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. Keywords: Breast cancer, breast self-examination (BSE), Bali Cite This Article: Febriyanti, N.M.A., Lubis, D., Wirawan, D.N., Suariyani, N.L.P., Karmaya, M. 2018. The determinants of early breast cancer detection via breast self-examination (BSE) in Denpasar, Bali.

Pemberian ASI eksklusif di Indonesia cakupanya masih sangat rendah. Proporsi pemberian ASI saja ( Eksklusif ), pada bayi umur 0 bulan adalah 52,7%, persentase ASI eksklusif  semakin menurun dengan meningkatnya kelompok umur bayi. Tujuan dari penelitian ini adalah untuk mengetahui faktor- faktor  yang mempengaruhi pemberian ASI eksklusif di Banjar Kaja Sesetan Wilayah Kerja Puskesmas I Denpasar Selatan berdasarkan dari pengetahuan, pendidikan, pekerjaan, paritas, umur dan dukungan suami. Penelitian ini merupakan penelitian deskriptif yang dilakukan di Banjar Kaja Sesetan pada tanggal 15 Desember 2018 dimana menggunakan pendekatan cross sectional. Jumlah sampel dalam penelitian adalah 40 orang, berdasarkan kriteria inklusi dan eksklusi, menggunakan teknik accidental sampling dan instrument data menggunakan kuesioner. Dari hasil penelitian didapatkan bahwa faktor-faktor yang mempengaruhi pemberian ASI eksklusif, berdasarkan pengetahuan didapatkan sebagian besar (50%) dengan pengetahuan cukup tentang ASI Eksklusif. Berdasarkan umur sebagian besar (62,5%) berumur 20-35 tahun, berdasarkan    tingkat pendidikan sebagian besar (52,5%) dengan tingkat pendidikan menengah, berdasarkan pekerjaan  sebagian besar (70,0 %) responden bekerja, berdasarkan paritas  sebagian besar (85,0%) dengan paritas multipara dan berdasarkan dukungan suami sebagian besar (82,5%) mendapat dukungan suami. Kata Kunci :  Faktor- faktor, mempengaruhi pemberian, ASI eksklusif

No abstract

This community service aims to provide education to pregnant women in the second and third trimesters about the benefits of breast care during pregnancy and breastfeeding. The method used in this service is to provide online counseling about breast care during pregnancy and breastfeeding during class for pregnant women. Participants in this service program are pregnant women in the second and third trimesters who take part in the pregnant women class program at Puskesmas I, North Denpasar. After being given counseling, there was an increase in knowledge of pregnant women about breast care during pregnancy and breastfeeding.

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.