Risk Factors of Sexual Behavior Related to Sexually Transmitted Infections among Male Adolescents in Sidoarjo Regency

Authors

DOI:

https://doi.org/10.26699/jnk..v13i2.ART.p205-217

Keywords:

Sexual Behavior, Adolescent Boys, Risk Factors, STIs

Abstract

Risky sexual behavior among male adolescents contributes substantially to the increasing incidence of sexually transmitted infections (STIs). Understanding the associated determinants is essential for developing effective prevention strategies. This study analyzed factors associated with risky sexual behavior related to STIs among male adolescents in Sidoarjo Regency. An analytical cross-sectional study was conducted among the population of 10,980 and took 9,160 male adolescents aged 15–24 years in Sidoarjo Regency as the sample. Data were collected using structured questionnaires and analyzed using Chi-square tests with a significance level of 0.05. A total of 14.8% of respondents reported risky sexual behavior. Most respondents had poor knowledge (68.3%), negative attitudes (56.9%), perceived limited school involvement in reproductive health education (52.3%), and reported no peer influence (72.4%). Significant associations were found between risky sexual behavior and age (p<0.001), education level (p<0.001), knowledge (p<0.001), attitudes (p<0.001), peer influence (p<0.001), and school role (p=0.025). Risky sexual behavior among male adolescents is influenced by demographic, cognitive, and environmental factors. Strengthening comprehensive reproductive health education through schools and peer-based interventions is essential to reduce risky sexual behavior and prevent STIs.

References

Adiputra, I. M. S. (2021). Health Research Methodology. In Yayasan Kita Write. Our Writing Foundation.

Allison, B. A., Wilkinson, T. A., & Maslowsky, J. (2025). Adolescent-Centered Sexual and Reproductive Health Communication. JAMA, 333(3), 250–251. https://doi.org/10.1001/jama.2024.24246

Ambarwati, E. R., Lestari, R. T., Handari, M., & Wijayanti, A. E. (2024). Adolescents' Attitudes Towards Sexuality, HIV/AIDS and Drugs. Journal of Public Health, 17(2), 73–77.

Ashley, C. L., Rasberry, C. N., & Robin, L. (2022). Intervening at the Right Level to Improve Student Health: An Analysis of Levels of Influence on Sexual Behavior of High School Students. AIDS Education and Prevention. https://doi.org/10.1521/aeap.2022.34.4.300

Bibby, E. S., Choukas-Bradley, S., Widman, L., Turpyn, C., Prinstein, M. J., & Telzer, E. H. (2023). A longitudinal assessment of adolescents' sexual communication with parents, best friends, and dating partners. Developmental psychology, 59(7), 1300–1314. https://doi.org/10.1037/dev0001556

Candrawati, Riska D., et al. Promosi dan Perilaku Kesehatan. Edited by Mubarak, Mubarak, et al, Eureka Media Aksara, 2023.

Changes in knowledge of safe sex and sexual behaviour among male vocational high school students in Zhejiang Province, China. (2025). Frontiers in Reproductive Health, 7. https://doi.org/10.3389/frph.2025.1653622

Ching, K., Tilak, S., Allsop, Y., & Anderman, E. M. (2025). Adolescents' Beliefs About Sex: The Moderating Effects of Peer Attitudes. Journal of Early Adolescence. https://doi.org/10.1177/02724316241249483

Condom non-use among adolescents: Prevalence and associated factors among school-going adolescents from 58 countries. (2024). Sexual & Reproductive Healthcare, 42, 101035. https://doi.org/10.1016/j.srhc.2024.101035

Dittus, P. J., Michael, S. L., Becasen, J. S., Gloppen, K. M., McCarthy, K., & Guilamo-Ramos, V. (2015). Parental Monitoring and Its Associations With Adolescent Sexual Risk Behavior: A Meta-analysis. Pediatrics, 136(6), e1587–e1599. https://doi.org/10.1542/peds.2015-0305

Fariana, Y. R. N., Novita, A., & Nina, N. (2024). The Influence of Peer Roles, Self Esteem, and Social Media Use with Premarital Sex Behavior in Adolescents. Journal of Public Health Sciences, 13(02), 192–203. https://doi.org/10.33221/jikm.v13i02.2667

Forrester, E. J., Henke, J., Knab, J., & Cole, R. (2025). Promising Predictors of Adolescent Sexual Behavior Outcomes: A Systematic Review of Longitudinal Research. The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 77(1), 29–40. https://doi.org/10.1016/j.jadohealth.2024.12.002

Garces-Palacio, I.C., Bedoya Mejía, S., Sierra Ospina, D. et al. Strategies, programs and interventions implemented to improve sex workers’ access to health services in low- and middle-income countries: a scoping review. BMC Public Health 26, 1826 (2026). https://doi.org/10.1186/s12889-026-26789-4

Hastuti, P., Wulandari, F., & Yunitasari, E. (2022). Relationship Between Peer Conformity and Sexual Behavior Among Adolescents in Surabaya, Indonesia. Malaysian Journal of Public Health Medicine, 22(2). https://doi.org/10.37268/mjphm/vol.22/no.2/art.1659

