Literasi Sadari pada Perempuan Kota di Masyarakat Marginal
Keywords:
deteksi dini, kanker payudara, makassar, marjinal, perempuan
Abstract
Literacy in self-breast examination (SADARI) still lacks attention from the community. Urban women in marginal communities even have limited access to health information. As a result, early detection of breast cancer remains a significant challenge for them. This study aims to obtain an overview of SADARI literacy among urban women in marginal communities. The study was conducted using a descriptive quantitative approach with a random sampling technique. The respondents were 79 women from the Az Zahra fisherman community in Ujung Tanah District, Makassar. Data collection was carried out using a questionnaire sheet and observations consisting of 20 questions. The collected data were analyzed with descriptive statistics using Excel. The early cancer detection variables used are self-breast examination (SADARI) and clinical breast examination (SADANIS). The results of this study indicate that SADARI literacy among urban women in marginal communities is still low. There are five indicators measured in this study, with the results showing respondents who have a good understanding of the purpose of SADARI (27%), the benefits of SADARI (11%), how to perform SADARI (7%), the appropriate time to perform SADARI (13%), and the signs found and the appropriate time to perform SADANIS (23%). This research can be a reference for the government to promote the socialization of early breast cancer detection that reaches marginal communities.
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References
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Straughen JK, Sealy-Jefferson S, Bazydlo M, Helmkamp L, Misra DP. Physical activity and risk of preterm birth in a cohort of African American Women. Womens Health Issues. 2018;28(6):488–94.
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Carrera PM, Kantarjian HM, Blinder VS. The financial burden and distress of patients with cancer: Understanding and stepping‐up action on the financial toxicity of cancer treatment. CA Cancer J Clin. 2018 Mar;68(2):153–65.
Mariotto AB, Enewold L, Zhao J, Zeruto CA, Yabroff KR. Medical care costs associated with cancer survivorship in the United States. Cancer Epidemiol Biomarkers Prev. 2020;29(7):1304–12.
Nasrollahzadeh M, Delshad MSE, Mansour-Ghanaei R, Maleki Z, Joukar F, Hassanipour S, et al. The prevalence, epidemiology and screening results of breast cancer in women of Guilan province, north of Iran: A cross-sectional study during 2017–2018. Clin Epidemiol Glob Health. 2020;8(4):1011–6.
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Chen Y, Wright N, Guo Y, Turnbull I, Kartsonaki C, Yang L, et al. Mortality and recurrent vascular events after first incident stroke: a 9-year community-based study of 0• 5 million Chinese adults. Lancet Glob Health. 2020;8(4):e580–90.
Abu-Helalah M, Mustafa H, Alshraideh H, Alsuhail AI, Almousily OA, Al-Abdallah R, et al. Quality of life and psychological wellbeing of breast cancer survivors in the kingdom of Saudi Arabia. Asian Pac J Cancer Prev APJCP. 2022;23(7):2291.
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Rajkumar S, Mouroughane St, Amirthayogam G, Rajarajan S, Ramesh A. An Efficient Approach for Diagnosing the Breast Cancer Using Deep Learning Technique. Spec Ugdym. 2022;1(43):6429–41.
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Dadzi R, Adam A. Assessment of knowledge and practice of breast self-examination among reproductive age women in Akatsi South district of Volta region of Ghana. PLoS One. 2019;14(12):e0226925.
Hanson V, Adejumo O, Van Wyk B. Knowledge and Practice of Breast Self-Examination among Rural Women in South West Nigeria: Implications for Development of Women Empowerment Programme. Afr J Nurs Midwifery. 2017 Jun 1;19(1):144–56.
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Gelina M. Pemberdayaan perempuan dalam meningkatkan kesejahteraan keluarga melalui pekerja pengupas bawang di sentral sambu Kota Medan. 2022 [cited 2023 Oct 17]; Available from: http://repository.uhn.ac.id/handle/123456789/7367
Subair N, Pidani RR, Meiyani E, Haris R, Irma I. Livelihood strategies for widows and divorcees of coastal fishers in Indonesia. ETNOSIA J Etnografi Indones. 2023;8(1):12–23.
