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

DOI

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.

Identifier
DOI https://doi.org/10.34894/WSKBFB
Related Identifier https://doi.org/10.1186/s12889-019-7951-2
Metadata Access https://dataverse.nl/oai?verb=GetRecord&metadataPrefix=oai_datacite&identifier=doi:10.34894/WSKBFB
Provenance
Creator Dewi, Triana Kesuma ORCID logo; Massar, Karlijn ORCID logo; Ruiter, Robert A.C. ORCID logo; Leonardi, Tino ORCID logo
Publisher DataverseNL
Contributor Dewi, Triana Kesuma; faculty data manager FPN
Publication Year 2021
Rights info:eu-repo/semantics/restrictedAccess
OpenAccess false
Contact Dewi, Triana Kesuma (Maastricht University); faculty data manager FPN (Maastricht University)
Representation
Resource Type survey data; Dataset
Format application/x-spss-sav; application/vnd.openxmlformats-officedocument.spreadsheetml.sheet
Size 289309; 653045
Version 1.0
Discipline Agriculture, Forestry, Horticulture, Aquaculture; Agriculture, Forestry, Horticulture, Aquaculture and Veterinary Medicine; Life Sciences; Social Sciences; Social and Behavioural Sciences; Soil Sciences