| dc.description.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. | en_US |
