FAKTOR-FAKTOR MULTISISTEM YANG MEMPENGARUHI PERILAKU SEKSUAL REMAJA
DOI:
https://doi.org/10.55129/jnerscommunity.v10i2.913Abstract
Latar belakang remaja melakukan perilaku seksual sangat kompleks dan beragam. Banyaknya faktor risiko yang melatarbelakangi remaja melakukan perilaku berisiko seksual menjadikan remaja sebagai kelompok yang rawan. Faktor tersebut selalu berkembang seiring dengan perkembangan teknologi dan pergeseran budaya. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor multisistem yang memengaruhi perilaku seksual remaja di Banyumas.
Metode penelitian kuantitaif ini adalah korelasional dengan desain cross sectional. Penelitian dilaksanakan tahun 2019 dengan jumlah sampel 463 remaja usia 10-19 tahun yang dipilih secara simple random sampling. Pengumpulan data menggunakan kuisioner yang berisi 45 pernyataan tentang faktor-faktor multisistem yang memengaruhi perilaku seksual remaja. Data dianalisis dengan confirmatory factor analysis menggunakan structural equation modeling.
Faktor yang berhasil ditemukan adalah faktor internal dan eksternal. Faktor internal meliputi : norma negatif remaja, pengetahuan perilaku seksual, dan gaya hidup bebas. Faktor eksternal terdiri dari : pengaruh negatif teman sebaya, interaksi dengan keluarga tidak harmonis, dan lingkungan berisiko.
Faktor teman sebaya terbukti sebagai faktor yang paling dominan dalam memengaruhi perilaku seksual remaja. Kemampuan asertif diperlukan untuk melindungi diri remaja dari pengaruh negatif temannya.
Kata Kunci:  Remaja, Kesehatan reproduksi, Seks bebas, Perilaku seksual, Pubertas.
DOI: 10.5281/zenodo.3563248
References
Adams, K., Genevieve, K., & Galactionova, K. (2013). Preventive and Reproductive Health Services for Women: The Role of California’s Family Planning Waiver. American Journal of Health Promotion 27(3):1-10.
Ayalew, M., Mengistie, B., & Semahegn, A. (2014). Adolescent - parent communication on sexual and reproductive health issues among high school students in Dire Dawa, Pediatrics, 130(6):1497-1511
Bandura, A. (2006). Toward a Psychology of Human Agency. Perspective on Psychology Science, 1(2):164-180
Baral, S., Logie, C., & Beyrer, C. (2013). Modified social-ecological model : a tool to guide the assessment of the risks and risk contexts of HIV epidemics. BMC Public Health 58(2):1-8
BKKBN, Kemenkes dan ICF International. (2013). Survei Demografi dan Kesehatan Reproduksi Remaja. Jakarta: BPS. BKKBN, Kemenkes dan ICF International.
Calleja, N. G. (2013). Integrating research into practice: The forward-focused Model of adolescent sexual behavior treatment. Aggression and Violent Behavior18(6):686–694.
Denno, D., Hoopes, A., & Mouli, C. (2015). Effective Strategies to Provide Adolescent Sexual and Reproductive Health Services and to Increase Demand and Community Support. Journal of Adolescent Health 56(1):22-41
Erhamwilda. (2012). Model hipotetik â€ÂÂpeer counseling†dengan pendekatan reality theraphy untuk siswa slta. Ta’dib, 15(2) : 110–121.
Filippello et al. (2014). The Relationship Between Frustration Intolerance, Unhealthy Emotions, and Assertive Behaviour in Italian Students. Journal of Rational-Emotive & Cognitive-Behavior Therapy32:257–278.
Fishbein, M & Ajzen, D. (2007). Prediction and Change of Health Behavior: Applying The Reasoned Action Approach. Hillsdale: Erlbaum.
Glanz, K., Barbara, K., & Viswanath, K. (2008). Health Behavior and Health Education: Theory, research, and practice. SanFrancisco, CA: Jossey-Bass.
Goesling, B., et al. (2014). Programs to Reduce Teen Pregnancy, Sexually Transmitted Infections, and Associated Sexual Risk Behaviors : A Systematic Review. Journal of Adolescent Health54(5): 499–507
Guilamo et al., (2012). Paternal Influences on Adolescent Sexual Risk Behaviors : A Structured Literature Review. Pediatrics 130(5):e1313–e1325.
Haglund, K. A., & Fehring, R. J. (2010). The Association of Religiosity, Sexual Education and Parental Factors with Risky Sexual Behaviors Among Adolescents and Young Adults. Journal Religion Health 49:460–472.
Hurlock. (2010). Child Growth and Development. US: Kessinger Publishing.
Jessor, R. (1991). Risk behavior in adolescence: A psychosocial framework for understanding and action. Journal of Adolescent Health 12:597-605.
Kaplan, D., Jones, E., & Olson, C. (2013). Early Age of First Sex and Health Risk in an Urban Adolescent Population. Journal of School Health, 83(5), 350–356.
Kementerian Kesehatan Republik Indonesia. (2018). Pedoman Pelaksanaan Paket Pelayanan Awal Minimum (PPAM) Kesehatan Reproduksi Remaja Pada Krisis Kesehatan. Jakarta : Direktorat Jenderal Kesehatan Masyarakat.
Khoirun, Q., Rahayuningsih, N., & Purwara, B. H. (2015). Kesehatan Reproduksi Remaja Putri di Pondok Pesantren Sidoarjo Jawa Timur. Media Kesehatan Berkala 47(2):77–83.
