OBJECTIVESComplex 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.METHODSA 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.RESULTSThe 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.CONCLUSIONSSex 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.

No abstract

No abstract

Introduction:The majority of Indonesian labor force at rural area works in the agricultural sector that risk for health problems related to the interaction of farmer and environment. It is necessary to approach health care safety based on primary health care for to prevent and reduce the risks of accidents or illness. This study identifies farmer’s health problem and their factors for developing occupational health nursing model-based agricultural nursing at rural area of Jember.Methods: A cross-sectional study of 169 farmers was done to investigate sociodemographic, lifestyles, environment of living and worked, health status and health problem. Data collected by the self-administered the questionnaire, physical assessment, and blood test. The descriptive and comparative analyses include chi-square tests and logistic and multinomial regression analyses were used to assess the relationships between factors to the presence of health problems. Results: There was differences between sociodemographic, environment of living and worked and the health problems of farmers (p<0.05). Almost 37.9% of farmers is an illness. Among 28.5% of underweight and 9.5% of overweight that related to age, drink of coffee, and excess day of work. 62.6% of anemia that related to gender and smoking habit. Meanwhile, 45.2% of systolic hypertension and 35.8% diastolic hypertension that caused by worked of overload. Furthermore, 50.3% of pain on joint and bone related to age and recess of worked.Discussion: The health problems of farmers were characterized by the nutritional problem, anemia, hypertension, and pain that related to the sociodemographic environment of biologic, psychologic, and worked. An agricultural nursing model could be developed for assessment of related factors that formulated diagnoses of health problems on farmers at rural area. Introduction:The majority of Indonesian labor force at rural area works in the agricultural sector that risk for health problems related to interaction of farmer and environment. It is necessary to approach health care safety based on primary health care for to prevent and reduce the risks of accidents or illness. This study identifies farmer’s health problem and their factors for developing occupational health nursing model-based agricultural nursing at rural area of Jember.Methods: A cross-sectional study of 169 farmers was done to investigate sociodemographic, lifestyles, environment of living and worked, health status and health problem. Data collected by the self administered questionnaire, physical assessment, and blood test. The descriptive and comparative analyses include chi-square tests and ogistic and multinomial regression analyses were used to assess the relationships between factors to the presence of health problems. Results: There was differences between sociodemographic, environment of living and worked and the health problems of farmers (p<0.05). Almost 37.9% of farmers is illness. Among 28.5% of underweight and 9.5% of overweight that related to age, drink of coffe, and excess day of work. 62.6% of anemia that related to gender and smoking habit. Meanwhile, 45.2% of sistolic hypertension and 35.8% diastolic hypertension that caused by worked of overload. Furthermore, 50.3% of pain on join and bone related to age and recess of worked. Discussion: The health problems of farmers was characterized of nutritional problem, anemia, hypertension, and pain that related to sociodemographic environment of biologic, psychologic, and worked. Agricultural nursing model could be develop for assessesment of related factors that formulated diagnoses of health problems on farmers at rural area.

No abstract