Multivariate Analysis Of The Effectiveness Of School-Base Reproductive Health Promotion Programs For Early Adolescents

Abstract

Religiosityis one of protective factor toward adolescents’ risked behavior. It is so important to teach them the religious value to family. The understanding of reproductive health will be easier to be received by adolescents and society if the process of delivering the content always consider the values and norm held by society. The previous research finding has been developed to a school-based reproductive health promotion for younger adolescents who have not faced akhil baliq (menarche or semenarche)with religious values approach known as Program Remaja Religi Sadar Reproduksi(Religious adolescents aware reproductive issue) or simply called as “Perisai Khatulistiwa (Borneo Shield)”. This program is one of school-based reproductive health promotion that promote reproductive health with Islamic values approach. This study was aimed to know the effectiveness of this program toward adolescents’ knowledge about adolescents’ reproductive health. Quantitative studies with quasi-experimental research design, non-equivalent control group design. Data collection techniques used is purposive sampling, n = 60, at four schools, n = 30 in the two schools as the intervention group and n = 30 in the two schools as a control group. Quantitative analysis used multiple linear regression. Multivariate analysis found that the program is effective on increasing adolescents’ knowledge of reproductive health p = 0.000 (p <0.05) coefficients B 21.56 (95% CI 19.38 to 23.75). Another factor influencing the knowledge of reproductive health are siblingsp = 0.03 (p <0.05) coefficients B -1.35 (95% CI -2.55-0,12) and extracurricular activities at school p = 0.04 (p <0.05) coefficients B 0.41 (95% CI 0.01 to 0.80). The study recommended model of school-based reproductive health promotion approach to Islam named “Program Remaja Religi Sadar Reproduksi” (Religious adolescents aware reproductive issue)” with abbreviated “PerisaiKhatulistiwa (Borneo Shield)”. This program has affected the knowledge about reproductive health, among adolescents.

Sexual education for adolescent autism spectrum disorders: an interpretative phenomenological analysis

“…Sexual education is not only about the stages of adult sexual intercourse, but more important than that is education about integration of feelings, body parts that must be protected from unwanted touches, physical changes, mental and emotional changes, hygiene during menstruation and self-care related to the development of sex secondary to adolescents. 12,39 Some efforts that parents can do are still limited to general activities such as prohibiting children from engaging in sexual acts. In expressing the feelings of adolescents with ASD towards the opposite sex and mentioning body parts that should not be touched by others.…”

“…In adolescence, an individual with ASD will experience sexual development that is no different from adolescents in general, such as secondary sex development, namely hair growth in the armpits, genitals, mustache, nocturnal orgasm in boys and menstruation in girls. 4,[10][11][12] ASD is a comprehensive developmental disorder that occurs in children that affects the skills of thinking, behaving, behaving and repeating movements with an increase in the incidence of the fastest cases in the world. 9,[13][14][15][16] Data from WHO in 2019 revealed that at present 1 out of 160 children in the world is detected ASD.7 This data is supported by a report from the CDC in 2018 which revealed that currently there has been an increase of 15% in the world's ASD population.…”

“…19 Increased cases and the unpreparedness of adolescents with ASD in dealing with this stage of adolescence can result in anxiety that can worsen the condition of ASD sufferers and the repetition of the burden that continues to occur in parents. 4,[10][11][12]20,21 The absence of sexual education programs for adolescents with ASD makes parents the primary agent in meeting the sexual development needs of ASD adolescents, amid limited information and support felt by parents, lack of experience in providing sexual education to ASD adolescents, low levels of parental confidence, confusion about when and the right way to start providing sexual education, as well as concerns about the appropriateness of sexual education provided. 1,4,[22][23][24][25][26] This study aims to explore the experience of parents in providing sexual education to children or adolescents with ASD.…”