JOURNAL MIDWIFERY (JM)
Jurnal Jurusan Kebidanan.
Poltekkes Kemenkes Gorontalo P-ISSN .
E-ISSN .
8-523X)
http://jurnal.
id/index.
php/JM/index DOI: http://dx.
org/10.
52365/jm.
Knowledge.
Attitudes and Behavior of Female Students in Breast SelfExamination Fatmawati Ibrahim1.
Eka Rati Astuti2.
Nurhidayah3.
Nurfaizah Alza4
1,2,3
Gorontalo Health Polytechnic of the Ministry of Health Email: fatmawatiibrahim456@gmail.
com1, ratiastuti10@gmail.
com2, dhayatasa@gmail.
alza30@gmail.
ABSTRACT
Breast Self-Examination (BSE) is a simple, effective, and independently performed method for early detection of breast cancer.
This study aims to determine the level of knowledge, attitudes, and behavior of female students regarding BSE implementation and to analyze the relationship between knowledge and attitudes with behavior.
This study is a quantitative study with a descriptive analytical approach and a cross-sectional design.
The sample consisted of 129 second-semester female students of the D-i Midwifery Study Program at the Gorontalo Ministry of Health Polytechnic, selected by total sampling.
The results showed that most respondents had good knowledge .
9%), very good attitudes .
4%),
and supportive behavior in performing BSE .
6%).
The Chi-Square test showed a significant relationship between knowledge .
=0.
and attitudes .
=0.
with BSE It was concluded that the better the female students' knowledge and attitudes, the more likely they were to behave in a supportive manner to perform BSE independently.
Therefore, ongoing health education interventions are needed to improve female students' understanding and motivation in performing BSE regularly.
Keywords: Attitude.
Behavior.
Knowledge.
Midwifery Students,SADARI A2025 Fatmawati Ibrahim1.
Eka Rati Astuti2.
Nurhidayah3.
Nurfaizah Alza4 Under the licence CC BY-SA 4.
*Fatmawati Ibrahim.
Gorontalo Health Polytechnic of the Ministry of Health.
Jln.
Taman Pendidikan No.
36 Kec.
Kota Timur Kota Gorontalo.
Provinsi Gorontalo.
Indonesia.
fatmawatiibrahim456@gmail.
Fatmawati Ibrahim1.
Eka Rati Astuti2.
Nurhidayah3.
Nurfaizah Alza4.
Journal Midwifery Vol.
No.
2, 2025 .
INTRODUCTION
cancer mortality.
By equipping themselves Breast cancer is a type of cancer with a with this knowledge, women can play an high prevalence in women worldwide.
active role in maintaining their health and left untreated, breast cancer can spread to reducing the risk of serious complications.
other organs and cause death.
According to Gorontalo Province is one of the regions the World Health Organization .
, with an annual increase in breast cancer cancer is a leading cause of death, with In 2021, there were 41 cases, while approximately 10 million deaths in 2020, in 2022, there was a significant increase of with breast cancer ranking first with 2.
281 cases, with most cases being detected million cases.
Globally, breast cancer at an advanced stage.
Meanwhile, in 2023, accounts for 12.
5% of all cancer cases the government set a screening target of (World Cancer Research Fund, 2.
124,392 people, with a total of 43,794 (Asti & Asriati, 2.
Saputri et al.
breast cancer screenings .
%) (Gorontalo Provincial Health Office, 2.
In the United States, the American Cancer Meanwhile.
Society .
reported 1,958,310 new Gorontalo Province, including Aloei Saboe cases and 609,920 deaths from cancer.
Regional Hospital, there were 377 cases of with breast cancer being the leading cause breast cancer in 2023, and 30 cases in of death in women.
In Indonesia, the 2024 from January to May.
Meanwhile, at Ministry of Health .
reported a breast Toto Kabila Regional Hospital, there were cancer incidence rate of 42.
1 per 100,000 13 cases of breast cancer in 2021, 27 cases population, with a mortality rate of 17 per in 2022, and 44 cases in 2023.
At Dr.
100,000 population.
These figures place Hasri Ainun Habibie Regional Hospital, breast cancer as the leading cause of death there were 13 cases of breast cancer in women after cervical cancer.
recorded in 2021, 27 cases in 2022, and 44 (Saputri et al.
, 2024(Siregar, 2.
cases in 2023.
(Fidyathul et al.
, 2.
Data from Gorontalo Province shows a (Abdul et al.
, 2.
trend of increasing breast cancer cases.
The behavior in mothers show that it is SADARI (SADARI).
Given the high prevalence and information and accessibility of health services (Marfianti, 2.
detection through Breast Self-Examination detection is crucial in reducing breast Fatmawati Ibrahim1.
Eka Rati Astuti2.
Nurhidayah3.
Nurfaizah Alza4.
Journal Midwifery Vol.
No.
2, 2025 .
Previous (Elizawarda METHOD Desfauzia, 2024, (Sirait & Ratti, 2.
This This study employed a quantitative stated that breast cancer is a health cross-sectional design to measure variables problem and a leading cause of death in The study population was Many women are unaware they 129 second-semester female students in have breast cancer, and it's only diagnosed the Diploma i Midwifery Study Program when it's already in an advanced stage.
at the Gorontalo Ministry of Health Data from the World Health Organization Polytechnic.
The entire population was (WHO) Global Cancer Observatory in sampled using a total sampling technique 2018 shows that breast cancer is the most common cancer in the world.
research instrument used was a structured One of the initial screenings is BSE questionnaire consisting of 10 items for (Breast Self-Examinatio.
(Ministry of knowledge, 18 items for attitudes, and 14 Health of the Republic of Indonesia.
BSE can be performed well if the person has good knowledge.
Someone The items for behavior.
