Abstract

Remaja usia 10-24 tahun merupakan kelompok yang rentan terhadap perilaku seksual pranikah, penyalahgunaan narkoba dan infeksi HIV/AIDS. Papua merupakan penyumbang angka HIV/AIDS terbesar di Indonesia. Untuk menanggulangi permasalahan tersebut Rutgers WPF membentuk suatu program intervensi kesehatan reproduksi remaja di tingkat sekolah menengah atas (SMA) yakni program Dunia Remajaku Seru! (DAKU!). Penelitian ini bertujuan untuk mengetahui determinan psikososial perilaku seksual berisiko pada siswa SMA di Kabupaten Merauke dengan menggunakan pendekatan potong lintang. Sampel berjumlah 1.364 siswa SMA kelas dua yang mendapatkan program DAKU!dan dilakukan proses pencocokan pada sekolah yang tidak mendapat program DAKU!. Analisis data meliputi analisis univariat, bivariat (uji kai kuadrat) dan multivariat (uji regresi logistik). Hasil analisis menunjukkan bahwa variabel yang signifikan berhubungan dengan perilaku seksual berisiko remaja adalah kelompok teman sebaya dengan perilaku negatif, efikasi diri, kontrol orangtua, keterpaparan dengan program DAKU!dan jenis kelamin. Sedangkan berdasarkan hasil analisis multivariat, kelompok teman sebaya dengan perilaku negatif merupakan faktor yang paling dominan memengaruhi perilaku seksual berisiko. Adolescents aged 10-24 years old are susceptible group to premarital sex, drugs abuse, and HIV/AIDS infection. Papua is the largest contributor to AIDS/HIV number in Indonesia. To overcome such problem, Rutgers WPF formed Dunia Remajaku Seru!(DAKU!), an intervention program towards adolescent reproductive health at senior high school level. This study aimed to determine psychosocial determinants of risky sexual behavior among senior high school students in Merauke District through cross-sectional approach. Samples were 1,364 second grade students that got DAKU!Program and matching process was conducted on schools that did not get DAKU!Program. Data analysis included univariate analysis, bivariate (chi square test) and multivariate (logistic regression test). Results showed that variables significantly related to adolescent risky sexual behavior were peer group with negative behavior, self-efficacy, parents’control, exposure to DAKU!Program and sex. Meanwhile, based on multivariate analysis, peer group with negative behavior (RP = 4.7 CI = 2.8 - 7.7) was the most dominant factor influencing risky sexual behavior.

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