Abstract
Background: Along with the times, teenagers began to be faced with various problems and the biggest problems faced by teenagers were sexual problems. Sexual behavior in adolescents who are carried out actively poses a risk of teenage pregnancy and transmission of sexually transmitted diseases. This study aims to analyze the influ�ence of school as contextual effect and psychosocial determinants on healthy sexual behavior in female adolescents.
Subjects and Method: A cross sectional study was conducted at 25 senior high schools in Banyuwangi, East Java, from August to September 2020. A sample of 225 adolescents was selected by random sampling. The dependent variable was healthy sexual behavior. The independent variables were knowledge, self-efficacy, parental support, information, and perceived seriousness. The data were collected by question�naire and analyzed by a multiple logistic regression run on Stata 13.
Results: Adolescents with healthy sexual behavior affected by high knowledge (b= 0.23; 95% CI= 0.05 to 0.41; p= 0.014), strong self-efficacy (b= 0.14; 95% CI= 0.01 to 0.27; p= 0.035), strong parental support (b= 0.21; 95% CI= 0.09 to 0.34; p= 0.001), high exposure to information (b= 0.36; 95% CI= 0.15 to 0.56; p= 0.001), and high perceived seriousness (b= 0.82; 95% CI= 0.45 to 1.19; p <0.001). School had contextual effect on healthy sexual behavior in adolescents with ICC= 16.4%.
Conclusion: Healthy sexual behavior affects by high knowledge, strong self-efficacy, strong parental support, high exposure to information, and high perceived seriousness. School has contextual effect on healthy sexual behavior in female adolescents.