Public Health and Preventive Medicine Archive
Vol. 6 No. 1 (2018)

The determinants of early breast cancer detection via breast self-examination (BSE) in Denpasar, Bali

Ni Made Ari Febriyanti (Kartini Midwifery Academy Bali)
Dinar Lubis (Department of Public Health and Preventive Medicine, Faculty of Medicine, University of Udayana)
Dewa Nyoman Wirawan (Department of Public Health and Preventive Medicine, Faculty of Medicine, University of Udayana)
Ni Luh Putu Suariyani (Department of Public Health and Preventive Medicine, Faculty of Medicine, University of Udayana)
Mangku Karmaya (Department of Anatomy, Faculty of Medicine, Udayana University)



Article Info

Publish Date
01 Jul 2018

Abstract

Background and purpose: Breast cancer is the leading cause of death in females, followed by colorectal cancer. Early detection of breast cancer can be done through breast self-examination (BSE). BSE behaviour is influenced by an individual’s level of knowledge and perceptions of the procedure. This study examines the determinants of BSE behaviour in married women aged 15-49 in six villages in the working area of Puskesmas (public health centre) II in West Denpasar, Bali, Indonesia. Methods: A cross-sectional survey was employed with 180 respondents selected by multistage random sampling. Data were collected using standardised questionnaire carried out from November-December 2016. Multiple poisson regression was used to identify the determinants of the BSE behaviours. Results: The proportion of respondents who performed BSE in the three months prior to interview is 55.6%, and, of these, 50.0% reported performing BSE regularly. Multivariate analysis shows the significant determinants of BSE are: high-school and above (APR=2.03; 95%CI:1.41 to 2.92); having a good knowledge of BSE (APR=1.41; 95%CI:1.09 to 1.82); perceived benefits (APR=2, 24; 95%CI:1.53-3.29); perceived low barrier (APR=1.63; 95%CI: 1.16-2.29); and high self-efficacy (APR=1.50;95%CI:1.16-1.95). Conclusions: Level of education, good knowledge of BSE, perceived benefits, perceived low barriers, and high level of self-efficacy are the significant determinants of BSE practice. These findings suggest that education on BSE should be enhanced, particularly for women with lower levels of education.

Copyrights © 2018






Journal Info

Abbrev

phpma

Publisher

Subject

Public Health

Description

ublic Health and Preventive Medicine Archive (PHPMA) is an open access, peer reviewed journal published by Department of Public Health and Preventive Medicine, Faculty of Medicine, Udayana University. Issues covered in the journal are as the following: Environmental and occupational health Field and ...