Syaekhu A, Sau T, Handayani S, Irma I. The Relationship of Increasing Food Production to Social Welfare and Health. J Penelit Pendidik IPA. 2023 Feb 28;9(2):634–8.
Syaekhu A, Sulanjari DJ. Risiko Pernikahan Dini Terhadap Kehidupan Sosial Keluarga. J Pengabdi Kpd Masy Sawerigading. 2022;1(2):58–69.
Juliansyah E, Zulfani S. Upaya Peningkatan Pengetahuan Remaja Putri Melalui Penyuluhan Keputihan (Flour Albus) Pada Siswi Madrasah Aliyah Negeri (MAN) Sintang. Literasi J Pengabdi Masy Dan Inov. 2021;1(2):228–40.
Pauweni AA, Yakob RR. Peran Orang Tua Dalam Pengenalan Pendidikan Seks Bagi Anak Usia Dini. Jambura Early Child Educ J. 2022;4(2):157–71.
Liu J, Chen D, Yin X. Effect of manual lymphatic drainage combined with vacuum sealing drainage on axillary web syndrome caused by breast cancer surgery. Int Wound J. 2023 Jan;20(1):183–90.
Direktorat Jenderal Pelayanan Kesehatan [Internet]. [cited 2023 Oct 17]. Available from: https://yankes.kemkes.go.id/view_artikel/669/sadari-untuk-deteksi-dini-kanker-payudara
Marfianti E. Peningkatan Pengetahuan Kanker Payudara dan Ketrampilan Periksa Payudara Sendiri (SADARI) untuk Deteksi Dini Kanker Payudara di Semutan Jatimulyo Dlingo. J Abdimas Madani Dan Lestari JAMALI. 2021;25–31.
Sari P, Sayuti S, Ridwan M, Anisa A. Hubungan antara Pengetahuan dan Dukungan Tenaga Kesehatan dengan Perilaku Pemeriksaan Payudara Sendiri (SADARI) pada Wanita Pasangan Usia Subur (PUS). Perilaku Dan Promosi Kesehat Indones J Health Promot Behav. 2020;2(2):76–81.
Kugbey N, Meyer-Weitz A, Asante KO. Access to health information, health literacy and health-related quality of life among women living with breast cancer: Depression and anxiety as mediators. Patient Educ Couns. 2019;102(7):1357–63.
Kim K, Yang Y, Wang Z, Chen J, Barandouzi ZA, Hong H, et al. A systematic review of the association between health literacy and pain self-management. Patient Educ Couns. 2022;105(6):1427–40.
Van Der Gaag M, Heijmans M, Spoiala C, Rademakers J. The importance of health literacy for self-management: A scoping review of reviews. Chronic Illn. 2022 Jun;18(2):234–54.
McKenna VB, Sixsmith J, Barry M. Facilitators and Barriers to the Development of Health Literacy Capacities Over Time for Self-Management. HLRP Health Lit Res Pract [Internet]. 2020 Apr 9 [cited 2023 Oct 17];4(2). Available from: https://journals.healio.com/doi/10.3928/24748307-20200221-01
Udeze CN, Ezenwa MO, Abamara NC. Effect of cancer education on the practice of breast self-examination among adult women in Nigeria. Monacis L, editor. Cogent Psychol. 2020 Dec 31;7(1):1823616.
Makrariya A, Adlakha N. Thermographic pattern’s in women’s breast due to uniformly perfused tumors and menstrual cycle. Commun Math Biol Neurosci. 2019;2019:Article-ID.
Restrepo R, Cervantes LF, Swirsky AM, Diaz A. Breast development in pediatric patients from birth to puberty: physiology, pathology and imaging correlation. Pediatr Radiol. 2021 Oct;51(11):1959–69.
Krishna A, Thompson TL. Misinformation About Health: A Review of Health Communication and Misinformation Scholarship. Am Behav Sci. 2021 Feb;65(2):316–32.
