Intervensi pendidikan kesehatan seksual dan reproduksi dalam mencegah niat dan perilaku seksual pada remaja

https://doi.org/10.22146/bkm.40152

Fahrurrajib Fahrurrajib(1*)

(1) Departemen Biostatistik, Epidemiologi, dan Kesehatan Populasi, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Pendidikan kesehatan seksual dan reproduksi remaja di Indonesia masih menjadi perdebatan sampai saat ini. Adanya stigma dikalangan masyarakat, yang menganggap bahwa pendidikan tersebut dapat mendorong remaja untuk melakukan aktivitas seksual. Padahal bukti ilmiah menunjukkan bahwa pendidikan kesehatan seksual dan reproduksi justru dapat mengurangi perilaku seksual beresiko pada mereka. Stigma menjadi penghambat dalam upaya pemerintah untuk meningkatkan kualitas pendidikan kesehatan seksual dan reproduksi pada remaja. Beberapa penelitian membuktikan efek dari pendidikan kesehatan seksual dan reproduksi dalam membantu remaja untuk mengurangi timbulnya aktivitas seksual, mengurangi frekuensi seks yang tidak aman, meningkatkan penggunaan kondom untuk mencegah kehamilan yang tidak diinginkan dan infeksi menular seksual. Tinjauan literatur ini mengintegrasikan temuan dari beberapa penelitian untuk melihat pengaruh intervensi kesehatan seksual dan reproduksi dalam mencegah niat dan perilaku seksual pada remaja. Meskipun terdapat variabilitas dalam metodologi di seluruh studi yang ditinjau, temuan menunjukkan bahwa intervensi pendidikan kesehatan seksual dan reproduksi terbukti dapat mencegah timbulnya niat dan perilaku seksual pada remaja.

