Peer Education and Sexual Risk Behavior Among Adolescents: Does Urban Status Matter?

Sri Sumaryani; Sri Andini Widya Ningrum; Titi Savitri Prihatiningsih; Fitri Haryanti; Agus Gunadi

doi:10.3889/oamjms.2021.5818

Authors

Sri Sumaryani Department of Maternity Nursing, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesi; Department of Maternity Nursing, School of Nursing, Universitas Muhammadiyah Yogyakarta, Bantul, Indonesia
Sri Andini Widya Ningrum Department of Maternity Nursing, School of Nursing, Universitas Muhammadiyah Yogyakarta, Bantul, Indonesia
Titi Savitri Prihatiningsih Department of Pediatric and Maternity Nursing, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
Fitri Haryanti Department of Pediatric and Maternity Nursing, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
Agus Gunadi Department of Clinical Epidemiology, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2021.5818

Keywords:

Adolescent, Peer education, Sexual risk behavior, Urban

Abstract

BACKGROUND: As a result of elevated sexual risk behaviors among teenagers, millions of adolescents face sexual and reproductive health challenges, including high rates of an unfulfilled need for contraceptives, unintended pregnancy, and unsafe abortion. To develop their skills and prevent adolescent sexual activity from being unsafe, especially in urban areas, teachers and peers were advised that teaching adolescents about reproductive health should be carried out at any school.

AIM: This study aims to evaluate the effect of peer education on the prevention of adolescent activity at sexual risk in urban areas.

METHODS: This research was a pre-experimental quantitative approach with a one-group pre-post-test model. The survey used in this study had 63 respondents. Samples were collected using a purposeful sampling process. The research was conducted in April at SMP Negeri X Yogyakarta until June 2017. In this analysis, the independent variable was peer education, while the dependent variable was the prevention of sexual risk activity among adolescents.

RESULTS: The Wilcoxon sign-rank test data analysis showed that there were no significant differences in the prevention of sexual risk behavior among adolescents in urban areas at pre- and post-sexual education through p-value peer education = 0.086.

CONCLUSION: There is no significant impact on reducing adolescent sexual risk behaviors in urban areas through peer education. The media may significantly influence the prevention of the conduct of urban adolescents at sexual risk. To prevent sexual risk behavior among adolescents in an urban environment, further research is recommended to find the best intervention using more profound internal and external relevant variables and media impact association study.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Peltzer K, Peltzer K, Pengpid S, Pengpid S. Sexual risk behaviour and its correlates among adolescents in Indonesia, Laos, Thailand and Timor-Leste: Results from national school surveys in 2015. Int J Adolesc Med Health. 2020;1. https://doi.org/10.1515/ijamh-2019-0230 PMid:32549165

Simak VF, Fitriyani P, Setiawan A. The relationships between risky sexual practices and spiritual intelligence of adolescents in Indonesia. Compr Child Adolesc Nurs. 2019;42(1):73-81. https://doi.org/10.1080/24694193.2019.1578298 PMid:31192724

Pedrana AE, Pina J, Padmawati RS, Zuhrina R, Lazuardi L, Lim MS, et al. A quasi-experimental text messaging trial to improve adolescent sexual and reproductive health and smoking knowledge in Indonesia. Sex Health. 2020;17(2):167-77. https://doi.org/10.1071/sh18199 PMid:32017868

BKKBN. Survei Demografi dan Kesehatan: Kesehatan Reproduksi Remaja 2017, Badan Kependudukan dan Keluarga Berencana Nasional; 2018. p. 1-606. https://doi.org/10.31219/osf.io/eukbj

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. 2020;8(E):516-20. https://doi.org/10.3889/oamjms.2020.4946

Susanto T, Rahmawati I, Wantiyah W. A community-based friendly health clinic: An initiative adolescent reproductive health project in the rural and urban areas of Indonesia. Int J Nurs Sci. 2016;3(4):371-8. https://doi.org/10.1016/j.ijnss.2016.11.006

World Bank, Indonesia Data; 2020. Available from: https://www. data.worldbank.org/country/id. [Last accessed on 2020 Nov 27].

Kementrian Kesehatan Republik Indonesia, Hasil Utama Riset Kesehatan Dasar (RISKESDAS) 2018; 2018.

