Main Article Content
Abstract
Purpose: This study aims to analyze in depth the understanding and perceptions of women of childbearing age regarding breast self-examination (BSE) as an early detection measure for breast cancer. The primary focus is on technical knowledge, subjective meaning, and social and cultural influences that shape women's health behaviors.
Research Design and Methodology: This study employs a qualitative approach, grounded in a Systematic Literature Review (SLR). The articles analyzed were selected based on their relevance to the theme, the time frame of 2015–2024, and publication in reputable international journals such as SAGE, BMC, and Elsevier. The analysis process involved extracting thematic data from various sources to identify patterns, gaps, and determinants of behavior related to SADARI.
Findings and Discussion: The findings indicate that although most women of reproductive age are aware of SADARI, a significant gap remains between knowledge and practice. Factors such as shame, fear, social stigma, and cultural norms significantly influence the shaping of attitudes and behaviors. In addition, internal factors such as motivation and self-efficacy also influence the decision to perform SADARI regularly.
Implications: This study highlights the importance of a contextual and responsive educational approach to addressing the social realities faced by women of reproductive age. The findings can serve as a basis for designing community interventions and culturally informed health policies to increase participation in breast cancer early detection practices.
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This work is licensed under a Creative Commons Attribution 4.0 International License.
References
- Ahmad, S., Alloubani, A., Abu-Sa’da, R., & Qutaiba, Y. (2022). Breast self-examination: knowledge, practice, and beliefs among females in Jordan. SAGE Open Nursing, 8, 23779608221124516. https://doi.org/10.1177/23779608221124517
- Ayattulla, T., Suanjaya, M. A., Rosmala, A. Z., & Utary, D. (2024). Pengetahuan Dan Sikap Mahasiswi Kedokteran Universitas Islam Al-Azhar Mataram Terhadap Sadari Sebagai Deteksi Dini Kanker Payudara. Cakrawala Medika: Journal of Health Sciences, 2(2), 164–172. https://doi.org/10.59981/ab1ghw71
- Azhar, Y., Hanafi, R. V., Lestari, B. W., & Halim, F. S. (2023). Breast self-examination practice and its determinants among women in Indonesia: A systematic review, meta-analysis, and meta-regression. Diagnostics, 13(15), 2577. https://doi.org/10.3390/diagnostics13152577
- Azriful, A., Alam, S., & Siddiq, M. (2022). Early Detection Program for Breast and Cervical Cancer in Indonesia: How is Implementation? Al-Sihah The Public Health Science Journal, 14, 211–224.
- Choridah, L., Icanervilia, A. V., Rengganis, A. A., At Thobari, J., Postma, M. J., & D.I. van Asselt, A. (2023). Comparing the performance of three modalities of breast cancer screening within a combined programme targeting at-risk women in Indonesia: An implementation study. Global Public Health, 18(1). https://doi.org/10.1080/17441692.2023.2284370
- Damayanti, S., Apriani, F., Nasution, N., & Miswarni, M. (2024). Effectiveness educational video of Breast Self Examination (BSE) on knowledge of young women. Science Midwifery, 12(3), 1115–1121. https://doi.org/10.35335/midwifery.v12i3.1606
- Dewi, T. K., Karlijn, M., Rahkman, A., & and Ruiter, R. A. C. (2021). Determinants of early breast cancer presentation: a qualitative exploration among female survivors in Indonesia. Psychology & Health, 36(12), 1427–1440. https://doi.org/10.1080/08870446.2020.1841765