Liu J, Chen D, Yin X. Effect of manual lymphatic drainage combined with vacuum sealing drainage on axillary web syndrome caused by breast cancer surgery. Int Wound J. 2023 Jan;20(1):183–90.
Shaikh K, Krishnan S, Thanki R. Types, Diagnosis, and Treatment of Breast Cancer. In: Artificial Intelligence in Breast Cancer Early Detection and Diagnosis [Internet]. Cham: Springer International Publishing; 2021 [cited 2023 Oct 17]. p. 21–35. Available from: http://link.springer.com/10.1007/978-3-030-59208-0_2
Singhal A, Kataria B, Sharma S. Imaging of tubercular mastitis presenting as recurrent breast nodules and abscesses: a rare case report. Egypt J Radiol Nucl Med. 2023 Jan 9;54(1):7.
Machado LB, Brody MB, Rotenberg SE, Stachelek GC, Fernandez JG. Breast Cancer Tumor Board: A Radiologist’s Guide to Postmastectomy Radiation Therapy. RadioGraphics. 2023 Mar 1;43(3):e220086.
Yadav AR, Mohite SK. Cancer-A silent killer: An overview. Asian J Pharm Res. 2020;10(3):213–6.
Priyadarshini P, Sarathi S, Hemavathy V. Breast Cancer Screening. Cardiometry. 2022;(24):1000–5.
Beňačka R, Szabóová D, Gul’ašová Z, Hertelyová Z, Radoňák J. Classic and new markers in diagnostics and classification of breast cancer. Cancers. 2022;14(21):5444.
Ullah Z, Khan MN, Din ZU, Afaq S. Breast Cancer Awareness and Associated Factors Amongst Women in Peshawar, Pakistan: A Cross-Sectional Study. Breast Cancer Basic Clin Res. 2021 Jan;15:117822342110253.
Brouillard P, Witte MH, Erickson RP, Damstra RJ, Becker C, Quéré I, et al. Primary lymphoedema. Nat Rev Dis Primer. 2021;7(1):77.
Akter MstF, Ullah MO. Awareness levels of breast cancer among female university and medical college students in Sylhet city of Bangladesh. Cancer Rep. 2022 Nov;5(11):e1608.
Kassamani YW, Brunelle CL, Gillespie TC, Bernstein MC, Bucci LK, Nassif T, et al. Diagnostic Criteria for Breast Cancer-Related Lymphedema of the Upper Extremity: The Need for Universal Agreement. Ann Surg Oncol. 2022 Feb;29(2):989–1002.
Yusof K, Avery-Kiejda KA, Ahmad Suhaimi S, Ahmad Zamri N, Rusli MEF, Mahmud R, et al. Assessment of potential risk factors and skin ultrasound presentation associated with breast cancer-related lymphedema in long-term breast cancer survivors. Diagnostics. 2021;11(8):1303.
Togawa K, Ma H, Smith AW, Neuhouser ML, George SM, Baumgartner KB, et al. Self-reported symptoms of arm lymphedema and health-related quality of life among female breast cancer survivors. Sci Rep. 2021;11(1):10701.
Radina ME, Fu MR, Horstman L, Kang Y. Breast cancer‐related lymphedema and sexual experiences: a mixed‐method comparison study. Psychooncology. 2015 Dec;24(12):1655–62.
Straughen JK, Sealy-Jefferson S, Bazydlo M, Helmkamp L, Misra DP. Physical activity and risk of preterm birth in a cohort of African American Women. Womens Health Issues. 2018;28(6):488–94.
Dydjow-Bendek DA, Zagożdżon P. Early alcohol use initiation, obesity, not breastfeeding, and residence in a rural area as risk factors for breast cancer: a case-control study. Cancers. 2021;13(16):3925.
Torre LA, Bray F, Siegel RL, Ferlay J, Lortet‐Tieulent J, Jemal A. Global cancer statistics, 2012. CA Cancer J Clin. 2015 Mar;65(2):87–108.
