Analysis of Factors Associated with Premarital Sexual Behavior among Adolescents

Authors

  • Qonita Qonita Bachelor’s Degree in Midwifery, Bina Bangsa University, Serang City, Banten Province, Indonesia
  • Novrita Tri Yulvia Midwifery Professional Education Study Program, Bina Bangsa University, Serang City, Banten Province, Indonesia

DOI:

https://doi.org/10.53770/amhj.v5i2.592

Keywords:

Adolescent Behavior, Premarital Sex, Correlational Analytic, Cross-Sectional

Abstract

Adolescence is a critical developmental stage marked by rapid physical and psychological changes, making young people particularly vulnerable to reproductive health problems. In Indonesia, one of the most pressing issues is the high prevalence of unintended pregnancies. The 2019 Performance and Accountability Survey (SKAP) reported that 17.5% of pregnancies were unintended, while 19.6% of adolescents aged 14-19 years had experienced unintended pregnancies. The 2018 Basic Health Research (Riskesdas) also noted that 46.4% of adolescent girls aged 15–19 years had experienced pregnancy. These figures highlight adolescents’ susceptibility to risky premarital sexual behavior. This study aimed to analyze factors associated with premarital sexual behavior, focusing on family income, parental education, and media exposure. A cross-sectional analytic study was conducted among 77 students of Senior High School X, selected through cluster random sampling. Data were collected using a structured questionnaire and analyzed with the Chi-Square test at a 95% confidence level. The results revealed significant associations between family income (p = 0.001), parental education (p = 0.038), and media exposure (p = 0.001) with premarital sexual behavior. Adolescents from lower-income families and with less-educated parents were more likely to engage in premarital sexual activity. Internet exposure was the strongest factor, associated with higher-risk behaviors such as oral sex and sexual intercourse.

References

Al Mutoharoh, A., Djamal, N. N., & Tahrir, T. (2023). Premarital Sexual Behavior, Sexual Assertiveness, and Sex Guilt Among College Students. Psympathic: Jurnal Ilmiah Psikologi, 10(2), 171-176. https://doi.org/10.15575/psy.v10i2.30633

Asnuddin, A., & Haryono, H. (2020). Analisis Tingkat Pengetahuan dan Lingkungan Pergaulan dengan Perilaku Remaja Tentang Seks Pranikah. Jurnal Kebidanan dan Keperawatan Aisyiyah, 16(1), 87-95. https://doi.org/10.31101/jkk.644

Aulia, D. L. N., & Tan, C. C. (2020). Peran PIK-R Dengan Perilaku Seks Pranikah Pada Remaja. JKM (Jurnal Kebidanan Malahayati), 6(2), 249-254. https://doi.org/10.33024/jkm.v6i2.2647

Belfiore, C. I., Galofaro, V., Cotroneo, D., Lopis, A., Tringali, I., Denaro, V., & Casu, M. (2024). A multi-level analysis of biological, social, and psychological determinants of substance use disorder and co-occurring mental health outcomes. Psychoactives, 3(2), 194-214. https://doi.org/10.3390/psychoactives3020013

BKKBN. (2019). Survei Kinerja dan Akuntabilitas Program (SKAP) tahun 2019. Jakarta: BKKBN.

Cohen, J. (1988). Statistical power analysis for the behavioral sciences. New York: Routledge. https://doi.org/10.4324/9780203771587

Hegde, A., Chandran, S., & Pattnaik, J. I. (2022). Understanding adolescent sexuality: A developmental perspective. Journal of psychosexual health, 4(4), 237-242. https://doi.org/10.1177/26318318221107598

Holness, N. (2015). A global perspective on adolescent pregnancy. International journal of nursing practice, 21(5), 677-681. https://doi.org/10.1111/ijn.12278

Kusumawardani, N., Ramani, A., & Cahyaningrat, D. B. (2024). Internet Media Exposure to Premarital Sexual Behavior in Students at SMAN 1 Dringu, Probolinggo Regency 2023. Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education, 12(1), 102–109. https://doi.org/10.20473/jpk.V12.I1SP.2024.102-109

Limbong, T., & Sukarta, M. (2021). Premarital Sex Behaviour of Adolescents in Makassar, Indonesia. Medico-Legal Update, 21(1), 1143–1148. https://doi.org/10.37506/mlu.v21i1.2472

Mastorci, F., Lazzeri, M. F. L., Vassalle, C., & Pingitore, A. (2024). The transition from childhood to adolescence: Between health and vulnerability. Children, 11(8), 989. https://doi.org/10.3390/children11080989

Nursanti, D. P., Kumalasari, E. P., Setyaningsih, A., Siekmans, J., & Wabeke, V. (2022). Analysis of adolescent reproductive health knowledge on premarital sexual attitude. Journal for Quality in Women's Health, 5(2), 189-194. https://doi.org/10.30994/jqwh.v5i2.160

Romer, D., Stanton, B., Galbraith, J., Feigelman, S., Black, M. M., & Li, X. (1999). Parental influence on adolescent sexual behavior in high-poverty settings. Archives of pediatrics & adolescent medicine, 153(10), 1055-1062. https://doi.org/10.1001/archpedi.153.10.1055

Sejati, P. E., Mufida, R. T., & Wulandari, A. (2024). Barrier To Parents-Adolescent Communication On Sexual And Reproductive Health To Prevent Premarital Sexual Behaviour: A Qualitative Sistematic Review. Journal for Quality in Women's Health, 7(1), 28-36. https://doi.org/10.30994/jqwh.v7i1.238

Tyas, A. C., & Setiyadi, N. A. (2023, September). Associations of Pornography Exposure on Social Media, and Peer Influence, with Pre-Marital Sexual Behavior in Students in Surakarta, Central Java, Indonesia. The International Conference on Public Health Proceeding, 8(1), 280–286. Retrieved from: https://theicph.com/index.php/icph/article/view/2505

United Nations Population Fund (UNFPA). (2025). The Real Fertility Crisis-The Pursuit of Reproductive Agency in a Changing World. New York: UNFPA.

United Nations Children’s Fund. (2021). The State of the World’s Children 2021: On My Mind—Promoting, protecting and caring for children’s mental health. New York: UNICEF.

Widarini, N. P., Tetradewi, F. S., & Emilia, O. (2019). Reproductive Health Promotion Through Traditional Art Media Reduced The of Premarital Sex Intention Among Adolescent Population in Gianyar, Bali. Bali Medical Journal, 8(3), 886–891. https://doi.org/10.15562/bmj.v8i3.1562

WHO. (2024). Adolescent Pregnancy. Geneva: WHO. Retrieved from: https://www.who.int/news-room/fact-sheets/detail/adolescent-pregnancy

Wulandari, R., Aprianti, A., Ashari, A., & Waluyo, D. E. (2024). Exploring patterns and determinants of premarital sexual behaviour among Indonesian university students. African Journal of Reproductive Health, 28(6), 75-84. https://doi.org/10.29063/ajrh2024/v28i6.8

Downloads

Published

2025-09-30

How to Cite

Qonita, Q., & Yulvia, N. T. (2025). Analysis of Factors Associated with Premarital Sexual Behavior among Adolescents. Ahmar Metastasis Health Journal, 5(2), 132–138. https://doi.org/10.53770/amhj.v5i2.592