Health Belief Model: Promote Breast Self Examination in Student in Higher Education
Main Article Content
Abstract
Breast cancer is the number one cancer that occurs among women. The mortality rate has been continually increased among young women. The early detection and treatment may result in a high survival rate, good quality of life and cost less. According to the literature, Breast Self-Examination (BSE) many women have never done BSE, especially undergraduate students, because of their embarrassment.
Encouraging undergraduate students to perform breast self-examination may the way to help students discover their own breast abnormalities in the early stages. It is also promoting responsibility for one's own health. In this article, the authors have gathered knowledge from research both domestically and internationally on the knowledge of breast cancer screening, situation of breast self-examination in undergraduate students, analysis of the reasons for non- breast self-examination among tertiary students. The application of health belief model to promote breast self-examination through knowledge, Perceived susceptibility, Perceived Severity, Perceived Benefits, Perceived Barriers and Perceived Self-Efficacy, as well as a guideline for promoting self-examination of mammograms among undergraduate students. This guideline may beneficial for undergraduate student to promote the behavior of breast self-examination in daily life and early detection.
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Journal of Nursing and Health Science Research attribution-non-commercial 4.0 international (CC BY-NC 4.0). For more detail please visit https://creativecommons.org/licenses/by-nc/4.0/ . The ideas and opinions expressed in the Journal of Nursing and Health Science Research are those of the authors and not necessarily those of the editor .
References
Abera, H., Mengistu, D. & Bedaso, A. (2017). Effectiveness of planned teaching intervention on knowledge and practice of breast self-examination among first year midwifery students. PLoS One, 12(9), e0184636. doi: 10.1371/journal.pone.0184636. PMID: 28949972; PMCID: PMC5614528.
Chinpatanapongsa, E. & Suwanpatikorn, K. (2014). The study of relationship between perceived benefit, perceived barrier, perceived self-efficacy and breast self examination behavior in nursing students. Journal of Public Health Nursing, 28(3),14-29. (in Thai).
Gencturk, N., Demirezen, E. & Ay, F. (2017). Health beliefs of midwifery students at Istanbul university about breast cancer and breast self-examination acknowledgements. Journal of Cancer Education, 32(4), 784-789.
Jaihow, S., Klayvised, J., Sangprajong, K. & Petsirasan, R. (2018). Health belief and breast self – exmination behavior among female students at a university in Nakhon si Thammarat. Journal of the police Nurses,10(1), 154-163. (in Thai).
Jamjang, S., Atthamaethaku, W. & Prayoontap, S. (2020). The effects of breast self–examination acquisition program on knowledge, attitude and breast self–examination skill among nursing students. Journal of Nursing and Education, 13(4), 77-91. (in Thai).
Kamsan, W. & Limsakul, M. (2021). Roles of social workers in social support for breast cancer patients. Journal of Social Work, 29(1), 29-67. (in Thai).
Kang, S.R., Shin, H., Lee, J. & Kim, S.J. (2020). Effects of smartphone application education combined with hands-on practice in breast self-examination on junior nursing students in South Korea. Japan Journal of Nursing Science, 17(3), e12318
Kifle, M.M., Kidane, E.A., Gebregzabher, N.K., Teweldeberhan, A.M., Sielu, F.N., Kidane K.H., Weldemenkerios, S.H. & Tesfay, M.G. (2016). Knowledge and practice of breast self- examination among female college students in Eritrea. American Journal of Pharmacy and Health Research, 4(4), 104-108
Kissal, A., Kartal, B., & Cetin, O. (2017). The determination of knowledge, applications and health beliefs of third- and fourth-grade nursing students regarding breast self-exam. The Journal of Breast Health,13, 10-15.
Komonwipast, N. & Pakdevong, N. (2018). Comparison of knowledge, health belief, and perceived self-efficacy between female students who performed and did not perform breast self-examination. Songklanagarind Journal of Nursing, 38(4), 68-78. (in Thai).
Ladawan, T., Prabripoo, T. & Ladawn, J. (2018). Effectiveness of “check your breast” model om self breast examination skill of air force student nurses. Journal of the Police Nurses, 10(2), 340-348. (in Thai).
National Cancer Institute. (2017). Cancer screening. Retrieved (2022, August 19). from http://bit.ly/3615UdE. (in Thai).
Noitung, S., Lapvongwatana, P. & Chansatitporn, N. (2018). Effects of the Health Belief Model Program for Breast Cancer Prevention among Female High School Students in the Bangkok Metropolitan Area. Thai Red Cross Nursing Journal, 11(2), 78-99. (in Thai).
Pakdevong, N. & Komonwipast, N. (2018). Knowledge, health belief, self-efficacy and breast self-examination among female students receiving breast-self-examination enhancing program. APHEIT International Journal, 7(1), 57-60. (in Thai).
Sancarn, T. & Knkthes, T. (2019). Breast cancer literacy in prevention and breast self- examination. EAU Heritage Journal Science and Technology, 13(3), 14-21. (in Thai).
Siriraj Cancer Center. (2016). Self breast examination. Retrieved (2022, August 19). from http://www.si.mahidol.ac.th. (in Thai).
Strategy and planning division of Office of the Permanent Secretary Ministry of Public Health (2022). Public Health Statistics A.D. 2019. Retrieved (2022, August 19). from https://bit.ly/3KMYWf0 (in Thai).
Tesamut, L., Suangwan, P., Ranron, T. & Sutti, P. (2021). The effect of self-Efficacy promoting program on breast self-examination behaviors. Journal of Vongchavalitkul University, 34(2), 56-70. (in Thai).
Wangmun, W., Pinchaleaw, D. & Keskomon, T. (2021). The effectiveness of self–efficacy enhancing program with line applicationon breast self-examination of nurses student Boromrajonnani Nursing College, Surin. Journal of Boromrajonnani College Nursing, Surin, 11(1), 1-14. (in Thai).
World Health Organization. (2020). Who report on cancer setting priorities, investing wisely and providing care for all. Switzerland.