Kosog K, Earle M, Stellon E, Nolan C, Wainwright MK, Webb T, et al. Identifying an association between socio‐demographic factors and breast cancer screening adherence in a federally qualified health centre sample in the United States. A retrospective, cross‐sectional study. Health Soc Care Community. 2020 Sep;28(5):1772–9.
Carrera PM, Kantarjian HM, Blinder VS. The financial burden and distress of patients with cancer: Understanding and stepping‐up action on the financial toxicity of cancer treatment. CA Cancer J Clin. 2018 Mar;68(2):153–65.
Mariotto AB, Enewold L, Zhao J, Zeruto CA, Yabroff KR. Medical care costs associated with cancer survivorship in the United States. Cancer Epidemiol Biomarkers Prev. 2020;29(7):1304–12.
Nasrollahzadeh M, Delshad MSE, Mansour-Ghanaei R, Maleki Z, Joukar F, Hassanipour S, et al. The prevalence, epidemiology and screening results of breast cancer in women of Guilan province, north of Iran: A cross-sectional study during 2017–2018. Clin Epidemiol Glob Health. 2020;8(4):1011–6.
Abdul-Khalek RA, Guo P, Sharp F, Gheorghe A, Shamieh O, Kutluk T, et al. The economic burden of cancer care for Syrian refugees: a population-based modelling study. Lancet Oncol. 2020;21(5):637–44.
Chen Y, Wright N, Guo Y, Turnbull I, Kartsonaki C, Yang L, et al. Mortality and recurrent vascular events after first incident stroke: a 9-year community-based study of 0• 5 million Chinese adults. Lancet Glob Health. 2020;8(4):e580–90.
Abu-Helalah M, Mustafa H, Alshraideh H, Alsuhail AI, Almousily OA, Al-Abdallah R, et al. Quality of life and psychological wellbeing of breast cancer survivors in the kingdom of Saudi Arabia. Asian Pac J Cancer Prev APJCP. 2022;23(7):2291.
Irma I, marlina. Awareness of early detection of breast cancer in women. 2022.
Darré T, Tchandikou L, Simgban P, Bombone M, Djiwa T, N’Timon B, et al. Factors associated with late diagnosis of breast cancer in women in Togo, Sub-Saharan Africa. BMC Womens Health. 2023 Mar 14;23(1):106.
Wahyuni AS, Sallo AKM. Dukungan Keluarga dan Kualitas Hidup Penderita Kanker Payudara. J Midwifery Nurs Stud. 2022;4(2).
Rahma A, Khairun NB. Peran Human Epidermal Growth Factor Receptor-2 pada Kanker Payudara. AGROMEDICINE UNILA. 2018;5(2):644–7.
Francis C, Lavanya C. A Study To Assess The Knowledge On Breast Cancer Among Women In A Selected Area, Visakhapatnam. J Posit Sch Psychol. 2022;6(10):1018–22.
Rajkumar S, Mouroughane St, Amirthayogam G, Rajarajan S, Ramesh A. An Efficient Approach for Diagnosing the Breast Cancer Using Deep Learning Technique. Spec Ugdym. 2022;1(43):6429–41.
Subiyanto D, Kadi TA, Ismaiyah I, Abdurrahman N, Utomo YP, Alifiansyah AR, et al. Subtipe molekuler kanker payudara di RSUD Madiun dan Hubungannya dengan Grading Histopatologi. Media Penelit Dan Pengemb Kesehat. 2021;31(3):193–202.
Dadzi R, Adam A. Assessment of knowledge and practice of breast self-examination among reproductive age women in Akatsi South district of Volta region of Ghana. PLoS One. 2019;14(12):e0226925.
Hanson V, Adejumo O, Van Wyk B. Knowledge and Practice of Breast Self-Examination among Rural Women in South West Nigeria: Implications for Development of Women Empowerment Programme. Afr J Nurs Midwifery. 2017 Jun 1;19(1):144–56.
Peyman N, Abdollahi M. The relationship between health literacy and self-efficacy physical activity in postpartum women. J Health Lit. 2016;1(1):5–12.