Skinner SR, Marino J, Rosenthal SL, Cannon J. A prospective cohort study of childhood behaviour problems and adolescent sexual risk-taking: Gender matters. Sex Health. 2016;14(6):48. https://doi.org/10.1071/sh16240

Wallace SA, Neilands TB, Phillips KS. Neighborhood context, psychological outlook, and risk behaviors among urban African American youth. Cultur Divers Ethnic Minor Psychol. 2017;23(1):56-69. https://doi.org/10.1037/cdp0000108 PMid:27281486

Bonar EE, Walton MA, Epstein-Ngo QM, Zimmerman MA, Blow FC, Cunningham RM. Two-year trajectories of sexual risk behaviors among drug-using adolescents and emerging adults in an urban community. AIDS Behav. 2017;21(7):2069-78. https://doi.org/10.1007/s10461-016-1570-z PMid:27714523

Amoo E, Adekeye OA, Omumu F, Akinpelu OO, Ajayi MP, Olawande T, et al. Drug use and high-risk sexual behavior among school-going adolescents in Nigeria. Open Access Maced J Med Sci. 2020;8(E):256-61. https://doi.org/10.3889/oamjms.2020.3290

Frye V, Nandi V, Egan JE, Cerda M, Rundle A, Quinn JW, et al. Associations among neighborhood characteristics and sexual risk behavior among black and white MSM living in a major urban area. AIDS Behav. 2017;21(3):870-90. https://doi.org/10.1007/s10461-016-1596-2 PMid:27817101

Peshevska DJ, Raleva M, Filov I, Sethi D, Jordanova T, HazdiHamza K, et al. Association between physical abuse, physical neglect and health risk behaviours among young adolescents: Results from the national study. Open Access Maced J Med Sci. 2014;2(2):384-9. https://doi.org/10.3889/oamjms.2014.066

Mathews C, Eggers SM, Townsend L, Aarø LE, de Vries PJ, Mason-Jones AJ, et al. “Effects of PREPARE, a multi-component, school-based HIV and intimate partner violence (IPV) prevention programme on adolescent sexual risk behaviour and IPV: Cluster randomised controlled trial. AIDS Behav. 2016;20(9):1821-40. https://doi.org/10.1007/s10461-016-1410-1 PMid:27142057

UNICEF, One is Too Many; 2016. p. 8-9.

Widyatuti W, Waluyanti FT, Mulyadi B, Nursasi AY. The influence of health training on teachers and students’ knowledge of adolescent reproductive health. Enferm Clin. 2018;28(2):332-6. https://doi.org/10.1016/s1130-8621(18)30180-3 PMid:30115359

Halida EM, Andriani F, Septiriani D. Effect of Premarital Sex Education with Peer Method to Improving Youth Knowledge and Attitude about Premarital Sexual Behavior at Vocational School ‘XY’ in Padang City, 1st Annual Conference of Midwifery; 2017. p. 36-42. https://doi.org/10.2478/9788366675087-006

Dutt S, Manjula M. Sexual knowledge, attitude, behaviors and sources of influences in Urban college youth: A study from India. Indian J Soc Psychiatry. 2017;33(4):319. https://doi.org/10.4103/0971-9962.218602

Scull TM, Kupersmidt JB, Malik CV, Keefe EM. Examining the efficacy of an mHealth media literacy education program for sexual health promotion in older adolescents attending community college. J Am Coll Health. 2018;66(3):165-77. https://doi.org/10.1080/07448481.2017.1393822 PMid:29068772

Scull TM, Kupersmidt JB, Malik CV, Keefe EM. Adolescents’ media-related cognitions and substance use in the context of parental and peer influences tracy. Bone. 2010;23(1):1-7.

M’imaita JG. Influence of Mass Media on Adolescents’ Expression of Sexuality and Sexual Behavior in Nairobi Province, Kenyatta University; 2005.

Maxwell KA. Friends: The role of peer influence across adolescent risk behaviors. J Youth Adolesc. 2002;31(4):267-77. https://doi.org/10.1023/a:1015493316865

Djannah SN, Sulistyawati S, Sukesi TW, Mulasari SA, Tentama F. Audio-visual media to improve sexual-reproduction health knowledge among adolescent. Int J Eval Res Educ. 2020;9(1):138-43. https://doi.org/10.11591/ijere.v9i1.20410

Bleakley A, Ellithorpe ME, Hennessy M, Khurana A, Jamieson P, Weitz I. Alcohol, sex, and screens: Modeling media influence on adolescent alcohol and sex co-occurrence. J Sex Res. 2018;54(8):1026-37. https://doi.org/10.1080/00224499.2017.12 79585 PMid:28276932

Common Sense, The Common Sense Census: Media Uses by Tweens and Teens; 2012.

Zikri MR. Analysis of the impact of noise on communication and concentration of student learning on a busy road traffic. Journal of Wetland Environmental Technology. 2015;3(1):1–10. https:// doi.org/10.26418/jtllb.v3i1.11913

Eriksen W. Facing Puberty: Exploring the Onset, Symptoms and Experience of Menses in Females with Autism Spectrum Disorder; 2016. p. 1.

Ningrum SA, Sumaryani S. Peer education prevents sexual risk behavior among adolescents in rural area. Indones Nurs J Educ Clin. 2018;2(2):193. https://doi.org/10.24990/injec.v2i2.172