Data analysis used the Statistical Package for Social Sciences (SPSS) software.
with good knowledge tends to have good BSE behavior, and BSE behavior can be RESULTS AND DISCUSSION performed well and can be sustained if the Result Table 1.
Female Students' Knowledge about Knowledge Category Frequency Percentage % Good .
-100 %) Enough .
-75 %) Not Enough (< 56 %) Total
BSE
(Haryanti & Kamesyworo, 2.
Meilina.
Based on this background, researchers have found that breast cancer incidence continues to rise and is the most common cancer among Indonesian women.
It is crucial for women to reduce breast cancer morbidity and mortality, through increased awareness and knowledge about the (Anugerah Istiqomatunnisa, 2.
Table 1.
shows that the majority of female students have a good level of knowledge, namely 85 students .
9%), which is higher than the students with a poor level of knowledge, namely 12 students .
3%).
Table 2.
Female Students' Attitudes about BSE Attitude Category Frequency Percentage % Good ( 76-100 % ) Enough ( 56-75 % ) Not Enough ( < 56 % ) Total Table 2.
shows that of the 129 students, the majority of respondents had a good Fatmawati Ibrahim1.
Eka Rati Astuti2.
Nurhidayah3.
Nurfaizah Alza4.
Journal Midwifery Vol.
No.
2, 2025 .
attitude, namely 74 students .
4%) and 8 students had a bad attitude .
2%).
Table 3.
Female Student Behavior regarding Behavior Category Frequency Percentage % Support (>.
Does not support (O.
13 Total Table 3.
shows that the majority of respondents have supportive behavior .
6%), and some do not support it .
4%).
Discussion This research is in line with research SADARI is an early detection step to find conducted by (Tilka Ayattulla et al.
, 2.
early-stage breast cancer which will be which stated that there is a significant more effective if done as early as possible, relationship between knowledge and breast because 85% of breast abnormalities are self-examination behavior.
first recognized by patients during mass
(BSE)
(Anggraini & Nurjanah, 2024.
significance value of 0.
-value These findings indicate that the majority of <0.
This is also in line with research female students have good knowledge and conducted by (Haryanti & Kamesyworo, attitudes, as well as supportive behaviors 2.
(Khairunnisa et al.
, 2.
with a in implementing BSE.
These consistent cross-sectional approach with a sample results indicate that increasing knowledge size of 142 research samples, the results of and attitudes can encourage BSE practice.
the chi-square test show that there is a This is supported by other studies, such as the study by Tilka Ayattula et al.
knowledge and BSE behavior, namely which found a significant relationship 000 .
-value <0.
between knowledge and BSE practice.
The results of the analysis are in Similarly.
Haryanti & Kamesyworo .
also reported a conducted by oleh (Durriyyah et al.
, 2.
between knowledge levels and BSE which stated that there is a relationship However, several studies have between the variable of knowledge and presented conflicting results, underscoring SADARI behavior, where a person with a the complexity of health behaviors.
For high knowledge category is more likely to example, the study by Doloksaribu et al.
perform SADARI than a person with low .
showed that high knowledge does not always guarantee appropriate behavior.
Notoatmodjo as other factors such as environmental knowledge is a crucial predisposing factor support and access to information also in shaping behavior.
Behavior based on play an important role.
Karni et al.
, 2.
knowledge tends to be more enduring and Spearman .
Rank Fatmawati Ibrahim1.
Eka Rati Astuti2.
Nurhidayah3.
Nurfaizah Alza4.
Journal Midwifery Vol.
No.
2, 2025 .
stable than behavior not based on adequate individual's response or reaction to stimuli Furthermore, a positive from both outside and within themselves.
attitude serves as a form of mental Behavior is called a reflexive response, readiness for an individual to perform meaning that a reaction or action is taken actions, including the practice of BSE.
based on the stimulus given or received.
Therefore, the findings of this study According to (Siregar, 2.
in line with reaffirm the urgency of systematically his research that Attitude is how people or designed health education interventions.
respondents think or assess things related Such interventions are needed not only to to health.
Health - illness is a factor related increase knowledge but also to foster to health risk factors.
This research is in positive attitudes, which will ultimately line with the results of research by Desti encourage women to perform BSE as a Wahyuni et al .
, that there is a routine practice.
(Saputri et al.
, 2.
(Fitriyani & Handayani, 2.
(Hidayah & Amin, 2.
implementation of BSE with a p value of According to (Sirait & Ratti, 2.
(Anugerah et al.
, 2.
(Doloksaribu et
CONCLUSION
knowledge about breast cancer and breast The results of this study indicate that self-examination self-examination Gorontalo Ministry of Health Polytechnic Attitude is a kind of readiness or attitudes, and behaviors that support BSE.
This is an important asset considering their implementation of a specific motive.
strategic role as future healthcare workers.
Someone with a good attitude will be able Further analysis confirmed that knowledge to take action to perform a breast self- and attitudes are significantly related to examination to detect any abnormalities in BSE behavior.
Therefore, to maintain and their breasts early.
(Sari et al.
, 2022.
improve this practice, structured and Fithriyyah et al.
, 2.
integrated health education interventions Human behavior is the result of human are needed within the midwifery education experience and interaction with their The addition of a routine BSE environment, manifested in the form of In other words, behavior is an recommended to transform knowledge and Fatmawati Ibrahim1.
Eka Rati Astuti2.
Nurhidayah3.
Nurfaizah Alza4.
Journal Midwifery Vol.
No.
2, 2025 .
attitudes into sustainable practical skills, https://doi.
org/10.
55681/jige.
which will ultimately strengthen breast Doloksaribu.
Barus.
Kesehatan, .
Utara.
Ginting.
Cih.
Tuntungan.
Medan.
Utara.
BIBLIOGRAPHY