Determinants of breast self-examination practice among women in Surabaya, Indonesia: an application of the health belief model

Triana Kesuma Dewi; Karlijn Massar; Robert A.C. Ruiter; Tino Leonardi

doi:10.1186/s12889-019-7951-2

Determinants of breast self-examination practice among women in Surabaya, Indonesia: an application of the health belief model

Triana Kesuma Dewi^*, Karlijn Massar, Robert A.C. Ruiter, Tino Leonardi

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

BACKGROUND: Breast cancer has become one of the most common causes of mortality among Indonesian women. Many women in Indonesia present with late-stage breast cancer, negatively affecting prognosis and treatment outcomes. Better prognosis of breast cancer will be achieved if it is diagnosed in an earlier stage, thus efforts to detect breast cancer earlier are important. Breast Self-Examination (BSE) is considered as an important first step to encourage women to actively be responsible for their own health, especially for women in low-and middle-income countries with limited resources and access to other forms of preventive healthcare (e.g., screening programs). The present study aimed to predict BSE practice among women in Surabaya, Indonesia using the Health Belief Model (HBM).

METHODS: This investigation was a cross-sectional survey which was distributed among 1967 women aged 20-60 years. The Indonesian version of Champion's Health Belief Model Scale (I-CHBMS) was used to explain self-reported BSE practice. Logistic regression analysis was used to examine the association of HBM variables with BSE practice.

RESULTS: 44.4% of the respondents indicated they had performed BSE. Further, the results indicated that the HBM variables were significantly associated with BSE practice. Specifically, higher perceived benefits and self-efficacy, lower perceived barriers and less cues to action were unique correlates of BSE practice. The result also showed that perceived severity and susceptibility were not associated with BSE practice.

CONCLUSION: This study indicated that several HBM constructs significantly associated with BSE practice among Indonesian women, suggesting that BSE health education programs should emphasize the perceived benefits of BSE, focus on increasing women's self-efficacy to address and overcome perceived barriers in performing BSE, and help them in identifying personally relevant cues to action.

Original language	English
Article number	1581
Number of pages	8
Journal	BMC Public Health
Volume	19
Issue number	1
DOIs	https://doi.org/10.1186/s12889-019-7951-2
Publication status	Published - 27 Nov 2019

Keywords

Adult
Breast Self-Examination/psychology
Cross-Sectional Studies
Female
Health Knowledge, Attitudes, Practice
Humans
Indonesia
Middle Aged
Models, Psychological
Young Adult
Perceived barriers
METAANALYSIS
CANCER
ATTITUDES
Champion's health belief model
Cues to action
Perceived benefits
Self-efficacy
SCALE
Breast self-examination
FEMALE UNIVERSITY-STUDENTS
SCREENING BEHAVIORS
Indonesian women
KNOWLEDGE
MIDDLE-INCOME
Breast cancer
TURKISH WOMEN
VARIABLES

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Determinants of breast self-examination practice among women in Surabaya, Indonesia: an application of the health belief model
Dewi, T. (Creator), Massar, K. (Creator), Ruiter, R. (Creator) & Leonardi, T. (Creator), DataverseNL, 13 Oct 2021
DOI: 10.34894/wskbfb, https://dataverse.nl/citation?persistentId=doi:10.34894/WSKBFB
Dataset/Software: Dataset

Cite this

@article{38fef5d5a9bb4092900f16c542750f22,

title = "Determinants of breast self-examination practice among women in Surabaya, Indonesia: an application of the health belief model",

