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.
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