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

Ni Made Ari Febriyanti , Dinar Lubis, Dewa Nyoman Wirawan, Ni Luh Putu Suariyani, Mangku Karmaya

Ni Made Ari Febriyanti
Kartini Midwifery Academy Bali. Email: febriari89@yahoo.com

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
Online First: July 01, 2018 | Cite this Article
Febriyanti, N., Lubis, D., Wirawan, D., Suariyani, N., Karmaya, M. 2018. The determinants of early breast cancer detection via breast self-examination (BSE) in Denpasar, Bali. Public Health and Preventive Medicine Archive 6(1): 37-41. DOI:10.15562/phpma.v6i1.7


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.

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