Reviewer’s report
Title: 
Cancer prevention in females with and without obesity – Does perceived
and internalised weight bias determine cancer prevention behaviour?
Version: 
0 
Date: 
03 Jan 2022
Reviewer's report:
PEER REVIEWER ASSESSMENTS: 
OBJECTIVE - Full research articles: is there a clear objective that addresses a
testable research question(s) (brief or other article types: is there a clear
objective)?
Yes - there is a clear objective
DESIGN - Is the current approach (including controls and analysis protocols)
appropriate for the objective?
No - there are minor issues
EXECUTION - Are the experiments and analyses performed with technical rigor
to allow confidence in the results?
Yes - experiments and analyses were performed appropriately
STATISTICS - Is the use of statistics in the manuscript appropriate?
Yes - appropriate statistical analyses have been used in the study
INTERPRETATION - Is the current interpretation/discussion of the results
reasonable and not overstated?
Yes - the author's interpretation is reasonable
OVERALL MANUSCRIPT POTENTIAL - Is the current version of this work
technically sound? If not, can revisions be made to make the work technically
sound?
Probably - with minor revisions
PEER REVIEWER COMMENTS: 
GENERAL COMMENTS: 
This is a well designed and described study on the impact of weight and weight
bias in relation to cancer prevention use among women. I have only a few
suggestions that may help the study to be more generalizable outside of
Germany, where the study was conducted.
REQUESTED REVISIONS: 
Here are a few suggestions and questions that arose during the reading of the
paper. 1. Should the title be females instead of women? Transgender women
identity as women but are technically not female. 2. Was parity taken into
consideration? Partner status? Sexual orientation? 3. In the US the population has
some myths and misperceptions about cancer screening; for example, lesbian
women may perceive they do not need Pap tests since they are not having sex
with men; some females perceive they do not need CRC screening, believing it is
only for gay men. 4. I assume Germany has universal health care and that
financial costs are not an issue for obtaining cancer screening - this is markedly
different in the US where low socio econmic status can inhibit screening. 5. The
German cancer screening guidelines differ from the US on several points and
this should be emphasized in the limitations that such guidelines may differ
across other countries as well. 6. One wonders if mobility issues would impact
the ability to receive care? Could morbidly obese females have difficulty
traveling to a clinic?
ADDITIONAL REQUESTS/SUGGESTIONS: 
none
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Is the study design appropriate to answer the research question (including the use
of appropriate controls), and are the conclusions supported by the evidence
presented?
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Is the use of statistics and treatment of uncertainties appropriate?
Yes
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from apparent manipulation?
Yes