Changes in Adolescents' Premarital Sex Attitudes After  Reproductive Health Education

Amanda Ayu Ciputri; Sheena Ramadhia Asmaradhani

doi:10.36590/jika.v8i1.1913

Authors

Amanda Ayu Ciputri Program Studi Kesehatan Masyarakat, Fakultas Ilmu Kesehatan dan Universitas Muhammadiyah Surakarta, Surakarta, Indonesia
Sheena Ramadhia Asmaradhani Program Studi Kesehatan Masyarakat, Fakultas Ilmu Kesehatan dan Universitas Muhammadiyah Surakarta, Surakarta, Indonesia

DOI:

https://doi.org/10.36590/jika.v8i1.1913

Keywords:

adolescents, counseling, reproductive health

Abstract

Premarital sexual behavior among adolescents remains a public health problem because it can lead to the risk of unwanted pregnancy, sexually transmitted diseases, and psychological impacts. Lack of knowledge about reproductive health is one of the factors causing the emergence of this risky behavior. This study aimed to analyze changes in adolescents' premarital sexual attitudes after reproductive health counseling. The research design used a pre-experimental with a one-group pre-test and post-test method. The research subjects were 70 eighth-grade students selected using a purposive sampling technique. The research instrument was a 23-item Likert scale questionnaire that had been tested for validity and reliability (Cronbach Alpha = 0.852). Data analysis included univariate and bivariate analysis using the Wilcoxon test because the data were not normally distributed. The results showed an increase in attitude scores after counseling, with an average pre-test score of 58.54 and a post-test score of 83.06. The median value increased from 53.50 to 84.00, while the mode increased from 77 to 92. The Wilcoxon test results showed a p-value < 0.05, which means there is a significant difference between the scores before and after counseling. In conclusion, reproductive health counseling has been proven to be effective in increasing

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Author Biographies

Amanda Ayu Ciputri, Program Studi Kesehatan Masyarakat, Fakultas Ilmu Kesehatan dan Universitas Muhammadiyah Surakarta, Surakarta, Indonesia

Program Studi Kesehatan Masyarakat, Fakultas Ilmu Kesehatan dan Universitas Muhammadiyah Surakarta, Surakarta, Indonesia

Sheena Ramadhia Asmaradhani, Program Studi Kesehatan Masyarakat, Fakultas Ilmu Kesehatan dan Universitas Muhammadiyah Surakarta, Surakarta, Indonesia

Program Studi Kesehatan Masyarakat, Fakultas Ilmu Kesehatan dan Universitas Muhammadiyah Surakarta, Surakarta, Indonesia

https://scholar.google.com

References

Arizqa, N., Tahir, D., 2025. Perilaku Seksual Pranikah pada Remaja Dapat Membawa Dampak Negatif yang Signifikan, Baik dari Segi Psikologis, Fisiologis, Sosial, Maupun Fisik. Mega Buana Journal of Innovation and Community Service 4(2), 50–56. https://e-jurnal.umegabuana.ac.id/index.php/JICS/article/view/903

[BKKBN] Badan Kependudukan Dan Keluarga Berencana Nasional., 2020. Laporan Nasional Kehamilan Tidak Diinginkan di Indonesia. Badan Kependudukan dan Keluarga Berencana Nasional, Jakarta.

Ginting, A.K., Fitriani, D.R., Fadli, A., Rahayu, Y.S., Anggraeni, R.D., Avifah, L., Amri, U., 2026. Edukasi Kesehatan Reproduksi Remaja sebagai Upaya Pencegahan Pergaulan Bebas. Jurnal Kreativitas Pengabdian Kepada Masyarakat 9(3), 269–280. https://ejurnalmalahayati.ac.id/index.php/kreativitas/article/view/24581

Guo, R., Xie, H., Zhao, W., Wang, J., 2025. Effectiveness of an Online Sexual and Reproductive Health Educational Program: A Cluster Randomized Controlled Trial. BMJ Paediatrics Open 9(1), 1-9. Https://Doi.Org/10.1136/Bmjpo-2025-003714

Hastuti, P., Prahesti, Y., Yunitasari, E., 2021. The Effect of Reproductive Health Education on Knowledge and Attitudes of Adolescents About Premarital Sex. Pediomaternal Nursing Journal 7(2), 101–108. Https://Doi.Org/10.20473/Pmnj.V7i2.27498

Heni, A., Azzahroh, P., Silawati, V., 2024. Effect of Reproductive Health Education on Teenagers through Video Media on Knowledge and Attitudes Regarding Sexual Pre-Marriage in SMPN 1 Dente Teladas. International Health Sciences Journal 2(1), 54–68. https://doi.org/10.61777/ihsj.v2i1.60

Irianto, K., 2015. Kesehatan Reproduksi. Alfabeta, Bandung.

[Kemenkes] Kementerian Kesehatan Republik Indonesia., 2015. Profil Kesehatan Reproduksi Remaja Indonesia. Kementerian Kesehatan RI, Jakarta.

Murdiningsih, M., Rohaya, R., Hindun, H., Ocktariyana, O., 2025. The Effect of Adolescent Reproductive Health Education on Premarital Sexual Behavior. International Journal of Public Health Science 9(4), 45–53. https://ijphs.iaescore.com/index.php/IJPHS/article/view/20444

Nursanti, D.P., Kumalasari, E.P., Setyaningsih A., Siekmans, J., Wabeke, V., 2022. Analysis of Adolescent Reproductive Health Knowledge on Premarital Sexual Attitude. Journal for Quality in Women’s Health 5(2), 89–96. https://jqwh.org/index.php/JQWH/article/view/160

Realita, F., Rahmawati, A., 2016. Pengetahuan Remaja dan Kehamilan Tidak Diinginkan. Jurnal Kebidanan 8(2), 127–224. https://ejurnal.stikeseub.ac.id/index.php/jkeb/article/view/216

Santrock, J.W., 2014. Adolescence. McGraw-Hill Education, Colombus.

Sastria, S., Astriani, R., Roesmono, B., 2019. Pengetahuan dan Sikap Remaja. Jurnal Ilmiah Kesehatan Diagnosis 13(6), 575-679. https://ojs.institutnh.ac.id/index.php/jikd/article/view/116

Windari, A.P., Sari, I.I., Sinay, H., 2024. Promosi Kesehatan terhadap Pengetahuan Remaja tentang Seks Bebas. Jurnal Peduli Masyarakat 6(4), 2103-2108. https://jurnal.globalhealthsciencegroup.com/index.php/JPM/article/view/5091

[WHO] World Health Organization., 2020. Adolescent Sexual and Reproductive Health. World Health Organization, Geneva.