Factors Associated with Breast Self-Examination Behaviour among Female Adolescents: The Role of Knowledge and Information Sources

Authors

  • Ludia Banne Allo Program Studi Kebidanan, Institut Toraja Raya Indonesia, Indonesia
  • Chaterina Bannepa Dang Program Studi Keperawatan, Institut Toraja Raya Indonesia, Indonesia

DOI:

https://doi.org/10.70716/mohr.v4i4.782

Keywords:

breast self-examination, BSE, SADARI, knowledge level, breast cancer early detection

Abstract

Breast Self-Examination (BSE/SADARI) is a simple and cost-effective method for the early detection of breast cancer. However, many female adolescents still do not practice BSE regularly. This study aimed to analyze the relationship between knowledge level, information sources, and BSE behaviour among female students at SMA Pelita Rantepao. A quantitative analytic study with a cross-sectional design was conducted involving 81 Grade XI female students selected through total sampling. Data were collected using validated self-administered questionnaires and analyzed using descriptive statistics and the Chi-square test. The results showed that most respondents had good knowledge (76.5%) and adequate information sources (53.1%), yet the majority demonstrated poor BSE behaviour (67.9%). No significant association was found between knowledge level and BSE behaviour (p = 0.537). In contrast, information sources were significantly associated with BSE behaviour (p = 0.001). Respondents with adequate access to BSE information had higher odds of demonstrating good BSE behaviour than those with inadequate information sources (OR = 6.300; 95% CI: 2.067–19.204). This indicates a statistically significant association between information sources and BSE behaviour, with the confidence interval excluding 1. These findings indicate that access to reliable health information plays a more important role than knowledge alone in promoting BSE practice among adolescent girls. Strengthening school-based health education and improving access to credible information may enhance early breast cancer prevention behaviours.

Downloads

Download data is not yet available.

References

Alam, R., Akter, S., Mohammad, T., Rini, R., Mariyam, M., Priti, A. A., & others. (2026). Knowledge of breast cancer and practice of breast self-examination among adolescent girls in semi-urban Bangladesh: A school-based cross-sectional study. PLOS ONE. https://doi.org/10.1371/journal.pone.0334375

Anisa, D. N., & Suminar, I. T. (2023). Hubungan Keterpaparan Informasi Kesehatan dengan Perilaku Remaja dalam Melakukan Pemeriksaan SADARI. Prosiding Seminar Nasional Penelitian Dan Pengabdian Kepada Masyarakat LPPM Universitas ’Aisyiyah Yogyakarta, 1, 69–73. https://proceeding.unisayogya.ac.id/index.php/prosemnaslppm/article/view/26

Arikunto, S. (2013). Prosedur Penelitian: Suatu Pendekatan Praktik (Edisi Revi). Rineka Cipta.

Aurilia, T. (2023). Effectiveness of health education on breast self-examination (BSE) on adolescent girls’ knowledge about early detection of breast cancer. Health Care: Jurnal Kesehatan, 11(2). https://doi.org/10.36763/healthcare.v11i2.234

Baswedan, R. H., & Listiowati, E. (2014). Hubungan Tingkat Pengetahuan tentang Pemeriksaan Payudara Sendiri (SADARI) dengan Perilaku SADARI pada Mahasiswi Non Kesehatan di Universitas Muhammadiyah Yogyakarta. Biomedika, 6(1). https://doi.org/10.23917/biomedika.v6i1.280

Damayanti, I., Karlina, N., Hakameri, C., & Juliarti, W. (2024). Buku Ajar Asuhan Kebidanan pada Remaja dan Perimenopause untuk Mahasiswa Sarjana Kebidanan. Penerbit NEM. https://nempublisher.com/

Dartiwen, & Aryanti, R. (2021). Buku Ajar Asuhan Kebidanan pada Remaja dan Perimenopause. Deepublish. https://books.google.com/books?id=

Dewi, N. M. U. P. (2022). Hubungan antara Tingkat Pengetahuan dengan Sikap Remaja tentang SADARI di Prodi Sarjana Keperawatan Institut Teknologi dan Kesehatan Bali [Institut Teknologi dan Kesehatan Bali]. https://repository.itekes-bali.ac.id/journal/detail/1068/

Hardianto, N., & Kuswandari, F. (2025). Knowledge, fear of breast cancer, and breast self-examination practices among female undergraduate students: A cross-sectional study in Bekasi City, Indonesia. Archives of Breast Cancer, 12(2), 220–230. https://doi.org/10.32768/abc.2025122220-230

Hidayani, Jannah, M., & Patras, K. (2022). Hubungan Sumber Informasi, Dukungan Teman Sebaya, dan Sikap Remaja Putri terhadap Perilaku SADARI. SIMFISIS: Jurnal Kebidanan Indonesia, 1(3), 114–121. https://doi.org/10.53801/sjki.v1i3.39

Hijrah, H., Usman, A. N., Baso, Y. S., Syarif, S., Ahmad, M., & Nulandari, Z. (2024). Influence of Variables on Breast Self-Examination: Potential Barrier or Enhancement of Breast Cancer Prevention. Breast Disease, 43(1), 135–144. https://doi.org/10.3233/BD-249001

Krisdianto, N. B. (2024). SADARI: Deteksi Dini dan Pencegahan Kanker Payudara. Eureka Media Aksara. https://repository.penerbiteureka.com/publications

Kurniawan, W., & Agustini, A. (2021). Metodologi Penelitian Kesehatan dan Keperawatan. LovRinz Publishing.

