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Year : 2019  |  Volume : 32  |  Issue : 2  |  Page : 101-102

Breast self-examination education for skill and behavior

1 Department of Nursing, Giri Satria Husada Nursing Academy, Wonogiri, Indonesia
2 Department of Community, Family, and Geriatric Nursing, Faculty of Nursing, University of Jember, Jember, Indonesia

Date of Web Publication18-Nov-2019

Correspondence Address:
Tantut Susanto
Department of Community, Family, and Geriatric Nursing, Faculty of Nursing, University of Jember, Jl. Kalimantan 37 Jember, Jember, Jawa Timur 68121
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/efh.EfH_226_18

How to cite this article:
Husna PH, Marni, Nurtanti S, Handayani S, Ratnasari NY, Ambarwati R, Susanto T. Breast self-examination education for skill and behavior. Educ Health 2019;32:101-2

How to cite this URL:
Husna PH, Marni, Nurtanti S, Handayani S, Ratnasari NY, Ambarwati R, Susanto T. Breast self-examination education for skill and behavior. Educ Health [serial online] 2019 [cited 2022 Jan 29];32:101-2. Available from:

Dear Editor,

Breast self-examination (BSE) is an early detection method to prevent breast cancer among women and is an early method of breast cancer screening (BCS) that can be done easily by women at home. BSE provides an early check that does not take a long time, does not require costs, maintains privacy, and does not include invasive procedures. BSE only takes 5 min.[1] Women are more likely to screen for breast cancer if they have a college education.[2] Health education from health professionals can increase awareness and the practice of BSE, more so than for individuals who obtain BSE information through the media. Yerramilli et al. suggest that cancer control in Mongolia should emphasize health education, especially among low-educated, rural, and unemployed women. However, not many women are involved in screening.[3]

In our study on the impact of BSE education on skill and behavior, we found that health education which involved six sessions significantly could increase psychomotoric skill but did not influence behavior. There were two participants of 40 women who found lumps on their breasts. This implies that health education may indirectly influence the behavior of participants where they may find breast abnormalities.

Enhancement of BSE awareness and practice through BSE training of health-care professionals may increase early breast cancer diagnosis and treatment rates.[4] In fact, Masoudiyekta et al. concluded that after educational intervention using the Health Belief Model related to BCS, there was a significant increase in knowledge, awareness, perceived susceptibility, perceived seriousness, perceived benefits, perceived barriers, self-efficacy, and cause of action. Further, the investigators reported that women's performance in the treatment group regarding BSE and mammography was more positive after the educational intervention compared to a control group [Table 1]. The difference in mean scores of knowledge between the two groups can likely be attributed to the educational value of BSE as an efficient, flexible, variety (using videos, lectures, SMS, and phone reminder follow-up), and interesting method of educational intervention in the current study.[5] Therefore, health education administered by health-care professionals regarding BSE could result in early self-detection, preventing breast cancer among women.
Table 1: Comparison of psychomotoric skill and behavior related to breast self-examination (n=40)

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  References Top

Oezaras G, Durualp E, Civelek FE, Gül B, Uensal M. Analysis of breast self-examination training efficiency in women between 20-60 years of age in turkey. Asian Pac J Cancer Prev 2010;11:799-802.  Back to cited text no. 1
Boxwala FI, Bridgemohan A, Griffith DM, Soliman AS. Factors associated with breast cancer screening in Asian Indian women in metro-detroit. J Immigr Minor Health 2010;12:534-43.  Back to cited text no. 2
Yerramilli P, Dugee O, Enkhtuya P, Knaul FM, Demaio AR. Exploring knowledge, attitudes, and practices related to breast and cervical cancers in mongolia: A national population-based survey. Oncologist 2015;20:1266-73.  Back to cited text no. 3
Gucuk S, Uyeturk U. Effect of direct education on breast self examination awareness and practice among women in Bolu, Turkey. Asian Pac J Cancer Prev 2013;14:7707-11.  Back to cited text no. 4
Masoudiyekta L, Rezaei-Bayatiyani H, Dashtbozorgi B, Gheibizadeh M, Malehi AS, Moradi M. Effect of education based on health belief model on the behavior of breast cancer screening in women. Asia Pac J Oncol Nurs 2018;5:114-20.  Back to cited text no. 5
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