abstract = "BACKGROUND: Breast cancer has become one of the most common causes of mortality among Indonesian women. Many women in Indonesia present with late-stage breast cancer, negatively affecting prognosis and treatment outcomes. Better prognosis of breast cancer will be achieved if it is diagnosed in an earlier stage, thus efforts to detect breast cancer earlier are important. Breast Self-Examination (BSE) is considered as an important first step to encourage women to actively be responsible for their own health, especially for women in low-and middle-income countries with limited resources and access to other forms of preventive healthcare (e.g., screening programs). The present study aimed to predict BSE practice among women in Surabaya, Indonesia using the Health Belief Model (HBM).METHODS: This investigation was a cross-sectional survey which was distributed among 1967 women aged 20-60 years. The Indonesian version of Champion's Health Belief Model Scale (I-CHBMS) was used to explain self-reported BSE practice. Logistic regression analysis was used to examine the association of HBM variables with BSE practice.RESULTS: 44.4% of the respondents indicated they had performed BSE. Further, the results indicated that the HBM variables were significantly associated with BSE practice. Specifically, higher perceived benefits and self-efficacy, lower perceived barriers and less cues to action were unique correlates of BSE practice. The result also showed that perceived severity and susceptibility were not associated with BSE practice.CONCLUSION: This study indicated that several HBM constructs significantly associated with BSE practice among Indonesian women, suggesting that BSE health education programs should emphasize the perceived benefits of BSE, focus on increasing women's self-efficacy to address and overcome perceived barriers in performing BSE, and help them in identifying personally relevant cues to action.",

keywords = "Adult, Breast Self-Examination/psychology, Cross-Sectional Studies, Female, Health Knowledge, Attitudes, Practice, Humans, Indonesia, Middle Aged, Models, Psychological, Young Adult, Perceived barriers, METAANALYSIS, CANCER, ATTITUDES, Champion's health belief model, Cues to action, Perceived benefits, Self-efficacy, SCALE, Breast self-examination, FEMALE UNIVERSITY-STUDENTS, SCREENING BEHAVIORS, Indonesian women, KNOWLEDGE, MIDDLE-INCOME, Breast cancer, TURKISH WOMEN, VARIABLES",

author = "Dewi, {Triana Kesuma} and Karlijn Massar and Ruiter, {Robert A.C.} and Tino Leonardi",

note = "Funding Information: All of the participants in the study gave written informed consent prior to data collection. The study was approved by the Research Committee, Faculty of Psychology, Airlangga University and Research Ethics Committee for Health Research, Faculty of Public Health, Airlangga University. Funding Information: The research was supported by the Ministry of Research and Technology in 2018 under PTUPT research grant number 122/SP2H/PTNBH/DRPM/2018. Funding Information: The authors thank all of the participants in the study and Samian, M. Psi for fruitful statistics discussion. The research was supported by the Ministry of Research and Technology in 2018 under PTUPT research grant number 122/SP2H/PTNBH/DRPM/2018. Publisher Copyright: {\textcopyright} 2019 The Author(s).",

year = "2019",

month = nov,

day = "27",

doi = "10.1186/s12889-019-7951-2",

language = "English",

volume = "19",

journal = "BMC Public Health",

issn = "1471-2458",

publisher = "BioMed Central Ltd",

number = "1",

}

TY - JOUR

T1 - Determinants of breast self-examination practice among women in Surabaya, Indonesia

T2 - an application of the health belief model

AU - Dewi, Triana Kesuma

AU - Massar, Karlijn

AU - Ruiter, Robert A.C.

AU - Leonardi, Tino

N1 - Funding Information: All of the participants in the study gave written informed consent prior to data collection. The study was approved by the Research Committee, Faculty of Psychology, Airlangga University and Research Ethics Committee for Health Research, Faculty of Public Health, Airlangga University. Funding Information: The research was supported by the Ministry of Research and Technology in 2018 under PTUPT research grant number 122/SP2H/PTNBH/DRPM/2018. Funding Information: The authors thank all of the participants in the study and Samian, M. Psi for fruitful statistics discussion. The research was supported by the Ministry of Research and Technology in 2018 under PTUPT research grant number 122/SP2H/PTNBH/DRPM/2018. Publisher Copyright: © 2019 The Author(s).

