Program for Infection and Cancer Prevention Activities (PROACTIVE) towards knowledge and attitudes of self-hygiene and breast self-examination for adolescents

https://doi.org/10.22146/jcoemph.96631

Yayu Nidaul Fithriyyah(1*), Meyka Budi Rachmawati(2), Fajrul Falah Farhany(3), Nur Huda Adi Nugroho(4)

(1) Department of Medical Surgical Nursing, Universitas Gadjah Mada
(2) Student of Department of Nursing, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada
(3) Center for Health Policy and Management, Universitas Gadjah Mada
(4) Student of Department of Nursing, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Introduction: Pesantren are Islamic educational institutions that implement a boarding system. Insufficient sanitation increases the risk of contagious disease transmission. Besides infectious diseases. Moreover, there is a rising trend of cancer incidence in adolescents.

Objective: To evaluate the effectiveness of the Program for Infection and Cancer Prevention Activities (PROACTIVE) on knowledge and attitudes regarding personal hygiene, infectious diseases, and cancer among students in the Pesantren.

Methods: This study used a quasi-experimental design with a single-group pre-test and post-test approach. It was conducted at MA Nur Iman Sleman, located within a Pesantren environment, 47 students completed both the pre- and post-test questionnaire. Data were analyzed using descriptive and inferential statistics.

Results: The study at MA Nur Iman revealed a significant increase in knowledge about Acute Respiratory Infections (ARIs) post-intervention, especially in Class 1 (from 2.91 to 3.07, P=0.0001). Scores related to personal hygiene, handwashing, residential cleanliness, and women's reproductive health showed good scores. However, the overall practice of Breast Self-Examination (BSE) did not show significant changes, However, two statements related to laziness and embarrassment during BSE showed significant improvements (P=0.000).

Conclusions: The intervention was effective in enhancing awareness and attitudes regarding Acute Respiratory Infections (ARIs). However, there is a need for an engaging and continuous educational approach to form a lasting awareness and attitude among adolescents, particularly concerning cancer.


Keywords


adolescents; attitude; cancer; health behavior; knowledge

Full Text:

PDF


References

1. Kementerian Agama RI. Direktorat Jenderal Pendidikan Islam Kemenag RI | PENDIS [Internet]. 2022 [cited 2024 Jan 28]. Available from: https://pendis.kemenag.go.id/read/mengembangkan-kestrategisan-pondok-pesantren.

2. Ratnasari AF, Sungkar S. Prevalensi Skabies dan Faktor-faktor yang Berhubungan di Pesantren X, Jakarta Timur. eJournal Kedokteran Indonesia [Internet]. 2014 [cited 2024 Jan 28];2. doi: 10.23886/EJKI.2.3177.

3. Fahham AM. Sanitasi dan Dampaknya bagi Kesehatan: Studi dari Pesantren. Aspirasi: Jurnal Masalah-masalah Sosial [Internet]. 2019 [cited 2024 Jan 28];10:33–47. doi: 10.46807/ASPIRASI.V10I1.1230.

4. Suarilah I, Nihayati HE, Wahyudi AS, Asmoro CP, Felipe-Dimog EB. Treatment decision-making experience among Indonesian women with obstetrics and gynecology-related cancer. Médecine Palliative. 2023;22:68–76. doi: 10.1016/J.MEDPAL.2022.08.004.

5. Shoemaker ML, White MC, Wu M, Weir HK, Romieu I. Differences in breast cancer incidence among young women aged 20–49 years by stage and tumor characteristics, age, race, and ethnicity, 2004–2013. Breast Cancer Res Treat [Internet]. 2018 [cited 2024 Jan 28];169:595. doi: 10.1007/S10549-018-4699-9. Cited: in: : PMID: 29445940.

6. Abraham O, Rosenberger CA, LeMay SM, Bittner SJ. Adolescents’ Perceptions About Cancer and Preferences for Cancer Education. Cancer Control [Internet]. 2021 [cited 2024 Jan 28];28:1–12. doi: 10.1177/10732748211036057. Cited: in: : PMID: 34403277.

7. Sudjak S, Udji A, Prasetyo RA. The Role of Islamic Boarding School as Socialization Agent of Ecological Values (A Case Study in Salaf-Modern Islamic Boarding School) | Wacana Journal of Social and Humanity Studies [Internet]. 2017 [cited 2024 Jan 28]. Available from: https://wacana.ub.ac.id/index.php/wacana/article/view/535.