Keywords


perilaku seksual berisiko; seksual dan reproduksi; remaja



References

  1. United Nations Population Fund (UNFPA). Program of Action_Adopted at the International Conference on Population and Development, Cairo 1994. Vol 53.; 2013. doi:10.1017/CBO9781107415324.004.
  2. Economic and Social Council-United Nations (ECOSOC-UN). Report of the Comission on Population and Development on the Forty-Seventh Session: Assessment of the status of implementation of the Programme of Action of the International Conference on Population and Development. 2014;(E/2014/25-E/CN.9/2014/7):28.
  3. Kementerian Kesehatan Republik Indonesia (Kemenkes RI). Data dan Informasi Profil Kesehatan Indonesia tahun 2017. Kementrian Kesehat Republik Indones Pusdatin Kemenkes RI. 2017.
  4. McNeely C, Blanchard J. The Teen Years Explained: A Guide to Healthy Adolescent Development. Jayne Blanchard; 2010.
  5. Johnson PB, Malow MS. Adolescents and Risk: Making Sense of Adolescent Psychology. Praeger Publishers; 2008.
  6. Kementerian Kesehatan Republik Indonesia (Kemenkes RI). Infodatin Reproduksi Remaja-Ed.Pdf. 2015:1-8. doi:24427659.
  7. Kincaid C, Jones JD, Sterrett E, McKee L. A review of parenting and adolescent sexual behavior: The moderating role of gender. Clin Psychol. 2012;32(3):177-188. doi:10.1016/j.cpr.2012.01.002.A.
  8. Bearinger LH, Sieving RE, Ferguson J, Sharma V. Global perspectives on the sexual and reproductive health of adolescents: patterns, prevention, and potential. Lancet. 2007;369(9568):1220-1231. doi:10.1016/S0140-6736(07)60367-5.
  9. Flanigan CM. Sexual activity among girls under age 15: Findings from the National Survey of Family Growth. B Albert, S Brown, C Flanigan. 2003;14:57-63.
  10. Kaestle CE, Halpern CT, Miller WC, Ford CA. Young age at first sexual intercourse and sexually transmitted infections in adolescents and young adults. Am J Epidemiol. 2005;161(8):774-780. doi:10.1093/aje/kwi095.
  11. Chemnasiri T, Netwong T, Visarutratana S, et al. Inconsistent Condom Use among Young Men Who Have Sex with Men, Male Sex Workers, and Transgender in Thailand. AIDS Educ Prev. 2010;22(2):100-109. doi:10.1521/aeap.2010.22.2.100.
  12. Aho J, Koushik A, Diakité SL, Loua KM, Nguyen V-K, Rashed S. Biological validation of self-reported condom use among sex workers in Guinea. AIDS Behav. 2010;14(6):1287-1293.
  13. United Nations Programme on HIV and AIDS (UNAIDS). All in To End the Adolescent Aids Epidemic. 2016;(December):202.
  14. United Nations Programme on HIV and AIDS (UNAIDS).. Ending the AIDS epidemic for adolescents, with adolescents. 2016:36.
  15. Direktorat Jenderal Pencegahan dan Pengendalian Penyakit (Ditjen P2P). Laporan Perkembangan HIV/AIDS 7 Penyakit Menular Seksual (PIMS) Triwulan I Tahun 2017. 2017:1-402.
  16. Badan Pusat Statistik (BPS). Survei Demografi dan Kesehatan Indonesia 2012. Sdki. 2013:16. doi:10.1111/j.1471-0528.2007.01580.x
  17. Tingey L, Chambers R, Rosenstock S, Lee A, Goklish N, Larzelere F. The Impact of a Sexual and Reproductive Health Intervention for American Indian Adolescents on Predictors of Condom Use Intention. J Adolesc Heal. 2017;60(3):284-291. doi:10.1016/j.jadohealth.2016.08.025.
  18. Tingey L, Mullany B, Chambers R, Hastings R, Barlow A, Rompalo A. The Respecting the Circle of Life trial for American Indian adolescents: Rationale, design, methods, and baseline characteristics. AIDS Care - Psychol Socio-Medical Asp AIDS/HIV. 2015;27(7):885-891. doi:10.1080/09540121.2015.1015481.
  19. Markham CM, Craig Rushing S, Jessen C, et al. Factors Associated with Early Sexual Experience among American Indian and Alaska Native Youth. J Adolesc Heal. 2015;57(3):334-341. doi:10.1016/j.jadohealth.2015.06.003.
  20. Kaufman CE, Whitesell NR, Keane EM, et al. Effectiveness of circle of life, an HIV-preventive intervention for American Indian middle school youths: A group randomized trial in a northern plains tribe. Am J Public Health. 2014;104(6):106-112. doi:10.2105/AJPH.2013.301822.
  21. Yu S, Marshall S, Cottrell L, et al. Longitudinal predictability of sexual perceptions on subsequent behavioural intentions among Bahamian preadolescents. Sex Health. 2008;5(1):31-39. doi:10.1071/SH07040.
  22. Adeoye. Prevalence of premarital sex and factors influencing it among students in a private tertiary institution in Nigeria. Int J Psychol Couns. 2012;4(1):6-9. doi:10.5897/IJPC11.030.
  23. Salih NA, Metaferia H, Reda AA, Biadgilign S. Premarital sexual activity among unmarried adolescents in northern Ethiopia: A cross-sectional study. Sex Reprod Healthc. 2015;6(1):9-13. doi:10.1016/j.srhc.2014.06.004.
  24. Bankole A, Biddlecom A, Guiella G, Singh S, Zulu E. Sexual behavior, knowledge and information sources of very young adolescents in four sub-Saharan African countries. Afr J Reprod Health. 2007;11(3):28-43. doi:10.2964/jsik.kuni0223.