- Dewi, T. K., Massar, K., Ruiter, R. A. C., & Leonardi, T. (2019). Determinants of breast self-examination practice among women in Surabaya, Indonesia: an application of the health belief model. BMC Public Health, 19(1), 1581. https://doi.org/10.1186/s12889-019-7951-2
- Dewi, T. K., Ruiter, R. A. C., Diering, M., Ardi, R., & Massar, K. (2022). Breast self-examination as a route to early detection in a lower-middle-income country: assessing psychosocial determinants among women in Surabaya, Indonesia. BMC Women’s Health, 22(1), 179. https://doi.org/10.1186/s12905-022-01748-4
- Diastuti, S., Aryawati, W., & Aryastuti, N. (2023). Factors associated with breast self-examination among women of reproductive age in Lampung-Indonesia. Malahayati International Journal of Nursing and Health Science, 6(3), 209–217. https://doi.org/10.33024/minh.v6i3.11553
- Hastuti, L., Noer, R. M., & Agusthia, M. (2020). Metode Demonstrasi Sadari Terhadap Kemampuan Melakukan Sadari Pada Wanita Usia Subur. PREPOTIF: Jurnal Kesehatan Masyarakat, 4(2), 141–148. https://doi.org/10.31004/PREPOTIF.V4I2.953
- Icanervilia, A. V., Choridah, L., Asselt, A., Vervoort, J., Postma, M., Rengganis, A., & Kardinah, K. (2023). Early Detection of Breast Cancer in Indonesia: Barriers Identified in a Qualitative Study. Asian Pacific Journal of Cancer Prevention : APJCP, 24, 2749–2755. https://doi.org/10.31557/APJCP.2023.24.8.2749
- Kristanti, L. A. (2019). Tingkat Pengetahuan Wanita Usia Subur Tentang Sadari Dalam Upaya Deteksi Dini Kanker Payudara. Jurnal Midpro, 11(1), 31. https://doi.org/10.30736/midpro.v11i1.88
- Legi, J., Molintao, W., Kairupan, M., & Mokalu, S. (2024). Effectiveness of health education Breast Self Examination (BSE) on knowledge of breast cancer prevention. Science Midwifery, 12(1), 499–505. https://doi.org/10.35335/midwifery.v12i1.1470
- Marfianti, E. (2021). Peningkatan Pengetahuan Kanker Payudara dan Ketrampilan Periksa Payudara Sendiri (SADARI) untuk Deteksi Dini Kanker Payudara di Semutan Jatimulyo Dlingo. Jurnal Abdimas Madani Dan Lestari (JAMALI), 25–31. https://doi.org/10.20885/jamali.vol3.iss1.art4
- Marhaeni, G. A., Suindri, N. N., Arneni, N. P. G., Habibah, N., & Dewi, N. N. A. (2024). EDUKASI TENTANG KANKER PAYUDARA MENINGKATKAN PERILAKU PEMERIKSAAN PAYUDARA SENDIRI (SADARI) PADA REMAJA PUTRI. Jurnal Pengabdian Masyarakat Sasambo, 5(2), 136–141. https://doi.org/10.32807/jpms.v5i2.1438
- Mutiana, M., Sari, F., & Ba’diah, A. (2024). Factors Related To Breast Self-Examination (Sadari) In Women Of Fertile Age In Ujong Patihah Village, Kuala District, Nagan Raya Regency. International Journal of Health Sciences, 2(3 SE-Articles), 1064–1084. https://doi.org/10.59585/ijhs.v2i3.475
- Ngoma, T. A., & Ngoma, M. (2020). Global Burden of Cancer: Prevalence, Pattern, and Trends BT - Handbook of Global Health (R. Haring, I. Kickbusch, D. Ganten, & M. Moeti (eds.); pp. 1–36). Springer International Publishing. https://doi.org/10.1007/978-3-030-05325-3_26-1
- Oktavia, L., Amelia, W., & Somchai, A. A. (2024). Hubungan Pengetahuan dan Sikap tentang Pemeriksaan Payudara Sendiri (SADARI) dalam Mendeteksi Dini Kanker Payudara. Lentera Perawat, 5(1), 39–43. https://doi.org/10.52235/lp.v5i1.291
- Patandianan, R. E., Suarayasa, K., & Towidjojo, V. D. (2015). Hubungan antara tingkat pengetahuan dan sikap dengan tindakan tentang pemeriksaan payudara sendiri (SADARI) pada wanita usia subur (WUS) di Kelurahan Nunu Kecamatan Tatanga. Medika Tadulako: Jurnal Ilmiah Kedokteran Fakultas Kedokteran Dan Ilmu Kesehatan, 2(2), 38–48.
