Determinants of Premarital Sex Behavior: Application of Theory of Planned Behavior and Social Cognitive Theory

N. Qomariah, E. Pamungkasari, Uki Retno Budihastuti
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Abstract

Background: Health problems in adolescents are among the most important problems in the human life cycle, especially reproductive and sexual problems. Actively conducted premarital sex behavior poses a risk to teenage pregnancy and transmission of sexually transmitted dise­ases. This study aims to analyze the theory of planned behavior and social cognitive theory on the determinants of premarital sex behavior in adolescents. Subjects and Method: This was a cross-sectional study design. The study was con­ducted at 25 high schools/vocational high schools in Gresik, East Java, from September to October 2020. A sampling of 200 adolescents used stratified random sampling and simple ran­dom sampling. The dependent variable was premarital sex behavior. The independent varia­­bles were the intention, attitude, subjec­tive norms, peer support, family intimacy, and self-efficacy. The data were collected by using a questionnaire. Data were analyzed using multi­ple logistic regression with Stata 13. Results: Premarital sexual behavior increased with strong intention (b= 1.06; 95% CI= 0.15 to 1.98; p= 0.015), positive attitude (b= 1.22; 95% CI= 0.38 to 2.13; p= 0.009), subjective norms supportive (b= 1.09; 95% CI= 0.14 to 2.04; p= 0.024), and strong peer support (b= 1.37; 95% CI= 0.44 to 2.30; p= 0.004). Premarital sexual behavior decreased with strong family intimacy (b= -1.32; 95% CI= -2.23 to -0.40; p= 0.005) and strong self-efficacy for abstinence (b=                 -1.03; 95% CI= -2.23 to -1.93; p= 0.025). There was an effect at the school level on premarital sex behavior with ICC 24.6%. Conclusion: Premarital sexual behavior in­crea­ses with strong intentions, positive attitu­des, supportive subjective norms, and strong peer support. Premarital sexual behavior de­crea­ses with strong family intimacy and strong abstinence self-efficacy. There is an effect at the school level on premarital sexual behavior. Keywords: premarital sex behavior, theory of planned behavior, social cognitive theory, ado­les­cents. Correspondence:  Nur Laili Qomariah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Su­tami 36A, Surakarta 57126. Email: lailiqomar­@gmail.com. Mobile: +6281­234190160. Journal of Health Promotion and Behavior (2020), 05(04): 272-283 https://doi.org/10.26911/thejhpb.2020.05.04.05.
婚前性行为的决定因素:计划行为理论与社会认知理论的应用
背景:青少年的健康问题是人类生命周期中最重要的问题之一,特别是生殖和性问题。积极进行的婚前性行为对少女怀孕和性传播疾病的传播构成风险。本研究旨在分析计划行为理论和社会认知理论对青少年婚前性行为影响因素的影响。对象和方法:这是一个横断面研究设计。该研究于2020年9月至10月在东爪哇省Gresik的25所高中/职业高中进行。对200名青少年进行分层随机抽样和简单随机抽样。因变量为婚前性行为。自变量为意向、态度、主观规范、同伴支持、家庭亲密关系和自我效能感。数据是通过问卷调查收集的。数据采用Stata 13多元逻辑回归分析。结果:婚前性行为随目的性强而增加(b= 1.06;95% CI= 0.15 ~ 1.98;P = 0.015)、积极态度(b= 1.22;95% CI= 0.38 ~ 2.13;P = 0.009),主观规范支持(b= 1.09;95% CI= 0.14 ~ 2.04;P = 0.024),强同伴支持(b= 1.37;95% CI= 0.44 ~ 2.30;p = 0.004)。家庭亲密度高,婚前性行为减少(b= -1.32;95% CI= -2.23 ~ -0.40;p = 0.005)和强大的自我效能感对禁欲(b =                 - 1.03;95% CI= -2.23 ~ -1.93;p = 0.025)。学校层面对婚前性行为有影响,ICC为24.6%。结论:婚前性行为的增加具有强烈的意向、积极的态度、支持性的主观规范和强大的同伴支持。婚前性行为随家庭亲密度高、禁欲自我效能感强而减少。学校层面对婚前性行为有影响。关键词:婚前性行为;计划行为理论;社会认知理论;通讯:Nur Laili Qomariah。塞贝拉斯市场大学公共卫生硕士课程。杰。红外光谱。苏塔米36A,泗水57126。电子邮件:lailiqomar -@gmail.com。手机:+ 6281 - 234190160。健康促进与行为杂志(2020),05(04):272-283 https://doi.org/10.26911/thejhpb.2020.05.04.05。
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