Determinants of BECA (breasts examination for cancer awareness) mobile application use

Abstract

Aims

Developed in 2020, the breasts examination for cancer awareness (BECA) mobile application is an Android-based application aiming to support healthcare by providing information related to breast neoplasms, breast self-examination (BSE), and early detection. The app also has an adjustable reminder system. This study aims to analyse the determinants of BECA mobile application adoption among women of childbearing age.

Methods

This research is quantitative with a descriptive analysis design. The population consisted of 81 women aged 15–49 selected using the total population sampling method. The data were collected in Indonesia between August and September 2021 using questionnaires through the application system. The data were processed using univariate, bivariate, and multivariate analyses.

Results

The majority of the respondents were 21–30 years old (39.5%), were students (53.1%), lived in the Special Region of Yogyakarta (DIY) (53.1%), graduated from senior high school (51.9%), had menarche in early adolescent age (98.8%), and were married (59.3%). Three external determinants of using BECA application for BSE were the support from healthcare providers (p = 0.024), community leaders (p = 0.006), and spiritual leaders (p = 0.038). Meanwhile, all internal factors drive the use of BECA application in BSE practice (p < 0.05). Among the seven domains, the benefit is the most significant factor influencing BSE practice among respondents (p = 0.016).

Conclusion

There are seven determinants of using the BECA application for BSE among women of childbearing age, including support from health workers, community leaders, and spiritual leaders, as well as the system's quality, information, service, and benefits. From all of these factors, the benefits are the strongest determinant of using the BECA mobile application for BSE among women of childbearing age.