- Rahmat, A., & Purwarini, J. (2023). The relationship of knowledge level, motivation with breast self-examination behaviour in nuns of the Indonesian community province. International Journal of Research in Medical Sciences, 11(7), 2384. https://doi.org/10.18203/2320-6012.ijrms20232075
- Siagian, H. A. H., Wardani, W., Riska, Z., Marwiyah, I., Surbakti, A. F., & Harahap, R. A. (2024). Hubungan Tingkat Pengetahuan Terhadap Perilaku Sadari Sebagai Deteksi Dini Kanker Payudara Pada Mahasiswi Prodi Ilmu Komputer Angkatan 2021 Universitas X. Jurnal Ilmu Kedokteran Dan Kesehatan, 11(4), 720–728. https://doi.org/10.33024/jikk.v11i4.13557
- Waheeb, H. N. (2024). Female Students’ Knowledge Regarding the Importance of Breast Self-Examination: A Cross-Sectional Study Pengetahuan Mahasiswi Mengenai Pentingnya Pemeriksaan Payudara Sendiri (SADARI): Sebuah Studi Cross-Sectional. Universitas Muhammadiyah Sidoarjo. https://doi.org/10.21070/acopen.9.2024.10377
References
Ahmad, S., Alloubani, A., Abu-Sa’da, R., & Qutaiba, Y. (2022). Breast self-examination: knowledge, practice, and beliefs among females in Jordan. SAGE Open Nursing, 8, 23779608221124516. https://doi.org/10.1177/23779608221124517
Ayattulla, T., Suanjaya, M. A., Rosmala, A. Z., & Utary, D. (2024). Pengetahuan Dan Sikap Mahasiswi Kedokteran Universitas Islam Al-Azhar Mataram Terhadap Sadari Sebagai Deteksi Dini Kanker Payudara. Cakrawala Medika: Journal of Health Sciences, 2(2), 164–172. https://doi.org/10.59981/ab1ghw71
Azhar, Y., Hanafi, R. V., Lestari, B. W., & Halim, F. S. (2023). Breast self-examination practice and its determinants among women in Indonesia: A systematic review, meta-analysis, and meta-regression. Diagnostics, 13(15), 2577. https://doi.org/10.3390/diagnostics13152577
Azriful, A., Alam, S., & Siddiq, M. (2022). Early Detection Program for Breast and Cervical Cancer in Indonesia: How is Implementation? Al-Sihah The Public Health Science Journal, 14, 211–224.
Choridah, L., Icanervilia, A. V., Rengganis, A. A., At Thobari, J., Postma, M. J., & D.I. van Asselt, A. (2023). Comparing the performance of three modalities of breast cancer screening within a combined programme targeting at-risk women in Indonesia: An implementation study. Global Public Health, 18(1). https://doi.org/10.1080/17441692.2023.2284370
Damayanti, S., Apriani, F., Nasution, N., & Miswarni, M. (2024). Effectiveness educational video of Breast Self Examination (BSE) on knowledge of young women. Science Midwifery, 12(3), 1115–1121. https://doi.org/10.35335/midwifery.v12i3.1606
Dewi, T. K., Karlijn, M., Rahkman, A., & and Ruiter, R. A. C. (2021). Determinants of early breast cancer presentation: a qualitative exploration among female survivors in Indonesia. Psychology & Health, 36(12), 1427–1440. https://doi.org/10.1080/08870446.2020.1841765
Dewi, T. K., Massar, K., Ruiter, R. A. C., & Leonardi, T. (2019). Determinants of breast self-examination practice among women in Surabaya, Indonesia: an application of the health belief model. BMC Public Health, 19(1), 1581. https://doi.org/10.1186/s12889-019-7951-2
Dewi, T. K., Ruiter, R. A. C., Diering, M., Ardi, R., & Massar, K. (2022). Breast self-examination as a route to early detection in a lower-middle-income country: assessing psychosocial determinants among women in Surabaya, Indonesia. BMC Women’s Health, 22(1), 179. https://doi.org/10.1186/s12905-022-01748-4
Diastuti, S., Aryawati, W., & Aryastuti, N. (2023). Factors associated with breast self-examination among women of reproductive age in Lampung-Indonesia. Malahayati International Journal of Nursing and Health Science, 6(3), 209–217. https://doi.org/10.33024/minh.v6i3.11553