Kurt, A., & Kayşkran, B. (2026). Breast cancer and self-examination education: Effects on adolescent knowledge levels. Journal of Family Health Care. https://doi.org/10.1177/00178969261430609

Kusmiran, E. (2017). Kesehatan Reproduksi Remaja dan Wanita. Salemba Medika.

Milyarona, F. P., Romadhon, Y. A., Kurniati, Y. P., & Ichsan, B. (2021). Persepsi Mahasiswi Fakultas Kedokteran terhadap Perilaku SADARI dengan Pendekatan Health Belief Model. Biomedika, 13(1), 98–108. https://publikasiilmiah.ums.ac.id/handle/11617/12816

Nuraeni, R., Yuliani, D. R., & Hidayati, L. (2024). Hubungan Pengetahuan dengan Perilaku Deteksi Dini Kanker Payudara Menggunakan Teknik SADARI pada Remaja Putri SMAN 1 Padalarang. Jurnal Sehat Masada, 18(2), 25–36. https://doi.org/10.38037/jsm.v18i2.632

Nurianti, I., & Batubara, J. D. (2025). The effect of health promotion on adolescents’ knowledge regarding breast self-examination (BSE). Jurnal Kesmas Dan Gizi. https://doi.org/10.35451/e3eg7t64

Nursalam. (2020). Metodologi Penelitian Ilmu Keperawatan: Pendekatan Praktis (5th ed.). Salemba Medika.

Salsabila, D. I. B., Hardjanti, T. S., & Runjati. (2025). The effect of peer education on the level of knowledge and attitudes about breast self-examination in adolescents. Napande: Jurnal Bidan, 4(2). https://doi.org/10.33860/njb.v4i2.4194

Saputra, A. U., Ariyani, Y., Wahyuni, S., Arsi, R., & Nguyen, T. (2024). The effect of health education on breast self-examination (SADARI) on knowledge, attitudes, and actions of adolescent girls. Lentera Perawat, 5(2), 218–225. https://doi.org/10.52235/lp.v5i2.345

Sari, D. P., Sianipar, B. K., & Ningrum, K. M. (2026). Hubungan ketersediaan sumber informasi dan dukungan teman sebaya dengan perilaku SADARI sebagai deteksi dini kanker payudara pada siswi kelas X dan XI di SMA Negeri 01 Kota Bengkulu tahun 2025. Jurnal Multidisiplin Dehasen (MUDE), 5(2), 1085–1096. https://doi.org/10.37676/mude.v5i2.10824

Siregar, R. (2022). Knowledge of teenage girls on breast self-examination behavior (BSE). International Conference on Health Sciences, 8(1), 62–65. https://doi.org/10.29238/ichs.v8i1.1281

Sivagami, P., & Padihar, S. (2024). Educational strategies for enhancing breast self-examination knowledge and attitudes among adolescents: A quasi experimental design. Journal of Chemical Health Risks, 14(5). https://www.jchr.org/index.php/JCHR/article/view/6350

Tauho, K. D., Dary, D., Anshebo, A. A., & Ondowapo, M. P. (2025). Factors influencing the practice of breast self-examination among teenage girls in Salatiga City, Indonesia. International Journal of Public Health Science (IJPHS), 14(4), 1779–1787. https://doi.org/10.11591/ijphs.v14i4.26834

Waliyanti, E., & Arinandika, K. N. (2025). Peer education program improved the knowledge and skills of adolescents regarding breast self-examination. Journal of Health Technology Assessment in Midwifery. https://doi.org/10.31101/jhtam.3680

Widyaswara, A., Putri, M., Sartika, M., & Nurpratiwi, Y. (2025). Comparative effectiveness of pamphlet and video media in enhancing breast self-examination knowledge among high school students. Jurnal Keperawatan Komprehensif, 11(4), 638–645. https://doi.org/10.33755/jkk.v11i4.963

Windyastuti, Y., Rahmawati, A., & Purnamaningrum, Y. (2019). Kesehatan Reproduksi. Fitramaya.

Downloads

Published

2026-09-28

How to Cite

Allo, L. B., & Dang, C. . B. (2026). Factors Associated with Breast Self-Examination Behaviour among Female Adolescents: The Role of Knowledge and Information Sources. Media of Health Research, 4(4), 1072–1080. https://doi.org/10.70716/mohr.v4i4.782