DETERMINAN WANITA UNTUK MELAKUKAN PEMERIKSAAN LANJUTAN SETELAH USG PAYUDARA

Abstract

Background: The further examination after breast ultrasound is needed because the ultrasound examination is not merely recommended for early detection of breast cancer; however by the combination of ultrasound and mammography, the disorder in the breast could be determined more accurately. Mammography method is a method that could detect breast cancer with an accuracy up to 90 percent. Objective: This study is aimed to identify the determinant of women to conduct further examination after breast ultrasound in Badung. Method: The study’s design used a descriptive observational study with cross-sectional design. The sampling technique used was simple random sampling with a sample of 100 people. The bivariate analysis used chi-square with α = 0.05. Result: The results of this study showed that, among the 100 respondents, there were 43 percent have done further examination. The proportion of women taking a further examination was 41 percent with high education, 38 percent with good knowledge, 18 percent stated the distance of health services were far, 43 percent were able to pay the further examination, 38 percent had ever received the information about breast cancer, 43 percent gained the support of health workers and 41 percent received good support from family. The results showed that there were four factors that had a relationship with the further examination after breast ultrasound, including the level of knowledge (OR = 8,65; 95% CI 3,19-23,86), affordability (p-value <0,0001), the support of health workers (pvalue <0,0001) and the support of family (OR = 30,3; 95% CI 6,52-273,73). Conclusion: The conclusion of this study is that the determinant of women to undertake the further examination after breast ultrasound depends on the level of knowledge, affordability, the support of health workers and the support of family. There is a need of an increase in socialization about breast cancer to women and husband/family. In addition, to increase further examination there is a need of socialization regarding the utilization of BPJS.