DETERMINAN PERILAKU SEKSUAL REMAJA PADA SISWA SEKOLAH MENENGAH ATAS (SMA) DI KABUPATEN DEMAK

Abstract

Background: Adolescent sexual behaviors tend to increase and cause many consequences, but efforts to prevent and control the sexual behaviors are limited. It is important to analyze what determinants related to adolescent sexual behaviors. Aim: To identify and analyze determinants of the adolescent sexual behaviors of senior high school students in Demak Regency. Methods: The analytical observational study with cross sectional design was conducted on March to April 2015 in several senior high schools in Demak Regency. A total of 264 samples were selected by cluster sampling. The data were taken from self-administered questionnaires then were analyzed using Chi Square and Fisher Exact tests followed by multivariate logistic regression. Results: There were 12.9% of respondents who experienced high risk sexual behaviors. There were no significant association between sex (p=0.393), residence (p=0.169), sexual and reproduction health knowledge (p=0,674), sexual attitudes (p=0,169), self-esteem (p=0.928), religiosity (p=0.570), parental influence (p=0.764), and values (p=1.000) with the adolescent sexual behaviors. There were significant association between self-efficacy (p=0.022), media exposure of pornography (p<0.001), and peer group influence (p=0.003) with the adolescent sexual behaviors. Media exposure of pornography (OR=0,379, CI: 0,153-0,941) and peer group influence (OR=0,145, CI: 0,062-0,341) were determinants of the adolescent sexual behaviors. Conclusion: Self efficacy, media exposure of pornography, and peer group influence were associated with adolescent sexual behaviors. Low media exposure of pornography and good peer group influence were protective determinants of the high risk adolescent sexual behaviors. Key words: adolescent sexual behavior, determinant