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Abstract

Background: Premarital sex is culturally unacceptable in Indonesia and education on safe sex practice remains controversial. Meanwhile, Indonesia Demographic and Health Surveys (IDHS) show gradual increase in the prevalence of sexually-active adolescents nationwide, particularly among unmarried males. Unfortunately, condom use is low among this population and it is unclear whether it relates to inadequate knowledge on safe sex practice including condoms. Objective: to see whether there is an association between knowledge on condom functions and condom use among adolescents.Method: cross-sectional study of 913 Indonesian unmarried males aged 15 – 24 who have had sex (IDHS Adolescent Reproductive Health 2012 dataset). The independent variable is knowledge on condom functions while the dependent variable is the use of condoms. Statistical analysis is performed using Chi Square and Cox regression.Result: The prevalence of condom use is about twice higher in respondents with sufficient knowledge on condom functions (31%), than in respondents without (15.1%); adjusted PR 2.38 (95%CI 1.47 3.85). Conclusion: Having knowledge about condoms is positively associated with safer sex practice among sexually active adolescents. Banning information on condoms may place sexually-active adolescents into unprotected sex. Education on safe sex practice is needed but should be cautiously tailored to meet cultural values

References

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Bahasa Abstract

dan pendidikan tentang kesehatan seksual masih dianggap kontroversial. Ironisnya, Survei Demografi dan Kesehatan Indonesia (SDKI) menunjukkan adanya peningkatan prevalensi perilaku seks pranikah di kalangan remaja, khususnya laki-laki. Sayangnya, penggunaan kondom pada populasi ini terbilang rendah dan tidak diketahui apakah itu berhubungan dengan minimnya pengetahuan kesehatan seksual termasuk penggunaan kondom. Tujuan: untuk melihat apakah ada hubungan antara pengetahuan tentang fungsi kondom dengan penggunaan kondom di kalangan remaja.Metode: Penelitian potong-lintang terhadap 913 laki laki Indonesia usia 15-24 tahun yang melakukan hubungan seksual pranikah (SDKI Kesehatan Reproduksi Remaja). Variabel independen adalah pengetahuan tentang fungsi kondom sedangkan variabel dependen adalah penggunaan kondom. Analisis statistik dilakukan menggunakan Chi Square danCox regression.Hasil: Prevalensi penggunaan kondom sekitar dua kali lebih tinggi pada responden dengan pengetahuan yang cukup tentang fungsi kondom (31%), dibandingkan responden tanpa pengetahuan tersebut (15,1%);adjusted PR 2,38 (95% CI 1,47 - 3,85). Simpulan: Pengetahuan tentang kondom berasosiasi positif dengan penggunaan kondom pada remaja pelaku hubungan seksual pranikah. Pelarangan informasi tentang kondom dapat membuat remaja yang aktif secara seksual melakukan hubungan seksual tidak aman. Pendidikan tentang kesehatan reproduksi dan praktik seks aman diperlukan namun harus disesuaikan dengan nilai-nilai budaya.

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