Adolescent Pregnancy Prevention Behavior in Indonesia: Internal and External Factors Influencing


  • Deswinda Deswinda Department of Nursing, Institute of Health Sciences of Payung Negeri, Pekanbaru, Indonesia
  • Rizanda Machmud Department of Public Health, Faculty of Medicine, Andalas University, Padang, Indonesia
  • Yusrawati Yusrawati Department of Obstetric and Gynecology, Faculty of Medicine, Andalas University, Padang, Indonesia
  • Ahmad Syafruddin Indrapriyatna Department of Industrial Engineering, Faculty of Engineering, Andalas University, Padang, Indonesia
  • Bayhakki Bayhakki Department of Medical-Surgical Nursing, Faculty of Nursing, Riau University, Indonesia



internal factors, external factors, prevention, teenage pregnancy


BACKGROUND: The reasons behind teenage pregnancy and marriage in Indonesia are the lack of life skills and low self-efficacy. Teenagers with a lack of life skills are more likely to be influenced by their peers, in this case, to have sex before marriage. Teenage pregnancy often leads to a high rate of maternal and infant mortality and high-risk infants.

AIM: This study aimed to identify internal and external factors influencing adolescent pregnancy prevention behavior.

METHODS: This quantitative study with a cross-sectional design recruited 398 adolescents using a multistage sampling technique. Chi-square test and logistic regression test were employed with p < 0.05.

RESULTS: The odds ratio (OR) value from the exponent β with confidence interval 95%. More than half of respondents (64%) have behavior that might lead to teenage pregnancy, with both male and female respondents having equal risk (p = 0.920). Variables of knowledge, attitudes, self-efficacy, life skills, and peer influence were associated with adolescent pregnancy prevention behavior as all of them have a p = 0.000. Moreover, peers were found to be the most influential variable of teenage pregnancy prevention behavior with the OR value of 3.84, the highest among other variables which meant adolescents receiving negative influence from their peers are 3.84 times more likely to conceive at a young age. Peers become the most dominant factor in determining adolescent behavior in preventing pregnancy.

CONCLUSION: Among the variables related to prevention behavior, peers were found to be the one that will primarily determine adolescent behavior in terms of pregnancy prevention.


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Loaiza E, Liang M. Adolescent Pregnancy: A Review of Evidence. New York: United Nations Population Fund; 2013.

World Health Organization. Adolescent Pregnancy. Geneva: World Health Organization; 2018.

Fuller TR, White CP, Chu J, Dean D, Clemmons N, Chaparro C, et al. Social determinants and teen pregnancy prevention: Exploring the role of nontraditional partnerships. Health Promot Pract. 2018;19(1):23-30. PMid:27913658

Center for Population Research and Development. Indonesia Demographic and Health Survey 2017: Adolescent Reproductive Health Key Indicators Report. Jakarta: National Population and Family Planning Board; 2018. jpssv27n3.0016

Ministry of Health. Information Data of Indonesian. Jakarta: Ministry of Health; 2015.

Decker M, Berglas N, Brindis C. A call to action: Developing and strengthening new strategies to promote adolescent sexual health. Societies. 2015;5(4):686-712. soc5040686

Koh H. The teen pregnancy prevention program: An evidencebased public health program model. J Adolesc Health. 2014;54(3 Suppl):S1-2. PMid:24560068

Brindis CD, Sattley D, Mamo L. From Theory to Action: Frameworks for Implementing Community-Wide Adolescent Pregnancy Prevention Strategies. San Francisco, CA: University of California, San Francisco, Bixby Center for Reproductive Health Research and Policy, Department of Obstetrics, Gynecology and Reproductive Sciences, and the Institute for Health Policy Studies; 2005. neurobiol.2001053

Polit DF, Beck CT. Nursing Research: Generating and Assessing Evidence for Nursing Practice. 9th ed. Philadelphia, PA: Lippincott, Williams & Wilkins; 2012.

Cleland J, Ingham R, Stone N. Illustrative Questionnaire for Interview-Surveys with Young People. Asking Young People about Sexual and Reproductive Behaviors. Illustrative Core Instruments; 2001. Available from: reproductivehealth/topics/adolescence/questionnaire.pdf. [Last accessed on 2018 Jun 30].

Shaffer DR, Kipp K. Developmental Psychology: Childhood and Adolescence. 9th ed. Belmont, CA: Cengage Learning; 2014.

Ziyane IS, Ehlers VJ. Swazi youths’ attitudes and perceptions concerning adolescent pregnancies and contraception. Health SA. 2006;11(1):31-42.

Brennan L, Mcdonald J, Shlomowitz R. Teenage births and final adult height of mothers in India, 1998-1999. J Biosoc Sci. 2005;37(2):185-91. s0021932003006515 PMid:15768773

Lohan M, Cruise S, O’Halloran P, Alderdice F, Hyde A. Adolescent men’s attitudes in relation to pregnancy and pregnancy outcomes: A systematic review of the literature from 1980-2009. J Adolesc Health. 2010;47(4):327-45. https://doi. org/10.1016/j.jadohealth.2010.05.005 PMid:20864002

Kakkad A, Trivedi M, Trivedi G, Raichandani A. Study for adolescent problem and psychology. J Evol Med Dent Sci. 2014;3(37):9564-74.

Kann L, Kinchen S, Shanklin SL, Flint KL, Hawkins, J, Harris WA, et al. Youth risk behavior surveillance-United States, 2013. Morb Mortal Wkly Rep. 2013;62(4):1-48.

Widman L, Choukas-Bradley S, Helms SW, Prinstein MJ. Adolescent susceptibility to peer influence in sexual situations. J Adolesc Health. 2016;58(3):323-9. jadohealth.2015.10.253 PMid:26794431

Choukas-Bradley S, Giletta M, Widman L, Cohen GL, Prinstein MJ. Experimentally measured susceptibility to peer influence and adolescent sexual behavior trajectories: A preliminary study. Dev Psychol. 2014;50(9):2221-7. https://doi. org/10.1037/a0037300 PMid:24999763

Deswinda D, Rizanda M, Yusrawati, Syafruddin IA. An analysis of the correlation between life skills and selfefficacy with the risk of teenage pregnancy. Indian J Public Health Res Dev. 2019;10(10):638-42. https://doi. org/10.5958/0976-5506.2019.02885.7

Deswinda, Machmud R, Yusrawati, Indrapriyatna AS. The Titeer game as an effort to prevent teen pregnancy. Enferm Clin. 2020;30:66-70.




How to Cite

Deswinda D, Machmud R, Yusrawati Y, Indrapriyatna AS, Bayhakki B. Adolescent Pregnancy Prevention Behavior in Indonesia: Internal and External Factors Influencing. Open Access Maced J Med Sci [Internet]. 2020 Sep. 2 [cited 2022 May 21];8(E):516-20. Available from:



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