Hastuti, P., Salsabila, R., Budiarti, A., & Yunitasari, E. (2023). The correlation between social media use, peer influence, and sexual behaviour among adolescents. Journal of the Pakistan Medical Association. https://doi.org/10.47391/JPMA.Ind-S2-9

Indraswari, R., Handayani, N., & Kusumawati, A. (2025). What Drives Adolescent Sexual Behavior in Dormitories: Freedom or Influence? Jurnal PROMKES, 13(SI1), 180–188. https://doi.org/10.20473/jpk.V13.ISI1.2025.180-188

Ipinnimo, T. M., Rosiji, O. O., Asake, O. T., et al. (2025). Adolescent sexuality education, sexual debut, and associated factors in Nigerian public secondary schools. Scientific Reports, 15, 23249. https://doi.org/10.1038/s41598-025-06360-8

Kabiru C, Habib H, Beckwith S.Risk and Protective Factors for the Sexual and Reproductive Health of Young Adolescents: Lessons Learnt in the Past Decade and Research Priorities Moving Forward. Journal of Adolescent Health, 75, S20-S36. https://doi.org/10.1016/j.jadohealth.2024.03.007

Lubis, E., Novi, N. A., Sutandi, A., Setiyadi, A., & Manurung, S. (2024). The relationship between adolescents' knowledge levels of sexually transmitted infections and adolescents' premarital sexual behavior. Binawan Student Journal, 6(2), 174–182. https://doi.org/10.54771/aenejr76

Mason-Jones, A. J., Sinclair, D., Mathews, C., Kagee, A., Hillman, A., & Lombard, C. (2016). School-based interventions for preventing HIV, sexually transmitted infections, and pregnancy in adolescents. The Cochrane database of systematic reviews, 11(11), CD006417. https://doi.org/10.1002/14651858.CD006417.pub3

Ministry of Health. (2024). Executive Report on the Development of HIV AIDS and Sexually Transmitted Infectious Diseases (PIMS) Semester I of 2024. In the Ministry of Health of the Republic of Indonesia.

Ministry of Health of the Republic of Indonesia. (2022). Development of HIV AIDS and Sexually Transmitted Diseases (PIMS) Quarter IV of 2022. Ministry of Health of the Republic of Indonesia, 913, 1–15. https://siha.kemkes.go.id/portal/files_upload/Laporan_TW_3_2022.pdf

Mandy, J., & Hill, M. J. (2022). Western Journal of Emergency Medicine : Integrating Emergency Care with Population Health Novel Use of Video Logs to Deliver Educational Interventions to Black Women for Disease Prevention. https://doi.org/10.5811/westjem.2021.12.54012

Maulina, R., & Alim, Z. (2020). Media access and premarital sexual behavior are at risk of sexually transmitted infections (STIs) in high school students in Malang Regency. Journal of Health Sciences, 13(01), 39–48. https://doi.org/10.33086/jhs.v13i01.1288

Mlotshwa, L., Plüg, S., Simuyaba, M., Chimbindi, N., Govindasamy, D., Simwinga, M., Mirzoev, T., Seeley, J., & Nurture4Youth project team (2025). Sexual and reproductive health interventions for mobile adolescents and young people in sub-Saharan Africa: a scoping review. BMC public health, 25(1), 3903. https://doi.org/10.1186/s12889-025-25119-4

National Population and Family Planning Board. (2018). Indonesia Demographic and Health Survey 2017. In Kemenkes. www.DHSprogram.com.

Nkurunziza, A., et al. (2025). Peer education programme to improve adolescent sexual and reproductive health in Rwanda. Journal of Public Health in Africa, 16(1). https://doi.org/10.4102/jphia.v16i1.1342

Novita, D. I., Karo, M. B., Tambaip, T., & Ekawati, E. A. (2022, October 22). Prevalence and Characteristics of Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) Patients in Merauke Regency for the Period 1992-2021. Polytechnics of the Ministry of Health of Tasikmalaya.

Novita Haryanto, A., Nina, N., & Ramadhani, N. R. (2023). Increasing Health Policy Literacy in Adolescents to Achieve Health Security in Greater Jakarta. Journal of Community Service Saga, 2(3), 206–211. https://doi.org/10.53801/jpmsk.v2i3.119

Pratiwi, A., & Lestari, S. (2021). The Relationship of Parental Parenting with Adolescent Emotional Maturity at Ayatra Islamic Junior High School. Health Journal, 10(1), 74–81. https://doi.org/10.37048/kesehatan.v10i1.338

Promising Predictors of Adolescent Sexual Behavior Outcomes: A Systematic Review of Longitudinal Research. (2025). Journal of Adolescent Health, 77(1), 29–40. https://doi.org/10.1016/j.jadohealth.2024.12.002

Pujiningsih, E., & Kusumawardani, D. (2021). A Study on the Level of Adolescent Knowledge about Sexually Transmitted Diseases at Al-Ikhwan Sesait Kayangan Islamic High School, North Lombok Regency. Journal of Health and Pharmaceutical Sciences, 9(1). https://doi.org/https://doi.org/10.51673/jikf.v9i1.732