Gelina M. Pemberdayaan perempuan dalam meningkatkan kesejahteraan keluarga melalui pekerja pengupas bawang di sentral sambu Kota Medan. 2022 [cited 2023 Oct 17]; Available from: http://repository.uhn.ac.id/handle/123456789/7367
Subair N, Pidani RR, Meiyani E, Haris R, Irma I. Livelihood strategies for widows and divorcees of coastal fishers in Indonesia. ETNOSIA J Etnografi Indones. 2023;8(1):12–23.
Syaekhu A, Sau T, Handayani S, Irma I. The Relationship of Increasing Food Production to Social Welfare and Health. J Penelit Pendidik IPA. 2023 Feb 28;9(2):634–8.
Syaekhu A, Sulanjari DJ. Risiko Pernikahan Dini Terhadap Kehidupan Sosial Keluarga. J Pengabdi Kpd Masy Sawerigading. 2022;1(2):58–69.
Juliansyah E, Zulfani S. Upaya Peningkatan Pengetahuan Remaja Putri Melalui Penyuluhan Keputihan (Flour Albus) Pada Siswi Madrasah Aliyah Negeri (MAN) Sintang. Literasi J Pengabdi Masy Dan Inov. 2021;1(2):228–40.
Pauweni AA, Yakob RR. Peran Orang Tua Dalam Pengenalan Pendidikan Seks Bagi Anak Usia Dini. Jambura Early Child Educ J. 2022;4(2):157–71.
Liu J, Chen D, Yin X. Effect of manual lymphatic drainage combined with vacuum sealing drainage on axillary web syndrome caused by breast cancer surgery. Int Wound J. 2023 Jan;20(1):183–90.
Direktorat Jenderal Pelayanan Kesehatan [Internet]. [cited 2023 Oct 17]. Available from: https://yankes.kemkes.go.id/view_artikel/669/sadari-untuk-deteksi-dini-kanker-payudara
Marfianti E. Peningkatan Pengetahuan Kanker Payudara dan Ketrampilan Periksa Payudara Sendiri (SADARI) untuk Deteksi Dini Kanker Payudara di Semutan Jatimulyo Dlingo. J Abdimas Madani Dan Lestari JAMALI. 2021;25–31.
Sari P, Sayuti S, Ridwan M, Anisa A. Hubungan antara Pengetahuan dan Dukungan Tenaga Kesehatan dengan Perilaku Pemeriksaan Payudara Sendiri (SADARI) pada Wanita Pasangan Usia Subur (PUS). Perilaku Dan Promosi Kesehat Indones J Health Promot Behav. 2020;2(2):76–81.
Kugbey N, Meyer-Weitz A, Asante KO. Access to health information, health literacy and health-related quality of life among women living with breast cancer: Depression and anxiety as mediators. Patient Educ Couns. 2019;102(7):1357–63.
Kim K, Yang Y, Wang Z, Chen J, Barandouzi ZA, Hong H, et al. A systematic review of the association between health literacy and pain self-management. Patient Educ Couns. 2022;105(6):1427–40.
Van Der Gaag M, Heijmans M, Spoiala C, Rademakers J. The importance of health literacy for self-management: A scoping review of reviews. Chronic Illn. 2022 Jun;18(2):234–54.
McKenna VB, Sixsmith J, Barry M. Facilitators and Barriers to the Development of Health Literacy Capacities Over Time for Self-Management. HLRP Health Lit Res Pract [Internet]. 2020 Apr 9 [cited 2023 Oct 17];4(2). Available from: https://journals.healio.com/doi/10.3928/24748307-20200221-01
Udeze CN, Ezenwa MO, Abamara NC. Effect of cancer education on the practice of breast self-examination among adult women in Nigeria. Monacis L, editor. Cogent Psychol. 2020 Dec 31;7(1):1823616.
Makrariya A, Adlakha N. Thermographic pattern’s in women’s breast due to uniformly perfused tumors and menstrual cycle. Commun Math Biol Neurosci. 2019;2019:Article-ID.
