The Effect of Internal and External Factors on Preventive Reproductive Health Behaviors in Adolescents, in Banjarmasin, Kalimantan
Abstract
Background: Many adolescents had engaged in unhealthy sexual behavior that can result in unintended health outcomes. In theory, the adolescent sexual behavior is influenced by a complex set of interactions between biology, genetics, individual perception, personality characteristics, and sociocultural norms and values. This study aimed to determine the influence of internal and external factors on preventive reproductive health behavior in adolescents, in Banjarmasin, Kalimantan, using Health Belief Model.
Subjects and Method: This was an analytic observational study with the cross-sectional design. The study was conducted at 10 senior high schools in Banjarmasin, Kalimantan. A total sample of 200 grade XI students was selected for this study by proportional stratified random sampling. The dependent variable was preventive reproductive health behavior. The independent variables were perceived susceptibility, perceived seriousness, perceived threat, perceived benefit, perceived barrier, self-efficacy, the role of parents, peer role, and information access. The data were collected by questionnaire and analyzed by path analysis.
Results: The strong role of parents (b=0.05; SE= 0.01; p<0.001), perceived benefit (b=0.06; SE= 0.02; p=0.006), perceived threat (b=0.10; SE= 0.02; p<0.001), self-efficacy (b=0.13; SE= 0.01; p<0.001), and peer role (b=0.06; SE= 0.01; p<0.001) positively affected preventive reproductive health behavior. Perceived barrier (b= -0.03; SE= 0.01; p=0.026) negatively affected preventive reproductive health behavior. Perceived threat increased with increasing role of parents (b=0.05; SE= 0.02; p= 0.059), perceived susceptibility (b=0.21; SE= 0.05; p<0.001), perceived seriousness (b=0.10; SE= 0.04; p= 0.015), and self efficacy (b= 0.13; SE= 0.06; p= 0.040). Perceived barrier decreased with improving access of information (b=-0.16; SE= 0.05; p= 0.004). Perceived benefit increased with improving access of information (b=0.09; SE= 0.04; p= 0.030) and perceived susceptibility (b=0.20; SE= 0.06; p= 0.002). Perceived susceptibility (b=0.13; SE= 0.04; p= 0.004), perceived seriousness (b=0.10; SE= 0.05; p= 0.057), and self efficacy (b=0.09; SE= 0.03; p= 0.006) increased with access of information. Self efficacy increased with stronger role of parents (b=0.06; SE= 0.02; p= 0.018), and peer role (b=0.07; SE= 0.04; p= 0.062).
Conclusion: Preventive reproductive health behavior among adolescents is affected by the role of parents, perceived of threat, self-efficacy, peer role, perceived of benefit, and perceived of a barrier. Health belief model can predict health preventive behavior.
Keywords: Preventive behavior, reproductive health, health belief model, internal and external factors
Correspondence: Azura Arisa, Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: azura.syakura@gmail.com.
Journal of Health Promotion and Behavior (2017), 2(4): 350-358
https://doi.org/10.26911/thejhpb.2017.02.04.07
References
BKKBN (2012). Survei Demografi dan Kesehatan Indonesia 2012: Kesehatan Reproduksi Remaja. Jakarta:
_____ (2013). Remaja Genre dan Perkawinan Dini. Jakarta: Direktorat Remaja dan Perlindungan Hak-hak Reproduksi.
BKKBN Provinsi Kalimantan Selatan (2013). Perilaku Seksual Remaja di Kota Banjarmasin. Diakses pada tanggal 20 05 2017 online dengan http://kalsel.bkkbn.go.id/.
Chàvez NR, Shearer LS, Rosenthal SL (2013). Use of Digital Media Technology for Primary Prevention of STIs/HIV in Youth. North American Society for Pediatric and Adolescent Gynecology. http://dx.doi.org/10.1016/j.jpag.2013.07.008.
Cattelino E, Glowacz F, Born M, Testa S, Bina M, Calandri E (2014). Adolescent Risk Behaviours and Protective Factors Against Peer in Fl Uence. Journal of Adolescence. 37(8): 1353–1362. doi: 10.1016/j.adolescence.2014.09.013.
Didarloo A, Nabilou B, Khalkhali HR (2017). Psychosocial Predictors of Breast Self Examination Behavior among Female Students: An Application of the Health Belief Model Using Logistic Regression. BMC Public Health, 1–8. doi: 10.1186/s1288901748809.
Harris A (2016). Parent-Adolescent Sexual Communication. Nursing for Women’s Health, 20(2): 211–217. doi: 10.1016/j.nwh.2016.01.002.
Markazi L, Badrigargari R (2011). Social and the Role of Parenting SelfEfficacy and Parenting Styles on SelfRegulation Learning in Adolescent Girls of Tabriz. BMC Public Health, 1758–1760. doi: 10.1016/j.sbspro.2011.10.339.
Marmarà D, Marmarà V, Hubbard G (2017). Health Beliefs, Illness Perceptions and Determinants of Breast Screening Uptake in Malta: A Cross-Sectional Survey. BMC Public Health, 1–19. doi: 10.1186/s1288901743246.
Mmari K, Sabherwal S (2013). Review article a Review of Risk and Protective Factors for Adolescent Sexual and Reproductive Health in Developing Countries: An Update. Journal of Adolescent Health, 53(5): 562–572. doi: 10.1016/j.jadohealth.-2013.07.018.
Noegroho A, Hariadi SS, Priatamtama PW (2015). Faktor-faktor Pengaruhi Perilaku Kesehatan Reproduksi Remaja Kabupaten Bannyumas. Kawis-tara, 5(1): 1-98.
Radar Banjarmasain (2016). Kisah Leng-kap: Aksi Mesum di HalamanMasjid Raya Sabilal Muhtadin Banjarmasin Kalsel. Di akses pada tanggal 20 05 2017 online dengan http://kalsel.-prokal.co/read/news/1407-kisah-lengkap-aksi-mesum-di-halaman-masjid-raya-sabilal-muhtadin-banjarmasin-kalsel.html.
Ruben (2013). Communication and Hu-man Behaviour. 5th Edition. Ja-karta: Rajawali Pers.
Sidze EM, Defo BK (2013). Effects of Parenting Practices on Sexual Risk-Taking among Young People in Cameroom. BMC Public Health, 13: 616.
Thompson HM, Stevenson A, Cooley ME. (2016). Children and Youth Services Review Self-esteem: A Mediator Between Peer Relationships and Behaviors of Adolescents In Foster Care. Children and Youth Services Review, 66: 109–116. doi: 10.1016/-j.childyouth.2016.05.003.
Wheeler SB (2010). Effects of Self-Esteem and Academic Performance on Adolescent Decision-Making: An Examination of Early Sexual Intercourse and Illegal Substance Use. Journal of Adolescent Health, 47(6): 582–590. doi:10.1016/j.-jadohealth.2010.04.009.
Word Health Organization. (2015). Global Health Observatory (GHO) Data: Adolescent Birth Rate.
