Predicting Breast Self-Examination Behavior in Indonesian Women: A Cross-Sectional Study in Bukittinggi, Indonesia

Abstract

Breast cancer is a major global health concern, particularly in Indonesia where it's the leading cause of cancer-related deaths among women. Early detection through breast self-examination (BSE) is crucial for improving survival rates. This study aimed to identify predictors of BSE behavior among women in Bukittinggi, Indonesia. A cross-sectional study was conducted among 151 women in Bukittinggi. Data was collected using a questionnaire assessing BSE behavior, knowledge, attitudes, perceived barriers, self-efficacy, and sociodemographic factors. Logistic regression analysis was used to identify predictors of BSE behavior. The prevalence of regular BSE practice was low (21.2%). Factors significantly associated with increased BSE practice included higher knowledge scores (OR=1.12, p=0.03), positive attitudes (OR=2.31, p=0.01), lower perceived barriers (OR=0.87, p=0.04), and higher self-efficacy (OR=1.28, p=0.02). The study highlights the need for interventions to promote BSE practice in Bukittinggi. Strategies should focus on improving knowledge, addressing negative attitudes and perceived barriers, and enhancing self-efficacy.