Application of Health Belief Model on Breast Self-Examination: A Meta-Analysis
Abstract
Background: Breast cancer is a type of cancer and the leading cause of cancer death in women. BSE is an early detection method for breast cancer. Health Belief Model is a model of health behavior that can predict women's interest in practicing BSE. This study aims to estimate the Health Belief Model's effect in the practice of BSE by meta-analysis.
Subjects and Method: Meta-analysis was performed by searching for articles from the PubMed database, Springer Link, Elsevier, and Google Scholar. The keywords used were "health belief model," OR "health belief" OR "belief" AND "breast self-examination," OR "breast cancer screening." This study's inclusion criteria were full-text articles published in 2011-2020, a cross-sectional study design. Article analysis using RevMan 5.3 software.
Results: There were 12 articles in total. The results showed that perceived benefits were strong (aOR= 1.02; 95% CI= 0.94-1.11; p= 0.590; I2= 73%), perceived barriers were weak (aOR = 1; 95% CI= 0.95-1.05; p= 0.920; I2= 87%).
Conclusion: Perceived benefits and perceived barriers are not statistically significant in predicting BSE practice in women.
Keywords: health belief model, perceived benefits, perceived barriers, BSE
Correspondence: Maranata. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: maranataima@gmail.com. Mobile: 085867548771
Journal of Health Promotion and Behavior (2020), 05(03): 221-231
https://doi.org/10.26911/thejhpb.2020.05.03.08.
References
Abolfotouh MA, Banimustafa AA, Mahfouz AA, Al-Assiri MH, Al-Juhani AF, Alaskar AS (2015). Using the health belief model to predict breast self-examination among Saudi women. BMC Public Health, 15(1163): 1–12. https://doi.org/10.1186/s12889-015-2510-y.
Aker S, Oz H, Kaynar TE (2015). Practice of Breast Cancer Early Diagnosis Methods among Women Living in Samsun, and Factors Associated with This Practice. J Breast Health, 11(3): 115–122. https://doi.org/10.5152/tjbh.2015.2547.
Al-Sakkaf KA, Basaleem HO (2016). Breast cancer knowledge, perception and breast self- examination practices among yemeni women: An application of the Health Belief Model. Asian Pac J Cancer Prev, 17(3): 1463–1467. https://doi.org/10.7314/APJCP.2016.17.3.1463.
Anulus A, Murti B, Prasetya H (2019). Risk Factors of HIV among Male Military Personnels: A Meta-Analysis. J Health Promot Behav, 4(3): 178–188. https://-doi.org/10.26911/thejhpb.2019.04.03.03.
Basaran O, Uskun E, Erturk C, Savas P. (2019). Health beliefs, behaviour and determining factors in breast self – examination among a group of university students. Marmara Med J, 32(3): 130–136. https://doi.org/10.5472/marumj.638115.
Dagnaw, M. (2019). Breast self-examination practice and its associated factors among undergraduate female students at University of Gondar, Northwest Ethiopia. JAIR, 8(3): 62–67.
Darvishpour A, Vajari SM, Noroozi S. (2018). Can health belief model predict breast cancer screening behaviors? Maced J Medi Sci, 6(5): 1857–9655. https://doi.org/10.3889/oamjms.2018.183
Dewi GAT, Hendrati LY. (2015). Analisi Risiko Kanker Payudara berdasarkan Riwayat Kontrasepsi Hormonal dan Menarche. J Berkala Epidemiologi, 3(1): 12–23. Retrieved from https://www.researchgate.net/publication/313947330_Breast_Cancer_Risk_Analysis_by_the_Use_of_Hormonal_Contraceptives_and_Age_of_Menarche/link/58b0bb4a45851503be97f103/download.
Dewi TK, Massar K, Ruiter RAC, 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(1581): 1–8. Retrieved From https://doi.org/10.1186/s12889-019-7951-2.
Ergin AB, Sahin NH, Sahin FM, Yaban ZS, Acar Z, Bektas H. (2012). Meta-analysis of studies about breast self-examination between 2000-2009 in Turkey. Asian Pac J Cancer Prev, 13(7): 3389–3397. Retrieved from https://doi.org/10.7314/-APJCP.2012.13.7.3389.