Putri, A., & Sansuwito, T. (2025). Enhancing adolescent knowledge and attitudes: the impact of peer mentorship on sexual and reproductive health. International Journal of Adolescent Medicine and Health. https://doi.org/10.1515/ijamh-2025-0071

Rahayu, D. S., Siauta, J. A., & Indrayani, T. (2023). The Effect of Health Counseling on Sexuality on the Perception of Class X Adolescent Women. Permas Scientific Journal: STIKES Kendal Scientific Journal, 13(2), 351–356. https://doi.org/10.32583/pskm.v13i2.846

Ramadani, R. C., Ibrahim, K., Mirwanti, R., Maulana, S., & Jabareen, R. (2024). Social media use, knowledge, attitudes, and risky sexual behavior of HIV transmission among boarding school adolescent students in Indonesia. Belitung Nursing Journal, 10(3), 322–331. https://doi.org/10.33546/bnj.3244

Risk and Protective Factors for the Sexual and Reproductive Health of Young Adolescents: Lessons Learnt in the Past Decade and Research Priorities Moving Forward. (2024). Journal of Adolescent Health, 75(Suppl), S20–S36. https://doi.org/10.1016/j.jadohealth.2024.03.007

Rosyida, L. M., Winarni, S., Agushybana, F., & Dharminto. (2025). The Evolution of Adolescent Sexual Practices in Indonesia: A Longitudinal Study. Jurnal Promosi Kesehatan Indonesia, 20(2), 96–101. https://doi.org/10.14710/jpki.20.2.96-101

Santrock, J. W. (2017). Educational Psychology. In McGraw-Hill (2nd ed.). Kencana.

Sintiarini, P. L. (2022). The Relationship between the Level of Knowledge about Sexually Transmitted Infections (STIs) and Adolescent Free Sex Behavior at SMA Negeri 1 Bebandem. Faculty of Health, Bachelor of Nursing Study Program, Bali Institute of Technology and Health.

Suciyanti, Indahwati, L., & Iffah, K. (2022). The Influence of Teleeducation Method on The Level of Knowledge and Attitudes About HIV/AIDS in SMA Negeri 1 Ciasem Students. Midwiferia Jurnal Kebidanan, 8(2), 30–2022. https://doi.org/https://doi.org/10.21070/midwiferia.v8i2.1661

Suaib, C. N. A., et al. (2025). Peer Influence Factors on Free Sexual Behavior Among Adolescents. Indonesian Journal for Health Sciences. https://doi.org/10.24269/ijhs.v10i1.12275

Syauqina Idzni, A., & Yapkesi Sukabumi, P. (2025). The Effect of Health Education on the Level of Knowledge of Adolescent Women About Sexually Transmitted Diseases. Journal of Asclepius Science, 7(2), 184–191. https://doi.org/10.31539/t2wvhb56

Vatrisya, G., Febliyanti, D., & Anggraini, D. (2024). Sexually Transmitted Infections in Adolescents in Indonesia: Prevalence, Risk Factors and Prevention Efforts. Journal of Public Health Science (JoPHS), 1(2).

Vo, Thang. (2020). Parental monitoring and adolescent health risk behaviors: A comparative analysis of nine Southeast Asian countries. 10.21203/rs.3.rs-23553/v1.

World Health Organization. (2018). Guidance on ethical considerations in planning and reviewing research studies on sexual and reproductive health in adolescents. In World Health Organization.

Widman, Laura & Noar, Seth & Choukas-Bradley, Sophia & Francis, Diane. (2014). Adolescent Sexual Health Communication and Condom Use: A Meta-Analysis. Health Psychology. 33. https://doi.org/10.1037/hea0000112?urlappend=%3Futm_source%3Dresearchgate.net%26utm_medium%3Darticle

Woodward, N., Buckley, L., Dean, J. A., & Fowler, J. A. (2024). Young People's Trust in Digital Sexual Healthcare: A Narrative Review. International journal of sexual health : official journal of the World Association for Sexual Health, 37(1), 81–101. https://doi.org/10.1080/19317611.2024.2439330

Wulandari, M. R. S., & Kusuma, A. A. N. N. (2019). The role of peers on the sexual behavior of adolescent boys and adolescent girls: a comparative study. National Health Research Journal, 3(1). https://ejournal.itekes-bali.ac.id/jrkn/article/view/135

Yuliana Nur Kolifah, Yeni Tutu Rohimah, & Martono Martono. (2024). Effect of e-health literacy support on the HIV/AIDS transmission preventive behavior of punk teenagers in Indonesia. GSC Advanced Research and Reviews, 18(2), 246–251. https://doi.org/10.30574/gscarr.2024.18.2.0056

Yuliana, Sugiyatmi, T. A., & Prastyo, Y. (2024). The relationship of adolescents' knowledge of body changes during puberty with premarital sex behavior. Journal of Malahayati Medicine, 8(4), 770–776. https://doi.org/https://doi.org/10.33024/jmm.v8i4.16085

Downloads

Published

11-08-2026

Issue

Section

Article