Umami, Afriza
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KNOWLEDGE, BARRIERS, AND MOTIVATION RELATED TO BREAST AND CERVICAL CANCER SCREENING AMONG WOMEN IN BOJONEGORO, EAST JAVA: A QUALITATIVE STUDY Umami, Afriza; Sudalhar, Sudalhar; Pratama, Tegar Wahyu Yudha; Fitri, Istiqlal; Firmansyah, Andan
Journal of Health Promotion and Behavior Vol 5, No 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Breast and cervical cancer remain a major cause of morbidity and mortality for wo­men in Indonesia. Although this cancer can be de­tected early, women are still less active in self-detecting breast and cervical cancer, so both cancers are found at an advanced stage. This study aimed to explore how women's knowledge, barriers, and motivations are related to early detection of breast and cervical cancer.Subjects and Method: This was a qualitative study, with focus group discussions (FGDs) and interviews with key informants. Discussions and in­terviews were conducted in the community within Ledok Kulon village, Bojonegoro Regency, East Java, Indonesia. Participants: FGD partici­pants involved 20 women, 10 women underwent FDG about cervical cancer and 10 other women conducted FGD about breast cancer. Three key informants interviewed with health worker and administrator that allow triangulation of res­pon­ses thereby increasing the validity of the findings. Participants were aged 20 to ?60 years, with no history of symptoms or previous diagnosis of breast or cervical cancer. The women were inter­viewed in October-November 2019. The trans­cri­bed data were analyzed using content analysis.Results: Participants' knowledge about under­stan­ding, risk factors, signs and symptoms of breast and cervical cancer was still lacking. Par­ticipants attributed the cause of cervical cancer to the vaginal wound resulting in cervical cancer and signs of symptoms such as heartburn. Whe­reas for breast cancer participants were not know the signs and symptoms, they only said there was a lump in the breast. Barriers to screening were ashamed to be examined by health workers, afraid of testing procedures, feeling healthy and there were no signs of cancer. Screening motiva­tion were experiencing signs and symptoms of can­cer, family history of the disease and aware­ness of the disease/screening service.Conclusion: The study participants' knowledge of breast and cervical cancer was still lacking. To improve breast and cervical cancer screening, efforts must focus on reducing identified barriers and increasing motivation.Keywords: knowledge, barriers, motivation, breast and cervical cancer screeningCorrespondence: Afriza Umami. Diploma III of Medical Records, School of Health Sciences Muhammadiyah Bojone­go­ro, Jl. A.Yani No.14, Bojonegoro, Indonesia. Email: afrizaumami20@gmail.com. Mobile: +62­8­225­4348041.Journal of Health Promotion and Behavior (2020), 5(1): 1-10 https://doi.org/10.26911/thejhpb.2020.05.01.01  
Factors Associated with Genital Hygiene Behaviors in Cervical Cancer Patients in Surakarta, Indonesia Umami, Afriza; Sudalhar, Sudalhar; Lufianti, Anita; Paulik, Edit; Molnár, Regina
Nurse Media Journal of Nursing Vol 11, No 1 (2021): (April 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i1.35829

Abstract

Background: Maintaining genital cleanliness is essential for women since intimate organ problems can cause female tract infections. Poor genital hygiene can affect sexually transmitted infections, and therefore, it is prominent to investigate factors related to genital hygiene behaviors in women to reduce this type of infection.Purpose: This study aimed to find out the factors associated with genital hygiene behaviors in cervical cancer patients.Methods: A case-control study was conducted on cervical cancer patients in Surakarta, Indonesia, from December 2017 to February 2018. A structured questionnaire was used to collect data from 178 subjects using a fixed disease sampling technique that consisted of 56 cases of poor genital hygiene behaviors and 122 controls of good genital hygiene behaviors with a comparison of 1:2. The dependent variable was genital hygiene behaviors, while the independent variables were stress, exposure to social media regarding genital hygiene, environmental sanitation, husband’s education, and support. Logistic regression was employed for data analysis.Results: Genital hygiene behaviors increased with exposure to social media related to genital hygiene (OR=9.20; 95% CI=3.87 to 21.87, p<0.001), good environmental sanitation (OR=5.16; 95% CI=2.19 to 12.14, p<0.001), high husband’s education (OR=6.49; 95% CI=2.23 to 18.91, p=0.001) and support (OR=2.88; 95% CI=1.24 to 6.67, p=0.013). Women who experienced psychological problems such as stress showed decreased genital hygiene behaviors (OR=0.25; 95% CI=0.94 to 0.71, p=0.009).Conclusions: Genital hygiene behaviors in women increased with exposure to social media related to genital hygiene, adequate environmental sanitation, high husbands’ education, and support. In contrast, stress decreased women’s behaviors in practicing genital hygiene. These findings emphasize the need for women to improve genital hygiene behaviors as well as for nurses to explain how to increase women's genital hygiene behaviors.