Fajriah AS, Respati SH, Murti B. (2019). Theory of Planned Behavior and Health Belief Model on Factors Associated with Breast Self-Examination among University Students. J Health Promot Behav, 4(4): 246–257.
Febriyanti NMA, Lubis D, Wirawan DN, Suariyani NLP, Karmaya M. (2018). The determinants of early breast cancer detection via breast self-examination (BSE) in Denpasar, Bali. Public Health Prev Med, 6(1): 37. https://doi.org/10.15562/phpma.v6i1.7.
Fuller MS, Lee CI, Elmore JG. (2016). Breast Cancer Screening: An Evidence-Based Update. Med Clin North Am, 99(3): 451–468. Retrieved from https://doi.org/10.1016/j.mcna.2015.01.002.Breast
Kirag N, Kizilkaya M (2019). Application of the Champion Health Belief Model to determine beliefs and behaviors of Turkish women academicians regard-ing breast cancer screening: A cross sectional descriptive study. BMC Women’s Health, 19(1): 1–10.
Retrieved from https://doi.org/10.1186/s12905019-0828-9.
Listyawardhani Y, Mudigdo A, Adriani RB. (2018). Risk Factors of Breast Cancer in Women: A New Evidence from Surakarta, Central Java, Indonesia. J Epidemiol Public Health, 3(2), 118–127. Retrieved from https://doi.org/10.26911/mid.icph.2018.01.13.
Nikpour M, Hajian-Tilaki K, Bakhtiari A (2019). Risk assessment for breast cancer development and its clinical impact on screening performance in Iranian women. Cancer Manag and Research, 11: 10073–10082. Retrieved from https://doi.org/10.2147/CMAR.S229585.
Nugrahani RR, Budihastuti UR, Pamungka-sari EP (2017). Health Belief Model on the Factors Associated with the Use of Hpv Vaccine for the Prevention of Cervical Cancer Among Women in Kediri, East Java. J Epidemiol Public Health 2(1): 70–81. Retrieved from https://doi.org/10.26911/theicph.2017.009.
Ozkan A, Malak AT, Gürkan A, Turgay A. S. (2011). Do Turkish nursing and midwifery students teach breast self-examination to their relatives? Asian Pac J Cancer Prev, 12(1): 111–115.
Selcuk KT, Avci D, Dundar GY, Merca Y. (2020). Breast Cancer Screening Behaviors in Women Aged 40 Years and Over in a Semi-Urban Region in Tur-key: Relationships with Health Beliefs. Healthcare, 8(171): 1–10. https://doi.org/10.3390/healthcare8020171.
Shakor JK, Mohammed AK, Karotia D. (2019). Determinants of Breast Self-Examination Practice amongst Iraqi/ Sulaimani Women using Champion Health Belief Model and Breast CAM. Int J Med Res Health Sci, 8(9): 51–59.
Sun YS, Zhao Z, Yang ZN, Xu F, Lu HJ, Zhu ZY, Shi W, Jiang J, Yao PP, Zhu HP. (2017). Risk factors and preventions of breast cancer. Inter J Biol Sci, 13(11): 1387–1397. Retrieved from https://doi.org/10.7150/ijbs.21635.
Tahmasebi R, Noroozi A. (2016). Is health locus of control a modifying factor in the health belief model for prediction of breast self-examination? Asian Pac J Cancer Prev, 17(4): 2229–2233. https://doi.org/10.7314/APJCP.2016.17.4.-2229.
Umami A, Wahyu T, Pratama Y. (2020). Knowledge, Barriers, and Motivation Related to Breast and Cervical Cancer Screening Among Women in Bojone-goro, East Java: A Qualitative Study. J Health Promot Behav, 5(1): 1–10.
Veena K, Kollipaka R, Rekha R. (2015). The knowledge and attitude of breast self-examination and mammography among rural women. Int J Reprod Contracept Obstet Gynecol, 4(5): 1511–1516. Retrieved from https://doi.org/10.18203/2320-1770.ijrcog20150738
WHO. (2019). Indonesia Source GLOBOCAN 2018. International Agency for Re-search on Cancer. http://gco.iarc.fr/
WHO. (2020). Breast cancer. Retrieved from https://www.who.int/cancer/prevention/diagnosisscreening/breast-cancer/en/.