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KMID : 0869120180200030169
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기초간호자연과학회지
2018 Volume.20 No. 3 p.169 ~ p.176
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Differences in Breast Cancer Screening Rates according to Obesity and Weight Perception among Korean Women
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Kim Se-Jeong
Kim Hee-Seung
Kim Hye-Jin
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Abstract
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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 subjec- tive 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 misper- ceptions are associated with lower compliance with breast cancer screening guidelines.
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KEYWORD
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Breast neoplasms, Mammography, Obesity, Body mass index, Weight perception
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