Determinants of Adolescent Reproductive Health in West Java Indonesia: A Cross-Sectional Study

Abstract

The problem of adolescent reproductive health (ARH) in Indonesia is worrying, especially regarding the Triad Adolescent Reproductive Health (Triad ARH) behavior. Many factors influence ARH behavior. This cross-sectional study explores the association factors between demographic factors, knowledge, and attitudes toward ARH behavior. Six hundred and sixty-eight junior high school and senior high school students were randomly selected from five public schools in Bandung Regency, West Java, Indonesia. The questionnaire used in this study consisted of four parts, namely: (1) demographic data of respondents; (2) knowledge including 20 questions used multiple choice questions; (3) attitude with 12 questions measured using the Likert scale; and (4) behaviors with seven questions measured using Likert scale. Results showed that gender (p = 0.006), age (p = 0.031), and level of education (p = 0.006) were associated with behavior toward ARH behavior, but knowledge (p = 0.582), religion (p = 0.628), ethnic (p = 0.276), and attitude (p = 0.094) were not associated with ARH behavior. Multivariate analysis showed that only gender (p < 0.010) significantly contributed to ARH behavior. Multivariate analysis showed that gender (OR: 2.168, 95% (CI: 1.204–3.904)) significantly contributed to ARH behavior. Based on the results, it can be concluded that the gender factor influences adolescent reproductive health behavior. This study provides further evidence that to promote positive ARH behavior’s among youth in West Java, Indonesia, gender should be put in place and be sustainable, using the media and the Internet and involving the collaboration of parents, teachers, and peers to improve adolescent reproductive health.

Factors Influencing Sexuality in Late Adolescence: A Qualitative Study on Heterosexual Adolescents’ Perspectives

“…The participants considered how sexual life plays a crucial role in their personal and social lives via its influence on physical, cognitive, psychosocial, and affective-motivational development. These findings seem to be consistent with other studies, which conclude that the most important factors in an individual's sexual development and maturation are the family, peer group, sexual education, and social contexts [16,17].…”

Comparing the effect of LINE-based and WhatsApp-based educational interventions on reproductive health knowledge, attitudes, and behaviors among Triad adolescents: A quasi-experimental study

“…The reliability measure yielded Cronbach’s alpha values of 0.87 for knowledge, 0.61 for attitude, and 0.63 for behavior. The validity was tested in 20 samples in previous research, resulting in values of 0.54–0.80 for knowledge, 0.43–0.65 for attitude, and 0.55–0.82 for behavior (Solehati et al, 2022 ).…”

“…Insufficient understanding and the pursuit of inaccurate information regarding ARH can have adverse effects on teenagers, manifesting as three fundamental risks known as the “Triad ARH.” These risks include sexuality, HIV/AIDS, and the utilization of illicit substances (National Population and Family Planning Board, 2012 ). Insufficient understanding is identified as a contributing factor to the occurrence of the Triad ARH (Solehati et al, 2022 ). The inequitable dissemination of ARH information will result in a lack of precise and reliable information available to young individuals (Kosasih et al, 2021 ).…”

Factors Associated with Risky Sexual Behavior for Adolescents at Senior High School

“…Adolescent reproductive health knowledge, attitude, and behaviors obtained Cronbach's alpha values of 0.87, 0.61, and 0.63, respectively. The validity values were 0.54-0.80, 0.43-0.65, and 0.55-0.82 (Solehati et al, 2022). Data were analyzed using chi-squared and Logistic Regression.…”