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http://dx.doi.org/10.7586/jkbns.2018.20.3.169

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

Kim, Sejeong (Gwanakgu Community Health Center)
Kim, Hee-Seung (College of Nursing, The Catholic University of Korea)
Kim, Hye-Jin (Department of Nursing, University of Ulsan)
Publication Information
Journal of Korean Biological Nursing Science / v.20, no.3, 2018 , pp. 169-176 More about this Journal
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.
Keywords
Breast neoplasms; Mammography; Obesity; Body mass index; Weight perception;
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