Azhar Yohana, Hanafi Ricarhdo Valentino, Lestari Bony Wiem, Halim Freda Susana
Faculty of Medicine, Universitas Padjadjaran, Bandung 40161, West Java, Indonesia.
Department of Surgery, Oncology, Head and Neck Division, Hasan Sadikin Hospital, Bandung 40161, West Java, Indonesia.
Diagnostics (Basel). 2023 Aug 2;13(15):2577. doi: 10.3390/diagnostics13152577.
Breast cancer (BC) is a heavy burden for Indonesian healthcare, but there is still no thorough evaluation for Breast self-examination (BSE) practice as routine BC screening. In this study, we aimed to synthesize the pooled prevalence data of BSE practice, compare BSE practice prevalence between Java Island and non-Java Islands in Indonesia, and identify the determinants that we thought could affect the BSE practice in the Indonesian population. Intensive searches were conducted in Cochrane Library, PubMed, Google Scholar, and SINTA (Indonesian Web of Science and Technology Index) from September 2017-2022. We utilized Review Manager 5.4 for conducting the meta-analysis. We found the overall national prevalence of BSE practice was 43.14% (95% CI: 36.08, 50.20, < 0.00001). BSE practice in Java Island was higher compared to non-Java Island (44.58% vs. 41.62%). The highest prevalence of BSE practice was found among university students, with a 49.90% prevalence. Good knowledge, good attitude toward BSE, family history of BC, family support, and BC information exposure were all statistically associated with a higher determinant of BSE practice. We concluded that BSE practice in Indonesia is still low, especially in non-Java Islands. Integrative and collaborative programs should be established to promote BSE as routine screening for BC.
乳腺癌是印度尼西亚医疗保健的沉重负担，但对于作为常规乳腺癌筛查手段的乳房自我检查（BSE）实践仍未进行全面评估。在本研究中，我们旨在综合BSE实践的汇总患病率数据，比较印度尼西亚爪哇岛和非爪哇岛之间的BSE实践患病率，并确定我们认为可能影响印度尼西亚人群BSE实践的决定因素。2017年9月至2022年期间，我们在Cochrane图书馆、PubMed、谷歌学术和SINTA（印度尼西亚科技索引网）进行了深入检索。我们使用Review Manager 5.4进行荟萃分析。我们发现全国BSE实践的总体患病率为43.14%（95%可信区间：36.08，50.20，<0.00001）。爪哇岛的BSE实践高于非爪哇岛（44.58%对41.62%）。BSE实践患病率最高的是大学生，患病率为49.90%。对BSE的良好认知、良好态度、乳腺癌家族史、家庭支持以及乳腺癌信息接触均与BSE实践的较高决定因素在统计学上相关。我们得出结论，印度尼西亚的BSE实践仍然较低，尤其是在非爪哇岛。应建立综合协作项目，以促进将BSE作为乳腺癌的常规筛查手段。
