Relationship Between Smoking Behavior, Alcohol Consumption, Sexual and Reproductive Health with Adolescent Health Quality of Life in East Bolaang Mongondow Regency

The adolescent period is often considered a healthy phase of life. Risky behaviors such as smoking, alcohol consumption, and casual sex pose significant challenges to their quality of life. Data and research indicate that these behaviors not only impact physical health but also worsen the overall quality of life. The objective of this research is to analyze the relationship between smoking behavior, alcohol consumption, sexual and reproductive health, and the health-related quality of life among adolescents in East Bolaang Mongondow Regency. This study is quantitative, utilizing an analytical observational method with a cross-sectional approach. The sample size consists of 428 respondents. Primary data was obtained through interviews using questionnaires, while secondary data includes information obtained from schools in East Bolaang Mongondow Regency, such as student data, geographical and demographic descriptions. Data analysis in this study includes descriptive, bivariate (Chi-square), and multivariate (logistic regression) analyses. The research findings reveal that there is a relationship between smoking behavior and the health-related quality of life among adolescents in East Bolaang Mongondow Regency in all domains (physical domain p=0.000, psychological p=0.001, social p=0.000, and environmental p=0.000). There is also a relationship between alcohol consumption and the health-related quality of life among adolescents in East Bolaang Mongondow Regency in all domains (physical domain p=0.000, psychological p=0.017, social p=0.060, and environmental p=0.047). However, there is no relationship between sexual and reproductive health and the health-related quality of life among adolescents in East Bolaang Mongondow Regency in all domains (physical p=0.733, psychological p=0.465, social p=0.098, and environmental p=0.966). In conclusion, smoking and alcohol consumption, except in the social domain, are related to the health-related quality of life among ......