Abstract

Lack of sexual knowledge and increasing negative sexual attitudes in Indonesia could lead to risky sexual behavior. This problem increases teenage pregnancy, sexually transmitted infections, and abortion among adolescents. This study aimed to determine the relationship between sexual knowledge and sexual attitudes towards sexual behavior among junior high school students in West Jakarta. This study was cross-sectional, conducted on 544 junior high school students in West Jakarta. Measuring instruments used were characteristic questionnaires, sexual knowledge questionnaires, sexual attitude questionnaires, and sexual behavior questionnaires. Data analysis was performed using bivariate (chi-square). This study shows 79.2% of the respondents had low sexual knowledge, 45.6% respondents had negative sexual behavior, and 48.2% respondents had risky sexual behavior. This study finds that most male respondents had low sexual knowledge (80.8%), low sexual attitude (56.8%), and “less-safe” risky sexual behavior (60.0%), while “not-safe” risky sexual behavior (2.7%) was found higher in female respondents. Bivariate analysis shows a significant relationship between sexual knowledge (p=0.006; 95% OR=1.763 |95% CI=1.151-2.698) and sexual attitude (p=<0.001; OR=2.852 | 95% CI=2.012-4.043) towards sexual behavior. In conclusion, low sexual knowledge and negative sexual attitudes increase the risk of risky sexual behavior.

Highlights

  • Adolescence is a period of development transition marked by puberty [1]

  • The enhancement of sexual behavior among adolescence trough out the years are visible by analyzing the results of periodic national surveys conducted by Survei Demografi Kesehatan Indonesia (SDKI) or Indonesian Health Demographic Survey that stated that the percentage of age of the first sexual intercourse in male and female have increase from the 59th percentile on 2012 to the 74th percentile on 2017, the majority of first age of sexual intercourse were 18-19 years old on 2012 and age 17-18 years old on 2017 [11,12]

  • This study indicated a significant relationship between knowledge (p=0.006; 95% OR=1.763 |95% CI=1.1512.698) and sexual attitudes (p=

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Summary

Introduction

Adolescence is a period of development transition marked by puberty [1] In this phase, adolescents experience brain development that receives new information, increasing sensitivity towards new stimuli that influence the reward pathway. The enhancement of sexual behavior among adolescence trough out the years are visible by analyzing the results of periodic national surveys conducted by Survei Demografi Kesehatan Indonesia (SDKI) or Indonesian Health Demographic Survey that stated that the percentage of age of the first sexual intercourse in male and female have increase from the 59th percentile on 2012 to the 74th percentile on 2017, the majority of first age of sexual intercourse were 18-19 years old on 2012 and age 17-18 years old on 2017 [11,12]

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