Kia-keating, M., Dowdy, E., Morgan, M. (2011). Protecting and Promoting : An Integrative Conceptual Model for Healthy Development of Adolescents. Journal of Adolescent Health 48: 220–228
Kirby, D., & Lepore, G. (2007). Executive Summary : Sexual Risk and Protective Factors. United States: Centers for Disease Control and Prevention.
Leung, R. K., Toumbourou, J., & Hemphill, S. (2011). The effect of peer influence and selection processes on adolescent alcohol use: a systematic review of longitudinal studies. Health Psychology Review1–32.
Li, Y., Roslan, S., Abdullah, M., & Abdullah, H. (2015). Commuter Families: Parental Readiness, Family Environment, and Adolescent School Performance. Procedia Social and Behavioral Sciences172:686–692.
Lopez et al., (2015). Characteristics of youth sexual and reproductive health and risky behaviors in two rural provinces of Cambodia. Reproductive Health 12:1–12.
Markham, M., Lormand, D., Gloppen, K., et al. (2010). Connectedness as a Predictor of Sexual and Reproductive Health Outcomes for Youth. Journal of Adolescent Health46(3): S23–S41.
Marston, C., & King, E. (2006). Factors that shape young people's sexual behavior: a systematic review. Lancet 36(8):1581–1586.
Mason-jones et al., (2012). A systematic review of the role of school-based healthcare in adolescent sexual, reproductive, and mental health. From: http://www.systematicreviewsjournal.com/content/1/1/49.
Mchunu, G., Peltzer, K., Tutshana, B., & Seutlwadi, L. (2012). Adolescent pregnancy and associated factors in South African. African Health Sciences 12(4):426-434.
Mercer, C. H. (2010). Measuring Sexual Behaviour and Risk. London UK: Health Protection Agency.
Mmari, K., & Sabherwal, S., (2013). Review article A Review of Risk and Protective Factors for Adolescent Sexual and Reproductive Health in Developing Countries : An Update. Journal of Adolescent Health53(5):562–572.
Morrison-beedy, et al. (2013). Reducing Sexual Risk Behavior in Adolescent Girls : Results From a Randomized Controlled Trial. Journal of Adolescent Health 52:314–321
Oktavia, F., Banun, S., & Setyorogo, S. (2013). Faktor-Faktor Yang Berhubungan Dengan Perilaku Seksual Pranikah Pada Mahasiswa Semester V STIKes X Jakarta Timur. Jurnal Ilmiah Kesehatan 5(1):12–19.
Olugbenga, A., Adebimpe, O., & Akande. (2014). Health risk behaviors and sexual initiation among in-school adolescents in rural communities in southwestern Nigeria. International Journal Adolescent dan Medical Health 26(4):503–510.
PILAR PKBI Jateng. (2015). Hasil Mini Survei Siswa SMA/SMK Kota Semarang tahun 2012. Semarang: Divisi Layanan PILAR
Pilgrim, N., & Blum, R. (2012). Protective and Risk Factors Associated with Adolescent Sexual and Reproductive Health in the English-speaking Caribbean : A Literature Review. Journal of Adolescent Health50(1):5–23.
Poutiainen, H., Levälahti, E., Hakulinen-Viitanen, T., & Laatikainen, T. (2015). Family characteristics and health behavior as antecedents of school nurses 'concerns about adolescents' health and development: A path model approach. International Journal of Nursing Studies52: 920–929
Plourde, K. F., Fischer, S., Cunningham, et al., (2016). Improving the paradigm of approaches to adolescent sexual and reproductive health. Reproductive Health 13:1–4. https://doi.org/10.1186/s12978-016-0191-3
Rudatini, U., & Ismail, D. (2012). Perilaku Seksual Pranikah Dan Persepsi Harga Diri Pada Remaja Sma Di Purwokerto (Doctoral dissertation, Universitas Gadjah Mada).
Salam, R., Faqqah, A., Sajjad, N.,Lassi, Z. (2016). Improving Adolescent Sexual and Reproductive Health: A Systematic Review of Potential Interventions. Journal of Adolescent Health 59(4):11-28
Santa, D., Markham, C., & Mullen, P. (2015). Parent Based Adolescent Sexual Health Interventions And Effect on Communication Outcomes: A Systematic Review and Meta-Analyses. Perspectives on Sexual and Reproductive Health47(1):37–50
Santelli, J., Edelstein, Z., Mathur, S., & Wei, Y. (2014). Behavioral, Biological, and Demographic Risk and Protective Factors for New HIV Infections among Youth, Rakai, Uganda. Journal of Acquired Immune Deficiency Syndrome63(3):393–400.
Santrock, J. (2013). Life Span Development. Jilid 2, Ed 13. Jakarta : Erlangga
Scorgie, F., & Chersich, M. (2012). Socio-Demographic Characteristics and Behavioral Risk Factors of Female Sex Workers in Sub-Saharan Africa: Systematic Review. AIDS Behavior 16:920–933
Simanjuntak, M., Manurung, S., Riana, L., & Payung, H. (2013). Perilaku Remaja Putri Menghadapi Menarche Berdasarkan Nilai Budaya Batak. Jurnal Kesehatan Masyarakat Nasional7(9): 421–425.
Sriyanto, Abdulkarim, A., Zainul, A., (2014). Perilaku Asertif dan Kecenderungan Kenakalan Remaja Berdasarkan Pola Asuh dan Peran Media Massa. Jurnal Psikologi 41(1):74–88.
Tharp, et al., (2012). A Systematic Qualitative Review of Risk and Protective Factors for Sexual Violence Perpetration.Trauma, Violence, & Abuse14(2):133-167
World Health Organization. (2014). Adolescent Health. Available from http://www.who.int/topics/reproductive_health/en/