J Korean Biol Nurs Sci.  2018 Aug;20(3):169-176. 10.7586/jkbns.2018.20.3.169.

Differences in Breast Cancer Screening Rates according to Obesity and Weight Perception among Korean Women

• Kim S
• Kim HS
• Kim HJ

• KMID: 2434917
• DOI: http://doi.org/10.7586/jkbns.2018.20.3.169

Abstract

PURPOSE
This study was performed to elucidate whether the obesity or body image is a barrier to breast screening compliance in Korean women.
METHODS
We included 54,017 women aged between 35 to 70 years from the Korea Community Health Survey (KCHS) 2014 dataset. To identify whether a mutual relationship exists between weight perceptions and breast cancer screening rates, the participants were divided into three groups according to the level of concordance between Body Mass Index (BMI) and a subjective body image. Descriptive analyses, a chi-square test, and multivariate logistic regression analyses were performed.
RESULTS
After covariate adjustment, the screening rate of the overweight group was 1.09 times higher than the normal weight group (odds ratio [OR], 1.09; confidence interval [CI], 0.00-0.16; p=.038) and the severe obesity group was 1.20 times lower (OR, 0.83; CI, −0.36-0.00; p=.047). Weight misperception also had a significant influence on breast cancer screening. Especially, The overweight distortion group was less likely to undergo breast cancer screening (OR, 0.93; CI, −0.15-0.00; p=.037).
CONCLUSION
Obesity and weight misperceptions are associated with lower compliance with breast cancer screening guidelines.

Keyword

Breast neoplasms; Mammography; Obesity; Body mass index; Weight perception

MeSH Terms

Body Image
Body Mass Index
Breast Neoplasms*
Breast*
Compliance
Dataset
Female
Health Surveys
Humans
Korea
Logistic Models
Mammography
Mass Screening*
Obesity*
Obesity, Morbid
Overweight
Weight Perception*