Sexual Risk Behavior and its Impact on Unwanted Pregnancy Among Adolescents

Fenny Etrawati, Yeni Yeni, Widya Lionita, Annisa Rahmawaty, D. N. Fajarningtiyas
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Abstract

Sexual activity among adolescents is increasingly alarming; the results of a national survey identified about 4.5% of teenage boys and 0.7% of teenage girls have had sexual intercourse that triggers unwanted pregnancies. This study analyzed the influence of risky sexual behavior factors in adolescents on the incidence of unwanted pregnancy. This research is a secondary data analysis sourced from Indonesian Demographic and Health Survey (IDHS) data in 2017 using a cross-sectional design. The study sampled 15-24-year-olds who had sexual intercourse with as many as 1532 people. Data were analyzed univariately while  bivariate analysis using Chi-Square test and multivariate analysis with logistic regression test of the risk factor model. The results showed unwanted pregnancy occurred in 8.6% of adolescents who had a history of having sexual intercourse. In addition, it will be 4.5 times greater risk of unwanted pregnancy occurred in adolescents who performed risky behaviors such as fingering and stimulating each other after being controlled by variable confounding age and age when first having sex (PR = 4.570). Therefore, equal access to reproductive health education is needed both in educational institutions and in the community as an effort to prevent unwanted pregnancy.
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性风险行为及其对青少年意外怀孕的影响
青少年的性活动日益令人担忧;一项全国性调查结果显示,约有 4.5%的少男和 0.7%的少女发生过引发意外怀孕的性行为。本研究分析了青少年危险性行为因素对意外怀孕发生率的影响。本研究是一项二手数据分析,数据来源于2017年印度尼西亚人口与健康调查(IDHS)数据,采用横断面设计。研究抽样调查了15-24岁的青少年,他们与多达1532人发生过性关系。对数据进行了单变量分析,同时使用Chi-Square检验进行了双变量分析,并使用风险因素模型的逻辑回归检验进行了多变量分析。结果显示,在有过性生活史的青少年中,8.6%的人意外怀孕。此外,在控制了年龄和首次发生性行为的年龄等混杂变量后,有手指触摸和相互刺激等危险行为的青少年发生意外怀孕的风险将增加 4.5 倍(PR = 4.570)。因此,教育机构和社区都需要提供平等的生殖健康教育机会,以防止意外怀孕。
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