Determinan Perilaku Seksual Remaja Pada Siswa Sekolah Menengah Atas (SMA) Di Kabupaten Demak

Background: Adolescent sexual behaviors tend to increase and cause many consequences, but efforts to prevent and control the sexual behaviors are limited. It is important to analyze what determinants related to adolescent sexual behaviors.Aim: To identify and analyze determinants of the adolescent sexual behaviors of senior high school students in Demak Regency.Methods: The analytical observational study with cross sectional design was conducted on March to April 2015 in several senior high schools in Demak Regency. A total of 264 samples were selected by cluster sampling. The data were taken from self-administered questionnaires then were analyzed using Chi Square and Fisher Exact tests followed by multivariate logistic regression.Results: There were 12.9% of respondents who experience high risk sexual behaviors. There were no significant association between sex (p=0.393), residence (p=0.169), sexual and reproduction health knowledge (p=0,674), sexual attitudes (p=0,169), self-esteem (p=0.928), religiosity (p=0.570), parental influence (p=0.764), and values (p=1.000) with the adolescent sexual behaviors. There were significant association between self-efficacy (p=0.022), media exposure of pornography (p<0.001), and peer group influence (p=0.003) with the adolescent sexual behaviors. Media exposure of pornography (OR=0,379, CI: 0,153-0,941) and peer group influence (OR=0,145, CI: 0,062-0,341) were determinants of the adolescent sexual behaviors.Conclusion: Self efficacy, media exposure of pornography, and peer group influence were associated with adolescent sexual behaviors. Low media exposure of pornography and good peer group influence were protective determinants of the high risk adolescent sexual behaviors

Pengaruh Penyuluhan Tentang Dismenorea Terhadap Tingkat Pengetahuan Gangguan Haid Pada Siswi SMA Di Kecamatan Semarang Barat

Background: Dysmenorrhea is one of the menstrual cycle related disorders which occurs frequently in women, especially in adolescence. The high prevalence of dysmenorrhea makes dysmenorrhea really important to be understood by all women. One way that can be done to improve the understanding about dysmenorrhea is through education such as counseling.Purpose: Knowing the influence of dysmenorrhea counseling against level of knowledge on menstrual disorders of senior high school female students in West of Semarang Sub-district.Method: The research design was a quasi experimental pre test post test on experimental group and test on control group. The subjects in this research were female students of X-XI grade of SMAN 6, SMA Krista Mitra and SMAK Tri Tunggal who fullfilled the inclusion criterias. The samples were divided into experimental group (n=40) and control group (n=40). The experimental group was given dysmenorrhea counseling, whereas in the control group did not. The data obtained from questionnaires filled out by each of the respondents and then analyzed using SPSS with paired t-test and Mann Whitney test.Results: Based on the data analysis, the result using paired t-test showed there was significant level of knowledge difference in the experimental group before and after the grant of the dysmenorrhea counseling (p=0,001). Also obtained, the result using Mann Whitney test showed there was significant level of knowledge difference between experimental group post test and test control group (p=0,000).Conclusion: Dysmenorrhea counseling effect on menstrual disorders level of knowledge of senior high school female students in West of Semarang Sub-district