Structural Model of Knowledge and Attitude Towards Testicular Self-Examination Behavior Among Adolescents
DOI:
https://doi.org/10.37287/ijghr.v8i1.461Keywords:
adolescents, attitudes, behavior, knowledge, testicular self-examinationAbstract
Adolescent reproductive health, particularly among males, remains a sensitive and rarely discussed issue. Testicular Self-Examination (TSE) is a simple and effective method for the early detection of testicular cancer; however, awareness and practice among adolescents are still very low, especially in Aceh. This study aimed to analyze the factors influencing knowledge, attitudes, and behavior regarding TSE among male adolescents. A quantitative cross-sectional study was conducted from July to August 2025 among 422 junior high school students aged 14–17 in Aceh, selected through a stratified random sampling method. Data were collected using validated and reliable questionnaires and analyzed with PLS-SEM. The results showed that age and access to TSE information significantly influenced knowledge and attitudes, while general reproductive health information had no significant effect. Knowledge and attitudes significantly predicted TSE behavior, explaining 58.8% of the variance. These findings highlight the need for schools to integrate reproductive health education through outreach programs, posters, and curriculum content to improve adolescent knowledge, foster positive attitudes, and encourage regular TSE practices for early detection of testicular cancer.
References
Ajzen, I. (2020). The theory of planned behavior: Frequently asked questions. Human Behavior and Emerging Technologies, 2(4), 314-324.https://doi.org/10.1002/hbe2.195
Amertil, N. P., Amponsem-Boateng, C., Ayitey, E. K., Kpongboe, D. G., & Igman, P. (2024). Awareness, Practice and Intention to Practice Testicular Self-Examination among Professional Working Males in Ghana. Journal of Cancer Therapy, 15(10), 331-345. https://doi.org/10.4236/jct.2024.1510032
Batubara, J. R. (2016). Adolescent Development (Perkembangan Remaja). Sari Pediatri, 12(1), 21. https://doi.org/10.14238/sp12.1.2010.21-9
De Jonge, C. J., Barratt, C. L. R., Aitken, R. J., Anderson, R. A., Baker, P., Chan, D. Y. L., Connolly, M. P., Eisenberg, M. L., Garrido, N., Jørgensen, N., Kimmins, S., Krausz, C., McLachlan, R. I., Niederberger, C., O'Bryan, M. K., Pacey, A., Priskorn, L., Rautakallio-Hokkanen, S., Serour, G., … Vazquez-Levin, M. H. (2024). Current global status of male reproductive health. Human Reproduction Open, 2024(2), hoae017. https://doi.org/10.1093/hropen/hoae017
Demir, B., & Türkben Polat, H. (2022). The effect of testicular cancer and testicular self-examination on knowledge, attitude and health beliefs in university students in Turkey. Journal of Health Research, 36(3), 494-502. https://doi.org/10.1108/JHR-05-2020-0185
Dhakal, R., Paudel, S., & Paudel, D. (2021). Knowledge, Attitude, and Practice regarding Testicular Cancer and Testicular Self‐Examination among Male Students Pursuing Bachelor's Degree in Bharatpur Metropolitan City, Chitwan, Nepal. BioMed Research International, 2021(1), 1802031. https://doi.org/10.1155/2021/1802031
Donné, L., Jansen, C., & Hoeks, J. (2017). Uncovering Factors Influencing Interpersonal Health Communication. Global Qualitative Nursing Research, 4, 2333393617711607. https://doi.org/10.1177/2333393617711607
Etita, E. R., Olaide, E. B., Mombel, O. M., & Edeyo, U. A. (2017). Knowledge, attitude and practice of testicular self-examination among male undergraduate students in a tertiary institution in Calabar, Cross River State Nigeria. Journal of Nursing and Health Science, 6(3), 48-54. https://doi.org/10.9790/1959-0603024854
Gümüş, K., & Terzi, B. (2018). Evaluation of individuals' health beliefs and their association with testicular self-examination: adult sample from Amasya. Journal of Research in Nursing : JRN, 23(6), 505-517. https://doi.org/10.1177/1744987118791337
Guven, S. D. (2020). The knowledge, attitudes, and behaviors of university students regarding testicular cancer and testicular self-examination: a descriptive study from Turkey. Innovative Journal of Medical and Health Science, 10(2), 828-834.
Hidayat, A., Solo, D. M., & Pascayantri, A. (2025). Edukasi Kesehatan Reproduksi Pada Remaja Di Sman 12 Kendari Sebagai Upaya Meningkatkan Pengetahuan Tentang Kesehatan Reproduksi. Mosiraha: Jurnal Pengabdian Farmasi, 3(1), 7-14.
Khani Jeihooni, A., Jormand, H., Ansari, M., Afzali Harsini, P., & Rakhshani, T. (2021). The effect of educational intervention based on health belief model and social support on testicular self-examination in sample of Iranian men. BMC Cancer, 21(1), 685. https://doi.org/10.1186/s12885-021-08411-5
Korkmaz, M., Yildirim, T., Altun, E., Uzun, S., & Kayalar, A. (2025). The effect of testicular self-examination education on health beliefs in adult men: a systematic review and meta-analysis. World Journal of Urology, 43(1), 1-11. https://doi.org/10.1007/s00345-025-05877-x
Lee, C.-J. (2009). The Interplay between Media Use and Interpersonal Communication in the Context of Healthy Lifestyle Behaviors: Reinforcing or Substituting? Mass Communication & Society, 13(1), 48-66. https://doi.org/10.1080/15205430802694869
Lubis, S. (2025). Kesehatan Reproduksi. Takaza Innovatix Labs.