8. Syukri S. Gambaran Pengetahuan dan Perilaku Santri Mengenai Kebersihan Pribadi dan Tempat Tinggal pada Pesantren X Di Kabupaten Bogor. 2017.

9. Karimah DN. endidikan Kesehatan dengan Metode Syndicate Group terhadap. Pencegahan ISPA pada Remaja Putri di Pondok Pesantren. Universitas Airlangga; 2014. https://doi.org/10.20473/cmsnj.v3i1.12208

10. Nugraheni A. Hubungan Tingkat Pengetahuan tentang Sadari dengan Perilaku Sadari sebagai Deteksi Dini Kanker Payudara pada Mahasiswi DIV Kebidanan FK UNS. 2010.

11. Widyasari V, Prabandari YS, Utarini A. Training intervention to improve hygiene practices in Islamic boarding school in Yogyakarta, Indonesia: A mixed-method study. PLoS One [Internet]. 2020 [cited 2024 Aug 25];15:e0233267. doi: 10.1371/JOURNAL.PONE.0233267. Cited: in: : PMID: 32469906.

12. Putri RN. Indonesia dalam Menghadapi Pandemi Covid-19. Jurnal Ilmiah Universitas Batanghari Jambi [Internet]. 2020 [cited 2024 Aug 25];20:705–709. doi: 10.33087/JIUBJ.V20I2.1010.

13. Linhares FMP, de Abreu WJC, Melo P de OC, Mendes RCMG, da Silva TA, de Gusmão TLA, Guedes TG. Effectiveness of educational interventions in knowledge, attitude, and practice for preventing respiratory infections: a systematic review and meta-analysis. Rev Bras Enferm [Internet]. 2022 [cited 2024 Aug 25];75 4. doi: 10.1590/0034-7167-2021-0522. Cited: in: : PMID: 35352787.

14. Wang X, Liu J, Wu Y, Su B, Chen M, Ma Q, Ma T, Chen L, Zhang Y, Dong Y, et al. Enhancing the effectiveness of infectious disease health education for children and adolescents in China: a national multicenter school-based trial. BMC Public Health [Internet]. 2023 [cited 2024 Aug 25];23:1–11. doi: 10.1186/S12889-023-16000-3/TABLES/2.

15. Wang M, Fang H. The effect of health education on knowledge and behavior toward respiratory infectious diseases among students in Gansu, China: a quasi-natural experiment. BMC Public Health. 2020;20. doi: 10.1186/S12889-020-08813-3. Cited: in: : PMID: 32404088.

16. Boku GG, Abeya SG, Ayers N, Wordofa MA. The Effect of School-Linked Module-Based Friendly-Health Education on Adolescents’ Sexual and Reproductive Health Knowledge, Guji Zone, Ethiopia - Cluster Randomized Controlled Trial. Adolesc Health Med Ther [Internet]. 2024 [cited 2024 Aug 25];15:5. doi: 10.2147/AHMT.S441957. Cited: in: : PMID: 38282688.

17. Mirsafi R, Akbari TN, Noroozi E, Moslemi A. The Effect of Group Counseling Based on Reality Therapy on Women’s Self Efficacy in Breast Self-examination: An Educational Intervention. Iranian Quarterly Journal of Breast Diseases. 2021;14:64–75. doi: 10.30699/IJBD.14.2.64.

18. Sapkota D, Parajuli P, Kafle TK. Effectiveness of Educational Intervention Programme on Knowledge Regarding Breast Self Examination Among Higher Secondary School Girls of Biratnagar. Birat Journal of Health Sciences. 2017;1:13–19. doi: 10.3126/BJHS.V1I1.17091.

19. Haryanti E, Kamesyworo. Knowledge Levels and Adolescent Attitudes towards the Implementation of BSE (Breast Self-Examination) in Level I Students. Journal of Applied Nursing and Health [Internet]. 2022 [cited 2024 Aug 25];4:33–39. doi: 10.55018/JANH.V4I1.33.

20. Rahman Z, Ikhtiar M, Patimah S. Educational Interventions to Change Behavior of Adolescents About Reproductive Health Adolescents SMAN 11 South Sinjai. Window of Health : Jurnal Kesehatan [Internet]. 2018 [cited 2024 Aug 25];235–240. doi: 10.33368/WOH.V1I3.56.



DOI: https://doi.org/10.22146/jcoemph.96631

Article Metrics

Abstract views : 760 | views : 576

Refbacks

  • There are currently no refbacks.


Copyright (c) 2025 Journal of Community Empowerment for Health

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.