  25. Wahdini M, Isarabhakdi P. 4th Asian Academic Society International Conference ( AASIC ) 2016. Safe Sex Behav use condom among never married male Adolesc Indones. 2016:166-169.
  26. Lagus KA, Bernat DH, Bearinger LH, Resnick MD, Eisenberg ME. Parental perspectives on sources of sex information for young people. J Adolesc Heal. 2011;49(1):87-89. doi:10.1016/j.jadohealth.2010.10.007.
  27. World Health Organization (WHO). Global incidence and prevalence of selected curable sexually transmitted infections – 2008. 2012:20. doi:10.1017/CBO9781107415324.004.
  28. Central of Disease Control (CDC). Sexually Transmitted Disease Surveillance. Sex Transm Dis Surveill 2014. 2015;(November):177.
  29. World Health Organization (WHO). Global Health Sector Strategy on Sexually Transmitted Infections 2016-2021. World Heal Organ. 2016;1(June):1-63. doi:10.1055/s-2007-970201.
  30. Pirade A. Bahaya Laten Infeksi Gonore dan Klamidia di Asia Selatan dan Asia Tenggara, di Indonesia dan Kota Manado. Intisari Sains Medis. 2012;1(1):19-23.
  31. World Health Organization (WHO). Trends in Mternal Mortality: 1990-2013. Estimates by WHO,UNICEF, UNFPA, The World Bank and the United Nations Population Division. World Heal Organ. 2014:56. doi:WHO/RHR/14.13.
  32. United Nations Emergency Children's Fund (UNICEF). Progress for Children A Report Card on Adolescents Number 10, April 2012.; 2012.
  33. Kumar D, Goel NK, Sharma MK, Kaur G. Menstrual problems of school going unmarried adolescent girls and their treatment seeking behavior in Chandigarh , India. Int J Community Med Public Heal. 2016;3(11):3106-3116.
  34. Shita NKDSS, Purnawati S. Prevalensi Gangguan Menstruasi dan Faktor - Faktor yang Mempengaruhi pada Siswi Peserta Ujian Nasional di SMA Negeri 1 Melaya Kabupaten Jembrana. E-Jurnal Med. 2016;5(3):1-9.
  35. Sianipar O, Bunawan NC, Almazini P, et al. Prevalensi Gangguan Menstruasi dan Faktor-faktor yang Berhubungan pada Siswi SMU di Kecamatan Pulo Gadung Jakarta Timur. Gangguan menstruasi. 2009;59(7):308-313.
  36. Sigmon ST, Craner J, Yoon KL, Thorpe GL. Premenstrual Syndrome (PMS). Encycl Hum Behav Second Ed. 2012;7(1):167-173. doi:10.1016/B978-0-12-375000-6.00288-3.
  37. Kemenkes RI. Manajemen kebersihan menstruasi perlu dipahami. 2018:1-2.
  38. Kirby D, Laris BA, Rolleri L. Impact of sex and HIV education programs on sexual behaviors of youth in developing and developed countries. Youth Res. 2005;(2).
  39. Chambers R, Tingey L, Mullany B, Parker S, Lee A, Barlow A. Exploring sexual risk taking among American Indian adolescents through protection motivation theory. AIDS Care. 2016;28(9):1089-1096. doi:10.1080/09540121.2016.1164289.
  40. Mathews C, Aarø LE, Grimsrud A, et al. Effects of the SATZ teacher-led school HIV prevention programmes on adolescent sexual behaviour: Cluster randomised controlled trials in three sub-Saharan African sites. Int Health. 2012;4(2):111-122. doi:10.1016/j.inhe.2012.02.001.
  41. Utomo ID, McDonald P. Adolescent reproductive health in Indonesia: Contested values and policy inaction. Stud Fam Plann. 2009;40(2):133-146. doi:10.1111/j.1728-4465.2009.00196.x.
  42. Kirby DB, Laris BA, Rolleri LA. Sex and HIV Education Programs: Their Impact on Sexual Behaviors of Young People Throughout the World. J Adolesc Heal. 2007;40(3):206-217. doi:10.1016/j.jadohealth.2006.11.143.
  43. Story CR., Gorski J. Global Perspectives on Peer Sex Education for College Students. Int Educ. 2013;42(2):81-94.
  44. Reis M, Ramiro L, De Matos MG, Diniz JA. The effects of sex education in promoting sexual and reproductive health in Portuguese university students. Procedia - Soc Behav Sci. 2011;29(2010):477-485. doi:10.1016/j.sbspro.2011.11.266.
  45. Mueller TE, Gavin LE, Kulkarni A. The Association Between Sex Education and Youth’s Engagement in Sexual Intercourse, Age at First Intercourse, and Birth Control Use at First Sex. J Adolesc Heal. 2008;42(1):89-96. doi:10.1016/j.jadohealth.2007.08.002.
  46. Kohler PK, Manhart LE, Lafferty WE. Abstinence-Only and Comprehensive Sex Education and the Initiation of Sexual Activity and Teen Pregnancy. J Adolesc Heal. 2008;42(4):344-351. doi:10.1016/j.jadohealth.2007.08.026 .
  47. Wu Y, Stanton BF, Galbraith J, et al. Sustaining and Broadening Intervention Impact: A Longitudinal Randomized Trial of 3 Adolescent Risk Reduction Approaches. Pediatrics. 2003;111(1):e32-e38. doi:10.1542/peds.111.1.e32 48. Stanton B, Cole M, Galbraith J, et al. Randomized Trial of a Parent Intervention. Arch Pediatr Adolesc Med. 2004;158(10):947-955. doi:10.1001/archpedi.158.10.947



DOI: https://doi.org/10.22146/bkm.40152

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