Mei-mei, H., Rui-jun, L. U. O., Su-fen, H. E., Feng-ju, C. A. O., Shan, Y. U. E., & Xue-qiong, X. U. (2024). A Survey of Awareness and Practice of Testicular Self-Examination among Male Medical Students in Wuhan. Journal of International Reproductive Health/Family Planning, 43(4), 289.
Milecki, T., Majchrzak, N., Balcerek, A., Rembisz, M., Kasperczak, M., & Antczak, A. (2021). Attitudes about testicular self-examination among Polish males. Biology, 10(3), 239. https://doi.org/10.3390/biology10030239
Nito, P. J. B., & Ariani, M. (2022). Edukasi Sadari Dan Satistri Upaya Peningkatan Pencegahan Permasalahan Reproduksi Pada Remaja. Prosiding Seminar Nasional Masyarakat Tangguh, 1(1), 1-11.
Peltzer, K., & Pengpid, S. (2015). Knowledge, attitudes and practice of testicular self-examination among male university students from Bangladesh, Madagascar, Singapore, South Africa and Turkey. Asian Pacific Journal of Cancer Prevention, 16(11), 4741-4743. https://doi.org/10.7314/APJCP.2015.16.11.4741
Rahimi-Naghani, S., Merghati-Khoei, E., Shahbazi, M., Khalajabadi Farahani, F., Motamedi, M., Salehi, M., Karimi, M., & Hajebi, A. (2016). Sexual and reproductive health knowledge among men and women aged 15 to 49 years in metropolitan Tehran. The Journal of Sex Research, 53(9), 1153-1164. https://doi.org/10.1080/00224499.2016.1148110
Redmond, N., Baer, H. J., Clark, C. R., Lipsitz, S., & Hicks, L. S. (2010). Sources of health information related to preventive health behaviors in a national study. American Journal of Preventive Medicine, 38(6), 620-627.e2. https://doi.org/10.1016/j.amepre.2010.03.001
Roy, Rachel Kathryn, & Casson, Karen. (2016). Attitudes Toward Testicular Cancer and Self-Examination Among Northern Irish Males. American Journal of Men's Health, 11(2), 253-261. https://doi.org/10.1177/1557988316668131
Sagir, F. N., & Altinel, B. (2023). Effects of information provided to university students through an educational brochure on health beliefs and testicular self-examination. Journal of Cancer Education, 38(2), 632-638. https://doi.org/10.1007/s13187-022-02166-8
Saleh, Z. T., Elshatarat, R. A., Sawalha, M. A., Khraim, F., Abdelkader, R., Saleh, A. M., Yacoub, M., Al-Za'areer, M. S., Alahmadi, H. A., & Tabar, N. A. (2024). Perception, knowledge, and factors influencing Saudi nursing students toward practicing testicular self-examination: A cross-sectional study. Journal of Education and Health Promotion, 13(1), 355. https://doi.org/10.4103/jehp.jehp_1627_23
Salonia, A., Bettocchi, C., Capogrosso, P., Carvalho, J., Corona, G., Dinkelman-Smit, M., Hatzichristodoulou, G., Jones, T., Kadioglu, A., Martinez-Salamanca, J. ., Minhas, S., Serefoglu, E. ., Verze, P., Boeri, L., Cocci, A., Falcone, M., Gül, M., Kalkanli, A., Morgado, L. ., … Smith, E. (2024). EAU Guidelines on Sexual and Reproductive Health. European Association of Urology, 74-86.
Santoso, A. A. (2022). Komunikasi Orang Tua dan Remaja mengenai Kesehatan Reproduksi dan Seksual: Tinjauan Literatur. Prepotif, 6(3), 1-9.
Sung, H., Ferlay, J., Siegel, R. L., Laversanne, M., Soerjomataram, I., Jemal, A., & Bray, F. (2021). Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians, 71(3), 209-249. https://doi.org/10.3322/caac.21660
Susilowati, E., Izah, N., & Rakhimah, F. (2023). Pengetahuan Remaja dan Akses Informasi terhadap Sikap dalam Praktik Kesehatan Reproduksi Remaja. Jurnal Profesi Bidan Indonesia, 3(2), 1-8.
Tarapanjang, A., & Suwarno, M. L. (2024). Kesehatan Seksualitas dan Reproduksi bukan Tabu Lagi. Jurnal Pengabdian Masyarakat Bangsa, 2(5), 1342-1347.https://doi.org/10.59837/jpmba.v2i5.998
Triana, A., & Pandu, P. (2025). Edukasi Guru Tentang Kesehatan Reproduksi Remaja Berbasis Kesehatan dan Agama. Jurnal Medika: Medika, 4(3), 607-611.
Zeleke, S., Argaw, Z., & Kefale, D. (2019). Knowledge, attitude and practice towards testicular self-examination among regular undergraduate non-health sciences university students, Debre Tabor, Amhara Regional State, North West Ethiopia. Journal of Cancer Prevention & Current Research, 10(2), 35-41.https://doi.org/10.15406/jcpcr.2019.10.00388
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