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The high rate of premarital sexual behavior in male adolescents in Indonesia at risk for health problems. Families, especially parents, play a role in preventing premarital sexual intercouse. This study aims to determine the role of reproductive health information from families on premarital sexual behavior of male adolescents aged 15-24 years in Indonesia. This study is a further analysis of the 2017 IDHS-KRR data using a cross sectional design with a sample of 7,030 male adolescents who meet the criteria: male adolescents aged 15-24 years and unmarried. The results showed that about 11% of male adolescents had premarital sexual intercourse, while only 19.5% had received information on health issues from their families. Reproductive health information from family contribute to adolescent premarital sexual intercouse of male adolescents in Indonesia after being controlled by the level of education and reproductive health discussions with teachers. Adolescents who do not get reproductive health information from their families and have low education are nearly 4 times more likely to have premarital sexual intercourse compared to adolescents who get reproductive health information from their families, while adolescents who do not get reproductive health information from their families and are highly educated are 3.5 times more likely to have premarital sexual intercouse compared adolescents who get reproductive health information from their families. Adolescents who do not get information on reproductive health from their families and have never discussed with the teacher about reproductive health are nearly 4 times more likely to have premarital sexual intercourse than adolescents who get information on health care from their families, while adolescents who do not get information on reproductive health from their families and have had discussions with teachers about reproductive health have the opportunity 3.3 times for having premarital sexual intercourse compared to adolescents who get reproductive health information from their families. The hope is that the BKKBN through the GenRe program (PIK R / M, and BKR) can be further utilized by young men and teenage parents, especially fathers, while the PKPR program, the Ministry of Health needs to reach more young men in Indonesia so that it can help reduce the number of sexual behavior young men in Indonesia.
Based on IDHS 2017, there is an increase in the prevalence of premarital sexual intercourse among adolescents aged 15-24 years. IDHS 2017 as many as 8% of male adolescents and 2% of female adolescents have had sexual intercourse compared to the 2012 IDHS data as many as 7% of boys and 1% of female adolescents premarital sexual relations. This study aims to determine the effect of peers on premarital sexual relations behavior of adolescents aged 15-24 years in Indonesia using the IDHS 2017 with cross sectional design. Sample of 12,363 adolescents who meet the criteria for male adolescents and female aged 15-24 years, have currently dating, having peers, and having friends with premarital sexual experiences. Data were analyzed using multiple regression logistic tests using the SPSS program. The results showed that 8.4% of adolescents who are currently or have been dating have had premarital sexual intercourse and 21.9% of adolescents have had a bad influence on their peer sexual behavior. The results of the analysis show that there is peer influence on premarital sexual intercourse behavior, adolescents who get influence from their peer sexual behavior have 4 times the risk of having premarital sexual intercourse compared with adolescents who are not influenced by peers after being controlled by attitudes towards premarital sexual behavior, dating style and a history of alcohol consumption. Efforts are needed to increase youth involvement in more useful activities so that they can create a good social environment and can prevent adolescents from the sexual behavior of peers
Adolescents are part of the nation's next generation who have a big role in the progress of a nation. Characteristics of adolescents tend to have high curiosity, want to be recognized for their existence and unstable emotions, easily influenced by friends, prioritizing group solidarity, causing adolescents to be vulnerable to risky sexual behavior. This study aims to determine the effect of reproductive health knowledge on premarital sexual behavior of adolescents aged 15-24 years in Indonesia using the 2017 IDHS data. The design used in this study was cross sectional with a sample of 12,903 respondents who met the study inclusion criteria. The results showed that 44% of respondents who are currently or have been dating who have ever engaged in premarital sexual behavior and respondents who have low knowledge are 40.9%. The results of the multivariate analysis of the effect of knowledge of reproductive health on premarital sexual behavior found that respondents who had knowledge of low reproductive health had a risk of engaging in premarital sexual behavior by 0.8 times compared to those who had high knowledge after being controlled by peer influence.
The range of dating behavior from kissing on the lips to premarital sex is a stage of sexual contact that causes teenagers to engage in risky sexual behavior with their boyfriends, which can cause teenagers who are new to dating to have risky dating behavior (BKKBN, 2018). According to the SKAP KKBPK 2019, there were 3.8% of male teenagers and 1% of female teenagers in DKI Jakarta who admitted to having had premarital sexual relations while dating. This causes urban areas to have greater challenges in dealing with the problem of premarital sexual behavior. Factors that can influence teenagers' risky dating patterns are reproductive health knowledge, permissive attitudes, and peer interactions. The design of this research is quantitative, analytical research with a cross-sectional approach which aims to determine the role of reproductive health knowledge, permissive attitudes and peer interaction factors in the dating patterns of high school teenagers in DKI Jakarta in 2023. The population in this study is 10th and 11th grade students at SMAN 38 Jakarta and SMAN 90 Jakarta using stratified proportional random sampling. The results of the study showed that there was no significant relationship between reproductive health knowledge and risky dating patterns among adolescents. Apart from that, the role of permissive attitudes on adolescent dating patterns also does not have a significant relationship. However, there is a significant relationship between peer interactions and adolescent dating patterns. Therefore, it is recommended for educational institutions to improve their approach and understanding of negative relationships with students in order to prevent students from having risky dating patterns.
Reproductive health literacy refers to the ability to access, understand, evaluate, and apply reproductive health information appropriately to support healthy and responsible decision-making. In the digital era, social media has become a major source of information, including on reproductive health issues. Instagram @taulebih.id is an educational initiative designed to improve reproductive health literacy among adolescents. This study aimed to analyze the role of Instagram use activity and self-efficacy on adolescents’ reproductive health literacy. A cross-sectional design was employed with a sample of 255 female adolescents aged 18–24 years who were followers of @taulebih.id. Data were collected through an online questionnaire adapting the Social Media Activity Questionnaire (SMAQ), the Generalized Self-Efficacy Scale (GSES), and a validated reproductive health literacy questionnaire. The results showed that Instagram use activity was significantly associated with reproductive health literacy (p = 0.001). Self-efficacy was also significantly associated with reproductive health literacy (p = 0.001). Respondents with higher Instagram use activity and greater self-efficacy tended to have higher reproductive health literacy scores. Self-efficacy was found to have a stronger influence compared to Instagram use activity. These findings indicate that interventions to improve reproductive health literacy need to integrate the strengthening of adolescents’ self-efficacy and the optimization of social media use through active participation, relevant content, and interactive approaches. Cross-sectoral collaborative strategies are required to develop an effective, safe, and sustainable digital reproductive health education ecosystem that supports adolescents in making appropriate and responsible reproductive health decisions.
