{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T14:12:35Z","timestamp":1789567955497,"version":"build-2803163510"},"reference-count":28,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T00:00:00Z","timestamp":1773878400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T00:00:00Z","timestamp":1773878400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["APP2015286"],"award-info":[{"award-number":["APP2015286"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001170","name":"Cancer Council Western Australia","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001170","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Med Imag Rad Onc"],"published-print":{"date-parts":[[2026,9]]},"abstract":"ABSTRACT<\/jats:title>\n \n Introduction<\/jats:title>\n Higher BMI is associated with reduced breast screening participation but it is unclear if BMI is a proxy for other potential barriers to screening. This study describes the correlations between BMI and body image, perceptions of risk, and pain in a large sample of breast screening participants to help identify targets for improving screening participation within people with obesity.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A survey collected information on body image, perceived risk of breast cancer, and pain experienced during mammography from 10,751 participants attending BreastScreen Western Australia between June and December, 2023. Latent variable analysis was used to generate single unobserved index variables for perceived risk, body surveillance, and body shame. Spearman's rho correlations were estimated between BMI, four body shame variables, six body surveillance variables, overall perceived risk index, and a pain score.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n BMI was significantly positively correlated with responses indicating increased body shame and increased body surveillance, except for one question where participants with increased BMI indicated that they think it is more important that their clothes are comfortable than look good. BMI was also positively correlated with overall perceived risk index (\n r<\/jats:italic>\n \n s<\/jats:italic>\n <\/jats:sub>\n \u2009=\u20090.08,\n p<\/jats:italic>\n \u2009<\u20090.0001), and negatively correlated with the pain score (\n r<\/jats:italic>\n \n s<\/jats:italic>\n <\/jats:sub>\n \u2009=\u2009\u22120.04,\n p<\/jats:italic>\n \u2009<\u20090.0001).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The findings demonstrate that BMI is more highly correlated with body shame than body surveillance, perceived risk, or breast pain. Targeting body shame barriers to screening may improve participation within people with obesity, thereby improving breast cancer outcomes in this high\u2010risk group.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/1754-9485.70085","type":"journal-article","created":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T04:12:08Z","timestamp":1773979928000},"page":"495-504","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Correlation of\n BMI<\/scp>\n With Potential Barriers to Mammographic Screening: Body Image, Pain, and Perceived Risk of Breast Cancer\u2013A Cross\u2010Sectional Study"],"prefix":"10.1111","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4603-6589","authenticated-orcid":false,"given":"Elizabeth","family":"Dzidzornu","sequence":"first","affiliation":[{"name":"School of Population and Global Health University of Western Australia Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nina S.","family":"McCarthy","sequence":"additional","affiliation":[{"name":"School of Biomedical Sciences, University of Western Australia Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"McBride","sequence":"additional","affiliation":[{"name":"Translational Health Research Institute, Western Sydney University Penrith New South Wales Australia"},{"name":"School of Medicine, Western Sydney University Penrith New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Stewart","sequence":"additional","affiliation":[{"name":"BreastScreen Victoria Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Wilkes","sequence":"additional","affiliation":[{"name":"BreastScreen Western Australia Perth Western Australia Australia"},{"name":"Women and Newborn Health Service King Edward Hospital Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann","family":"White","sequence":"additional","affiliation":[{"name":"Australian Breast Density Consumer Advisory Council Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martha","family":"Hickey","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynaecology and Newborn Health The University of Melbourne, VIC, and the Royal Women's Hospital Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmeline","family":"Lee","sequence":"additional","affiliation":[{"name":"BreastScreen Western Australia Perth Western Australia Australia"},{"name":"Women and Newborn Health Service King Edward Hospital Perth Western Australia Australia"},{"name":"Medical School, University of Western Australia Perth Western Australia Australia"},{"name":"Sir Charles Gairdner Hospital Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Stone","sequence":"additional","affiliation":[{"name":"School of Population and Global Health University of Western Australia Perth Western Australia Australia"},{"name":"Centre for Epidemiology and Biostatistics, School of Population and Global Health, University of Melbourne Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,19]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21834"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.32859"},{"key":"e_1_2_12_4_1","unstructured":"Australian Institute of Health and Welfare \u201cBreastScreen Australia Monitoring Report \u201d(2024)."},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010018\u20106155\u20105"},{"key":"e_1_2_12_6_1","doi-asserted-by":"crossref","unstructured":"M. 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