of the 1999\u20132004 National Health and Nutrition Examination Survey, to analyze the relationship between BMI and age at first intercourse, number of sexual partners, condom use during sexual activity, history of sexually transmitted disease (STD), herpes simplex virus 2 (HSV\u20102) seropositivity, and HPV prevalence. BMI was not associated with the prevalence of HPV. Mildly obese women (BMI 30.0\u201334.9 kg\/m<jats:sup>2<\/jats:sup>) were least likely to report a STD history (9% vs. 13% in normal weight) and \u22652 sexual partners in the previous year (8% vs. 13%) while overweight women (BMI 25.0\u201329.9 kg\/m<jats:sup>2<\/jats:sup>) were least likely to report \u226510 lifetime partners; among those with multiple partners, BMI was not associated with sexual activity without condoms in the past month. After adjustment for age, race\/ethnicity, and education, women with higher BMI were less likely to report sexual behavioral risk factors than normal\u2010weight women; however, odds ratios were only significant for mildly obese women for reporting a STD history (0.74, 95% confidence interval 0.55\u20130.99) and having \u22652 sexual partners in the last year (0.57, 0.39\u20130.85). Higher BMI was not associated with HSV\u20102 seropositivity after adjustment. HPV and sexual behavioral risk factors for HPV and cervical cancer are not more prevalent in obese than normal\u2010weight women and unlikely to account for higher\u2010observed cervical cancer mortality in obese women.<\/jats:p>","DOI":"10.1038\/oby.2008.394","type":"journal-article","created":{"date-parts":[[2008,8,19]],"date-time":"2008-08-19T08:42:36Z","timestamp":1219135356000},"page":"2552-2555","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Obesity and the Likelihood of Sexual Behavioral Risk Factors for HPV and Cervical Cancer"],"prefix":"10.1002","volume":"16","author":[{"given":"Christina C.","family":"Wee","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annong","family":"Huang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen W.","family":"Huskey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ellen P.","family":"McCarthy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,9,6]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.3322\/canjclin.56.2.106"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa021423"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.85.6.791"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0142(20000515)88:10<2283::AID-CNCR12>3.0.CO;2-D"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-132-9-200005020-00003"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2005.152"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/94.18.1406"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.297.8.813"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1096-9896(199909)189:1<12::AID-PATH431>3.0.CO;2-F"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.jncimonographs.a003479"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa011688"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.285.1.47"},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.10639"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/94.21.1592"},{"key":"e_1_2_7_16_2","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/94.18.1406"},{"key":"e_1_2_7_17_2","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.21493"},{"key":"e_1_2_7_18_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-6-199"},{"key":"e_1_2_7_19_2","unstructured":"National Center for Health Statistics.NHANES current data files. <http:www.cdc.govnchsaboutmajornhanesnhanes9902.htm>."},{"key":"e_1_2_7_20_2","volume-title":"The practical guide\u2014identification, evaluation, and treatment of overweight and obesity in adults. NIH publication no. 004084","author":"US Department of Health and Human Service","year":"2000"},{"key":"e_1_2_7_21_2","volume-title":"SUDAAN User's Manual. Release 5.50 with Addendum for SUDAAN Changes from 5.50 to 6.30","author":"Shah BV","year":"1992"},{"key":"e_1_2_7_22_2","volume-title":"Weight Bias: Nature, Consequences, and Remedies, Chapter 11","author":"Brownell KD","year":"2005"},{"key":"e_1_2_7_23_2","doi-asserted-by":"publisher","DOI":"10.1300\/J013v27n03_06"},{"key":"e_1_2_7_24_2","first-page":"376","article-title":"Attitudes about overweight and dating among secondary school students","volume":"19","author":"Sobal J","year":"1995","journal-title":"Int J Obes Relat Metab Disord"},{"key":"e_1_2_7_25_2","first-page":"1102","article-title":"Overweight\/obese patients","volume":"226","author":"Venes AM","year":"1982","journal-title":"Practitioner"},{"key":"e_1_2_7_26_2","doi-asserted-by":"publisher","DOI":"10.2307\/353733"},{"key":"e_1_2_7_27_2","doi-asserted-by":"crossref","first-page":"740","DOI":"10.1093\/ajcn\/50.4.740","article-title":"Educational level, fatness, and fatness differences between husbands and wives","volume":"50","author":"Garn SM","year":"1989","journal-title":"Am J Clin Nutr"},{"key":"e_1_2_7_28_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199309303291406"},{"key":"e_1_2_7_29_2","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2004.125"},{"key":"e_1_2_7_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(98)70445-7"},{"key":"e_1_2_7_31_2","doi-asserted-by":"publisher","DOI":"10.1086\/315086"},{"key":"e_1_2_7_32_2","doi-asserted-by":"publisher","DOI":"10.1136\/sti.2004.014266"}],"container-title":["Obesity"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1038%2Foby.2008.394","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1038%2Foby.2008.394","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1038\/oby.2008.394","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T19:24:47Z","timestamp":1697484287000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1038\/oby.2008.394"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,11]]},"references-count":31,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2008,11]]}},"alternative-id":["10.1038\/oby.2008.394"],"URL":"https:\/\/doi.org\/10.1038\/oby.2008.394","archive":["Portico"],"relation":{},"ISSN":["1930-7381","1930-739X"],"issn-type":[{"value":"1930-7381","type":"print"},{"value":"1930-739X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,11]]},"assertion":[{"value":"2012-09-06","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}