Factors Influencing the Behavioral Intention to Perform Breast Self-Examination in Young Indonesian Adolescents

Abstract

In Indonesia, breast cancer has the highest incidence among all cancer types. The high prevalence of breast cancer cases in adult women. Breast Self-Examination (BSE) is a crucial method for early breast cancer detection. This research aimed to determine the factors that influence the intention of young women aged 15-20 years to carry out BSE behavior in the Penumping Surakarta Health Center Work Area. This research used a cross-sectional approach. The research was carried out in March – April 2024. The sampling technique used quota sampling on 140 young women aged 15-20. Data analysis used the Chi-square test and multiple logistic regression test. The research results showed that there was a relationship between attitude (p-value = 0.001), subjective norms (p-value = 0.001), and perceived behavioral control (p-value = 0.002) to carry out BSE behavior. Attitude was a higher predictor factor in young women's intention to do BSE (p-value = 0.022; OR = 6.1; 95% CI (1.3-28.9). Attitude and perceived behavioral control significantly influence young women’s intention to engage in BSE. Young women with a positive attitude towards BSE are 6.1 times more likely to perform BSE compared to young women who have a negative attitude. We recommend health workers at the Penumping Community Health Center implement health promotion to enhance positive attitudes toward BSE among young women.