28 March 2008

BREAST SELF EXAMINATION IN INDONESIA ACCORDING TO THE NATIONAL SOCIO ECONOMIC SURVEY 1998 AND NATIONAL HOUSEHOLD HEALTH SURVEY 2004

Written by Suhardi, Yulianti Pradono, Dwi Hapsari dan Siti Isfandari

Abstract. Breast cancer is the second leading cause of malignancies among females in Indonesia and the only feasible intervention at present is secondary prevention by BSE (Breast Self Examination). The main objective of this article is to depict trends and differen-tials on the prevalence rate of women aged 30 years and over who knew about and practiced BSE based on the results of analysis on a subset of Susenas (the National Socio Economic Survey) 1998 and SKRT (the National Household Health Survey) 2004 database. According to Susenas 1998, the prevalence rate of women aged 30 years and over (n = 55.621) who knew about BSE was 14.2 % in urban areas, 3.1 % in rural areas and 7.3 % in both areas, and the prevalence rate of those who practiced BSE in the past year was 7.4 % in urban areas, 1.4 % in rural areas, and 3.6 % in both areas. In the next survey, SKRT 2004 found the prevalence rate of women aged 30 years and over (n = 3.346) who ever practiced BSE (without time refe-rence) was 19.0 % in urban areas, 5.7 % in rural areas and 11.3 % in both areas. The two surveys reveal that the prevalence rate of BSE was higher in urban areas, both for the entire country and all islands and provinces. The prevalence rate was also higher in younger age groups and those with better education and socioeconomic level. Despite the apparently sharp increase of prevalence rates between 1998 and 2004, the coverage of BSE practice was still far from enough for a significant reduction in the proportion of breast cancer in late stages among females.

Keywords : breast self examination, coverage, national health survey.

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