Relationship between Knowledge, Attitude, and Behavior on Head and Neck Cancer among Health Workers and Community in Bandung, Indonesia

Yussy Afriani Dewi, Ifiq Budiyan Nazar

Abstract


Head and neck cancer is the sixth most common cancer in the world with increasing incidence and mortality in the last three decades. The hidden location of head and neck tumors and their atypical symptoms cause difficulties in diagnosis. Most patients are first diagnosed at an advanced stage. Several factors allegedly related to the incidence of head and neck cancer are knowledge and attitude of the public on early detection of cancer. This study aimed to determine the relationship between knowledge, attitude, and behavior of health workers and community towards head and neck cancer in Bandung, Indonesia. This was a cross-sectional analytical descriptive study using chi-square test as the statistical test. Subjects for this study were sampled using the proportional cluster random sampling on health care workers and community in 30 community health centers in Bandung City during the period of July–August 2019. Data were obtained through a questionnaire distributed to the subjects. This questionnaire included items on knowledge, attitude, and behavior towards head and neck cancer. Of the 650 respondents, most were 40-49 years old (25%), female (62,2%), patients (74%), high school (49%). The levels of knowledge and attitude have a significant relationship with the behavior of early detection of head and neck cancer (p=0.015). The awareness and knowledge of health workers and community on early detection of head and neck cancer are high in Bandung, Indonesia.

 


Keywords


Attitude, early detection, head and neck cancer, knowledge

Full Text:

PDF

References


Siegel R, Naishadham D, Jemal A. Cancer statistics, 2013. CA Cancer J Clin. 2013; 63(1):11–30.

Gupta B, Johnson NW, Kumar N. Global epidemiology of head and neck cancers: A continuing challenge. Oncology. 2016:91(1):13–23.

Heroiu AD, Danciu CE, Popescu CR. Multiple cancers of the head and neck. Maedica Journal of Clinical Medicine. 2013;8(1):80–5.

Tobungan N, Wijayanti N. Epidemiologi, Stadium, dan Derajat Diferensiasi Kanker Kepala dan Leher. Biogenesis. 2015;3:47–52

Ferlay J, Steliarova-Foucher E, Lortet-Tieulent J, Rosso S, Coebergh JW, Comber H, et al. Cancer incidence and mortality patterns in Europe: estimates for 40 countries in 2012. Eur J Cancer. 2013;49(6):1374–403.

Mishra A, Meherota R. Head and Neck Cancer: Global burden and regional trends in India. Asian Pac J Cancer Prev. 2014;15:537–50.

World Health Organization (WHO). Global cancer observatory: Indonesia, 2020 [cited 2020 Dec 21]. Available from: URL: https://gco.iarc.fr/today/data/factsheets/populations/360-indonesia-fact-sheets.pdf.

Nathania N, Dewi YA, Permana AD. Profile of head neck cancer patients from 2013-2018 at Dr. Hasan Sadikin General Hospital Bandung. ORLI. 2020;51(21):141–5.

Vaezi A, Grandis JR. Head and neck tumor biology. In: Johnson JT, Rosen CA, Newlands S, Amin M, Branstetter, Casselbrant M, et al, editor. Bailey’s Head and Neck Surgery-Otolaryngology. 5th ed. Vol 2. Philadelphia: Wolters Kluwer, Lippincott Williams & Wilkins. 2014. p. 1648–71.

Fitzmaurice C, Allen C, Barber RM, Barregard L, Bhutta Z, Brenner H, et al. Global, regional, and national cancer incidence, mortality, years of life lost, years lived with disability, and disability- adjusted life-years for 32 cancer groups, 1990 to 2015: A systematic analysis for the global burden of disease study. JAMA Oncol. 2017;3(4):524–48

Manickam A, Saha J, Ghosh D, Sengupta S, Biswas D, Basu SK, et al. Community awareness-A key to the early detection of head and neck cancer. Bengal Journal of Otolaryngology and Head Neck Surgery. 2016;24(1):7–14.

Dwojak S, Deschler D, Sargent M, Emerick K, Guadagnolo BA, Petereit D. Knowledge and screening of head and neck cancer among American Indians in South Dakota. Am J Public Health. 2015; 105(6):1155–60.

Bukhary S, Alreheli R, Albahiti MH, Al-Dabbagh RA, Al-Hazmi N, Alhazzazi T. Awareness and knowledge of head and neck cancer risk: Saudi adults know enough?. Journal of International Oral Health. 2020:22(3):226–30.

Bamhisoun MM, Alqahtani RS, Bogari DF, Al Hazmi N, Bukhary S, Jan AM, et al. Assessment of head and neck cancer knowledge and awareness levels among undergraduate dental students at King Abdulaziz University Faculty of Dentistry. J Dent Health Oral Disord Ther. 2017; 8(4):568–73.

Joshi P, Dutta S, Chaturvedi P, Nair S. Head and neck cancers in developing countries. Rambam Maimonides Med J. 2014;5:e0009.

Wimardhani YS, Warnakulasuriya S, Subita GP, Soegyanto AI, Pradono SA, Patoni N. Public awareness of oral cancer among adults in Jakarta Indonesia.J Investig Clin Dent. 2019;10(1):e12379.

Fles R, Indrasari SR, Herdini C, Martini S, Isfandiari A, Romdhoni AC, et al. Effectiveness of a multicentre nasopharyngeal carcinoma awareness programme in Indonesia. BMJ Open. 2016;6(3):e008571

Budiman, Riyanto A. Kapita selekta kuesioner pengetahuan dan sikap dalam penelitian kesehatan. Jakarta: Salemba Medika; 2013.

Wawan A, Dewi M. Teori dan pengukuran pengetahuan, sikap dan perilaku manusia. Yogyakarta: Nuha Medikar; 2011.

Kofi AK, Vormawor R, Vanderpuye VD, Opoku S. Knowledge, attitude and perceptions of head and neck radiotherapy in Ghana. World J Epidemiology Cancer. 2015;4(1):1–20.

Damayanti NA, Jati SP, Fatmasari EY. Analisis perbedaan tingkat kepuasan pasien terhadap mutu pelayanan rawat jalan puskesmas berstatus akreditasi utama dan paripurna di Kota Semarang. Jurnal Kesehatan Masyarakat. 2018;6(5):124–34.

Luryi AL, Yarbrough WG, Niccolai LM, Roser S, Reed SG, Nathan CAO, et al. Public awareness of head and neck cancers: a cross-sectional survey. JAMA Otolaryngol Head Neck Surg. 2014;140(7):639–46.

Ligier K, Dejardin O, Launay L, Benoit E, Babin E, Bara S, et al. Health professionals and the early detection of head and neck cancers: a population-based study in a high incidence area. BMC Cancer. 2016;16:456.

Conway DI, Brenner DR, McMahon AD, Macpherson LM, Agudo A, Ahrens W, Bosetti C, Brenner H, Castellsague X, Chen C, et al. Estimating and explaining the effect of education and income on head and neck cancer risk: INHANCE consortium pooled analysis of 31 case-control studies from 27 countries. Int J Cancer. 2015;136(5):1125–39.

McEachan RRC, Conner M, Taylor NJ, Lawton RJ. Prospective prediction of health-related behaviours with the theory of planned behaviour: A meta-analysis. Health Psychology Review. 2011;5(2):97–144.




DOI: https://doi.org/10.15395/mkb.v53n4.2480

Article Metrics

Abstract view : 390 times
PDF - 400 times

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


 


Creative Commons License
MKB is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License

 


View My Stats