Hastuti, L., Noer, R. M., & Agusthia, M. (2020). Metode Demonstrasi Sadari Terhadap Kemampuan Melakukan Sadari Pada Wanita Usia Subur. PREPOTIF: Jurnal Kesehatan Masyarakat, 4(2), 141–148. https://doi.org/10.31004/PREPOTIF.V4I2.953
Icanervilia, A. V., Choridah, L., Asselt, A., Vervoort, J., Postma, M., Rengganis, A., & Kardinah, K. (2023). Early Detection of Breast Cancer in Indonesia: Barriers Identified in a Qualitative Study. Asian Pacific Journal of Cancer Prevention : APJCP, 24, 2749–2755. https://doi.org/10.31557/APJCP.2023.24.8.2749
Kristanti, L. A. (2019). Tingkat Pengetahuan Wanita Usia Subur Tentang Sadari Dalam Upaya Deteksi Dini Kanker Payudara. Jurnal Midpro, 11(1), 31. https://doi.org/10.30736/midpro.v11i1.88
Legi, J., Molintao, W., Kairupan, M., & Mokalu, S. (2024). Effectiveness of health education Breast Self Examination (BSE) on knowledge of breast cancer prevention. Science Midwifery, 12(1), 499–505. https://doi.org/10.35335/midwifery.v12i1.1470
Marfianti, E. (2021). Peningkatan Pengetahuan Kanker Payudara dan Ketrampilan Periksa Payudara Sendiri (SADARI) untuk Deteksi Dini Kanker Payudara di Semutan Jatimulyo Dlingo. Jurnal Abdimas Madani Dan Lestari (JAMALI), 25–31. https://doi.org/10.20885/jamali.vol3.iss1.art4
Marhaeni, G. A., Suindri, N. N., Arneni, N. P. G., Habibah, N., & Dewi, N. N. A. (2024). EDUKASI TENTANG KANKER PAYUDARA MENINGKATKAN PERILAKU PEMERIKSAAN PAYUDARA SENDIRI (SADARI) PADA REMAJA PUTRI. Jurnal Pengabdian Masyarakat Sasambo, 5(2), 136–141. https://doi.org/10.32807/jpms.v5i2.1438
Mutiana, M., Sari, F., & Ba’diah, A. (2024). Factors Related To Breast Self-Examination (Sadari) In Women Of Fertile Age In Ujong Patihah Village, Kuala District, Nagan Raya Regency. International Journal of Health Sciences, 2(3 SE-Articles), 1064–1084. https://doi.org/10.59585/ijhs.v2i3.475
Ngoma, T. A., & Ngoma, M. (2020). Global Burden of Cancer: Prevalence, Pattern, and Trends BT - Handbook of Global Health (R. Haring, I. Kickbusch, D. Ganten, & M. Moeti (eds.); pp. 1–36). Springer International Publishing. https://doi.org/10.1007/978-3-030-05325-3_26-1
Oktavia, L., Amelia, W., & Somchai, A. A. (2024). Hubungan Pengetahuan dan Sikap tentang Pemeriksaan Payudara Sendiri (SADARI) dalam Mendeteksi Dini Kanker Payudara. Lentera Perawat, 5(1), 39–43. https://doi.org/10.52235/lp.v5i1.291
Patandianan, R. E., Suarayasa, K., & Towidjojo, V. D. (2015). Hubungan antara tingkat pengetahuan dan sikap dengan tindakan tentang pemeriksaan payudara sendiri (SADARI) pada wanita usia subur (WUS) di Kelurahan Nunu Kecamatan Tatanga. Medika Tadulako: Jurnal Ilmiah Kedokteran Fakultas Kedokteran Dan Ilmu Kesehatan, 2(2), 38–48.
Rahmat, A., & Purwarini, J. (2023). The relationship of knowledge level, motivation with breast self-examination behaviour in nuns of the Indonesian community province. International Journal of Research in Medical Sciences, 11(7), 2384. https://doi.org/10.18203/2320-6012.ijrms20232075
Siagian, H. A. H., Wardani, W., Riska, Z., Marwiyah, I., Surbakti, A. F., & Harahap, R. A. (2024). Hubungan Tingkat Pengetahuan Terhadap Perilaku Sadari Sebagai Deteksi Dini Kanker Payudara Pada Mahasiswi Prodi Ilmu Komputer Angkatan 2021 Universitas X. Jurnal Ilmu Kedokteran Dan Kesehatan, 11(4), 720–728. https://doi.org/10.33024/jikk.v11i4.13557
Waheeb, H. N. (2024). Female Students’ Knowledge Regarding the Importance of Breast Self-Examination: A Cross-Sectional Study Pengetahuan Mahasiswi Mengenai Pentingnya Pemeriksaan Payudara Sendiri (SADARI): Sebuah Studi Cross-Sectional. Universitas Muhammadiyah Sidoarjo. https://doi.org/10.21070/acopen.9.2024.10377