PY - 2019/11/27

Y1 - 2019/11/27

N2 - BACKGROUND: Breast cancer has become one of the most common causes of mortality among Indonesian women. Many women in Indonesia present with late-stage breast cancer, negatively affecting prognosis and treatment outcomes. Better prognosis of breast cancer will be achieved if it is diagnosed in an earlier stage, thus efforts to detect breast cancer earlier are important. Breast Self-Examination (BSE) is considered as an important first step to encourage women to actively be responsible for their own health, especially for women in low-and middle-income countries with limited resources and access to other forms of preventive healthcare (e.g., screening programs). The present study aimed to predict BSE practice among women in Surabaya, Indonesia using the Health Belief Model (HBM).METHODS: This investigation was a cross-sectional survey which was distributed among 1967 women aged 20-60 years. The Indonesian version of Champion's Health Belief Model Scale (I-CHBMS) was used to explain self-reported BSE practice. Logistic regression analysis was used to examine the association of HBM variables with BSE practice.RESULTS: 44.4% of the respondents indicated they had performed BSE. Further, the results indicated that the HBM variables were significantly associated with BSE practice. Specifically, higher perceived benefits and self-efficacy, lower perceived barriers and less cues to action were unique correlates of BSE practice. The result also showed that perceived severity and susceptibility were not associated with BSE practice.CONCLUSION: This study indicated that several HBM constructs significantly associated with BSE practice among Indonesian women, suggesting that BSE health education programs should emphasize the perceived benefits of BSE, focus on increasing women's self-efficacy to address and overcome perceived barriers in performing BSE, and help them in identifying personally relevant cues to action.

AB - BACKGROUND: Breast cancer has become one of the most common causes of mortality among Indonesian women. Many women in Indonesia present with late-stage breast cancer, negatively affecting prognosis and treatment outcomes. Better prognosis of breast cancer will be achieved if it is diagnosed in an earlier stage, thus efforts to detect breast cancer earlier are important. Breast Self-Examination (BSE) is considered as an important first step to encourage women to actively be responsible for their own health, especially for women in low-and middle-income countries with limited resources and access to other forms of preventive healthcare (e.g., screening programs). The present study aimed to predict BSE practice among women in Surabaya, Indonesia using the Health Belief Model (HBM).METHODS: This investigation was a cross-sectional survey which was distributed among 1967 women aged 20-60 years. The Indonesian version of Champion's Health Belief Model Scale (I-CHBMS) was used to explain self-reported BSE practice. Logistic regression analysis was used to examine the association of HBM variables with BSE practice.RESULTS: 44.4% of the respondents indicated they had performed BSE. Further, the results indicated that the HBM variables were significantly associated with BSE practice. Specifically, higher perceived benefits and self-efficacy, lower perceived barriers and less cues to action were unique correlates of BSE practice. The result also showed that perceived severity and susceptibility were not associated with BSE practice.CONCLUSION: This study indicated that several HBM constructs significantly associated with BSE practice among Indonesian women, suggesting that BSE health education programs should emphasize the perceived benefits of BSE, focus on increasing women's self-efficacy to address and overcome perceived barriers in performing BSE, and help them in identifying personally relevant cues to action.

KW - Adult

KW - Breast Self-Examination/psychology

KW - Cross-Sectional Studies

KW - Female

KW - Health Knowledge, Attitudes, Practice

KW - Humans

KW - Indonesia

KW - Middle Aged

KW - Models, Psychological

KW - Young Adult

KW - Perceived barriers

KW - METAANALYSIS

KW - CANCER

KW - ATTITUDES

KW - Champion's health belief model

KW - Cues to action

KW - Perceived benefits

KW - Self-efficacy

KW - SCALE

KW - Breast self-examination

KW - FEMALE UNIVERSITY-STUDENTS

KW - SCREENING BEHAVIORS

KW - Indonesian women

KW - KNOWLEDGE

KW - MIDDLE-INCOME

KW - Breast cancer

KW - TURKISH WOMEN

KW - VARIABLES

U2 - 10.1186/s12889-019-7951-2

DO - 10.1186/s12889-019-7951-2

M3 - Article

C2 - 31775697

SN - 1471-2458

VL - 19

JO - BMC Public Health

JF - BMC Public Health

IS - 1

M1 - 1581

ER -

Determinants of breast self-examination practice among women in Surabaya, Indonesia: an application of the health belief model

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Determinants of breast self-examination practice among women in Surabaya, Indonesia: an application of the health belief model

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