Restrepo R, Cervantes LF, Swirsky AM, Diaz A. Breast development in pediatric patients from birth to puberty: physiology, pathology and imaging correlation. Pediatr Radiol. 2021 Oct;51(11):1959–69.
Krishna A, Thompson TL. Misinformation About Health: A Review of Health Communication and Misinformation Scholarship. Am Behav Sci. 2021 Feb;65(2):316–32.
Liu J, Chen D, Yin X. Effect of manual lymphatic drainage combined with vacuum sealing drainage on axillary web syndrome caused by breast cancer surgery. Int Wound J. 2023 Jan;20(1):183–90.
Shaikh K, Krishnan S, Thanki R. Types, Diagnosis, and Treatment of Breast Cancer. In: Artificial Intelligence in Breast Cancer Early Detection and Diagnosis [Internet]. Cham: Springer International Publishing; 2021 [cited 2023 Oct 17]. p. 21–35. Available from: http://link.springer.com/10.1007/978-3-030-59208-0_2
Singhal A, Kataria B, Sharma S. Imaging of tubercular mastitis presenting as recurrent breast nodules and abscesses: a rare case report. Egypt J Radiol Nucl Med. 2023 Jan 9;54(1):7.
Machado LB, Brody MB, Rotenberg SE, Stachelek GC, Fernandez JG. Breast Cancer Tumor Board: A Radiologist’s Guide to Postmastectomy Radiation Therapy. RadioGraphics. 2023 Mar 1;43(3):e220086.
Yadav AR, Mohite SK. Cancer-A silent killer: An overview. Asian J Pharm Res. 2020;10(3):213–6.
Priyadarshini P, Sarathi S, Hemavathy V. Breast Cancer Screening. Cardiometry. 2022;(24):1000–5.
Beňačka R, Szabóová D, Gul’ašová Z, Hertelyová Z, Radoňák J. Classic and new markers in diagnostics and classification of breast cancer. Cancers. 2022;14(21):5444.
Ullah Z, Khan MN, Din ZU, Afaq S. Breast Cancer Awareness and Associated Factors Amongst Women in Peshawar, Pakistan: A Cross-Sectional Study. Breast Cancer Basic Clin Res. 2021 Jan;15:117822342110253.
Brouillard P, Witte MH, Erickson RP, Damstra RJ, Becker C, Quéré I, et al. Primary lymphoedema. Nat Rev Dis Primer. 2021;7(1):77.
Akter MstF, Ullah MO. Awareness levels of breast cancer among female university and medical college students in Sylhet city of Bangladesh. Cancer Rep. 2022 Nov;5(11):e1608.
Kassamani YW, Brunelle CL, Gillespie TC, Bernstein MC, Bucci LK, Nassif T, et al. Diagnostic Criteria for Breast Cancer-Related Lymphedema of the Upper Extremity: The Need for Universal Agreement. Ann Surg Oncol. 2022 Feb;29(2):989–1002.
Yusof K, Avery-Kiejda KA, Ahmad Suhaimi S, Ahmad Zamri N, Rusli MEF, Mahmud R, et al. Assessment of potential risk factors and skin ultrasound presentation associated with breast cancer-related lymphedema in long-term breast cancer survivors. Diagnostics. 2021;11(8):1303.
Togawa K, Ma H, Smith AW, Neuhouser ML, George SM, Baumgartner KB, et al. Self-reported symptoms of arm lymphedema and health-related quality of life among female breast cancer survivors. Sci Rep. 2021;11(1):10701.
Radina ME, Fu MR, Horstman L, Kang Y. Breast cancer‐related lymphedema and sexual experiences: a mixed‐method comparison study. Psychooncology. 2015 Dec;24(12):1655–62.
Published
2023-12-31
How to Cite
Irma, I., Kusbandiyah, J., Wahyuni, A., Mulyani, S., & Aprilina, A. (2023). Literasi Sadari pada Perempuan Kota di Masyarakat Marginal. Jurnal Sehat Mandiri, 18(2), 174-191. https://doi.org/https://doi.org/10.33761/jsm.v18i2.1218
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