Epidemiol Health.
2016;38:e2016041. 10.4178/epih.e2016041.
Prevalence of factors related to active reproductive health behavior: a cross-sectional study Indonesian adolescent
- Affiliations
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- 1Department of Health Development Nursing, Division of Health Sciences, Graduate School of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Japan.
- 2Family and Community Health Nursing Department, School of Nursing, University of Jember, Jember, Indonesia.
- 3Maternity Nursing Department, School of Nursing, University of Jember, Jember, Indonesia.
- 4Mental Health Nursing Department, School of Nursing, University of Jember, Jember, Indonesia.
- 5Family and Community Health Nursing Department, School of Nursing, Hasanudin University, Makasar, Indonesia.
- 6Department of Health Development Nursing, Division of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Japan.
- 7Department of Clinical Nursing, Division of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Japan. junkosgm@mhs.mp.kanazawa-u.ac.jp
- 8Wellness Promotion Sciences Center, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Japan.
- KMID: 2380731
- DOI: http://doi.org/10.4178/epih.e2016041
Abstract
OBJECTIVES
Complex and diverse factors are related to reproductive health (RH) behavior among adolescents according to the social and cultural context of each countries. This study examined the prevalence of active RH and factors related to active RH behavior among Indonesian adolescents.
METHODS
A cross-sectional study was conducted among 1,040 of students who were selected through a multi-stage random sampling technique. A self-administered questionnaire was developed, including the World Health Organization Illustrative Questionnaire for Interview-Surveys with Young People, pubertal development scale, and sexual activity scale, modified in accordance to the Indonesian context. The data were analyzed using descriptive and comparative statistics, as well as logistic regression analyses.
RESULTS
The prevalence of active RH behavior were more higher in boys (56.6%; 95% confidence interval [CI], 50.6% to 62.6%) than in girls (43.7%; 95% CI, 37.6% to 49.8%). Negative attitudes towards RH were a factor related to active RH behavior in both boys and girls. Smoking and kind relationship envisioned before marriage (pacaran [courtship] and nikah siri [non-registered marriage]) were factors related to active RH behavior in boys; whereas the absence of access to information on substance abuse was an additional factor in girls. Moreover, an interaction was found between access to information on development and smoking (boys) and attitudes on RH (girls) as independent variables associated with active RH behavior.
CONCLUSIONS
Sex education for adolescents in Indonesia, particularly in the context of a health promotion program, should be developed based on prevalent social, cultural, and religious values to prevent active RH behavior. Such programs should focus on the kind of relationship envisioned before marriage and smoking for boys and access to information on subtance abuse for girls.
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