The Role of Health Reproduction Information Center in Improving Pre-Marital Sex Behavior among Adolescents in Bima, West Nusa Tenggara

Mulya Tarmidi1), Argyo Demartoto2), Eti Poncorini Pamungkasari3)


1)Masters Program in Public Health, Universitas Sebelas Maret

2)Faculty of Social and Political Sciences, Universitas Sebelas Maret

3)Faculty of Medicine, Universitas Sebelas Maret



Background: Adolescent sexual and reproductive health is a major public health concern. A number of authors and organizations report that many adoles­cents world over are sexually active, and in some regions, as many as half are mar­ried. Literature shows that there is a need for improved reproductive health ser­v­ices aimed at adolescents throughout the world. This study aimed to inves­tigate the role of health reproduction information center in improving pre-mari­tal sex behavior among adolescents in Bima, West Nusa Tenggara.

Subjects and Method: This was a cross-sectional study conducted in Bima, West Nusa Tenggara, from April to June 2018. A sample of 200 senior high school students was selected by proportional stratified random sampling. The de­pen­­dent variable was pre-marital sex behavior. The independent variables were health information center (PIK-KRR), intention, perceived behaviour control (PBC), and media exposure. The data were collected by questionnaire and analy­zed by a multiple logistic regression run on Stata 13.

Results: Health information center had a positive effect on healthy pre-marital sex behaviour, but it was statistically non-significant (b= 1.64; 95% CI= 0.78 to 3.44; p= 0.188). Healthy pre-marital sex behavior increased with stronger intention (b= 17.18; 95% CI= 7.98 to 36.97; p<0.001), PBC (b= 2.54; 95% CI= 1.19 to 4.24; p= 0.016), and positive social media information exposure (b= 2.01; 95% CI= 0.95 to 4.24; p= 0.068).

Conclusion: The existing health information center in Bima, East Nusa Teng­gara, is seemingly ineffective. It has a positive effect on healthy pre-marital sex beha­­vior, but it is statistically non-significant. Healthy pre-marital sex behavior in­creases with stronger intention, PBC, and positive social media information ex­po­sure.

Keywords: healthy pre-marital sex behavior, health information center, social me­dia information exposure

Correspondence: Mulya Tarmidi. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta, Central Java. Email: Mobile: +6285238609735


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