Application of Theory of Planned Behavior on Sexual Behavior in Female Adolescents
Abstract
Background: In Indonesia, someone starts having a relationship for the first time in their teens. A woman starts having a relationship at the age of 15-17 years (33.3%). In addition, a man starts having a relationship at the age of 15 years (34.5 %). Sex behavior in adolescents had high consequences in physical and psychosocial health problems. The purpose of this study was to determine sexual behavior in female adolescents using Theory of Planned Behavior.
Subjects and Method: This was a cross-sectional study conducted in Bantul, Yogyakarta, from June to July 2019. A sample of 200 female adolescents was selected by sample using random sampling. The dependent variable was sexual behavior. The independent variables were intention, attitude, subjective norm, perceived behavioral control, behavioral belief, normative belief, and control belief. The data were collected by questionnaire and analyzed by path analysis.
Results: Positive sexual behavior in female adolescents was directly and positively affected by intention (b= 3.22; 95% CI= 1.46 to 4.97; p<0.001) and perceived behavioral control (b= 2.42; 95% CI= 1.23 to 3.61; p<0.001). Positive sexual behavior was indirectly affected by attitude, subjective norm, perceived behavioral control, behavioral belief, normative belief, and control belief.
Conclusion: Positive sexual behavior in female adolescents is directly and positively affected by intention and perceived behavioral control. It is indirectly affected by attitude, subjective norm, perceived behavioral control, behavioral belief, normative belief, and control belief.
Keywords: sexual behavior, adolescents, Theory of Planned Behavior, path analysis
Correspondence: Tri Ayu Setiowati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: triayu.setiowati@gmail.com. Mobile: 085329680266.
Journal of Health Promotion and Behavior (2019), 4(2): 126-136
https://doi.org/10.26911/thejhpb.2019.04.02.05
References
Ajzen I (2005). Attitudes, personality, and behavior (2nd edition). New York: Open University Press.
Azinar M (2013). Perilaku seksual pranikah berisiko terhadap kehamilan tidak diinginkan. Jurnal kesehatan masyarakat (KEMAS). 8(2): 153–160.
BKKBN (2012). Profil hasil pendataan keluarga 2011. Jakarta; Direktorat pelaporan dan statistik.
Kementerian Kesehatan RI (2015) Situasi Kesehatan Reproduksi Remaja. Pusat Data dan Informasi Kementerian Kesehatan RI. Retrieved from Retrieved from http://www.depkes.go.id.
Kumalaningrum M, Pamungkasari EP, Nurhaeni IDA (2017). Multilevel analysis on the predictors of safe sexual behavior among girl adolescents in karanganyar, central java. Journal of Health Promotion and Behavior. 2(4): 323–331. Retrieved from https://doi.org/10.26911/thejhpb.2017.02.04.04.
Lopez JR, Mukaire PE, Mataya RH (2015). Characteristics of youth sexual and reproductive health and risky behaviors in two rural provinces of Cambodia. Reproductive health, 1–12. Retrieved from https://doi.org/10.1186/s12978-015-0052-5
Ningsih WT, Purwanto H, Sumiatin T (2016). Pengaruh sikap remaja tentang perilaku seks dan niat remaja dalam melakukan perilaku seks beresiko. The Indonesian Journal of Health Science (TIJHS). 7(1): 48–53.
Ohee C, Purnomo W (2018). Pengaruh status hubungan berpacaran terhadap perilaku pacaran berisiko pada mahasiswa perantau asal papua di kota surabaya. The Indonesian Journal of Public Health (IJPH). 13(2): 268–280. Retrieved from https://doi.org/ 10.20473/ijph.vl13il.2018.268-280
Putri DAJ (2019). Studi deskriptif tentang pola asuh otoritatif, kontrol diri dan sikap remaja terhadap perilaku seks bebas. Biblio Couns: Jurnal Kajian Konseling dan Pendidikan. 2(2): 78–88. Doi: https://doi.org/10.30596/bibliocouns.v2i2.3230.
Rahmawati CD, Devy SR (2016). Social support which encourage premarital sex behavior in senior high school x adolescent in surabaya. Jurnal Promkes. 4(2): 129–139.
Ramdhani N (2011). Penyusunan alat pengukur berbasis theory of planned behavior. Buletin Psikologi Fakultas Peikologi Universitas Gadjah Mada. 19(2): 55–69.
Sari DN, Darmana A, Muhammad I (2018). The effect of predisposition factors, allows, and supporters to sexual behavior of adolescent at asuhan daya senior high school Medan. Jurnal Kesehatan Global. 1(2): 53–60.
Sumiatin T, Purwanto H, Ningsih WT (2017). The influence of teenagers; perception about sex behavior towards their interest in doing risky sex behavior. 8: 96–101. Retrieved from http://ejournal.umm.ac.id/index.php/keperawatan/issue/view.
Suryoputro A, Ford NJ, Shaluhiyah Z (2006). Faktor-faktor yang mempengaruhi perilaku seksual dan layanan kesehatan seksual dan reproduksi. Makara Kesehatan. 10(1): 29–40.
Susanto BNA, Nurhaeni IDA, Pamungkasari EP (2018). Do schools affect unsafe sexual behaviors among high school students in boyolali, central java? A multilevel analysis approach. Journal of Health Promotion and Behavior. 4(2): 230–239. Retrieved from https://doi.org/10.26911/thejhpb.2018.03.04.02.
Tarmidi M, Demartoto A, Pamungkasari EP (2018) Factors associated with premarital sexual behavior among adolescents in Bima, West Nusa Tenggara: Theory of planned behavior. Journal of Health Promotion and Behavior. 3(1): 78-85. Retrieved from https://doi.org/10.26911/thejhpb.2018.03.01.08.
Yadav R, Pathak GS (2017). Determinants of consumers ‘green purchase behavior in a developing nation: applying and extending the theory of planned behavior. Ecological economics. 134, 114–122. Retrieved from https://doi.org/10.1016/j.ecolecon.2016.12.019
Yudhaprawira MR, Uyun Z (2017). Kematangan beragama remaja akhir sebagai pelaku seksual pranikah. Jurnal Indigenous. 2(1): 49–59.