title: Prevalence of factors related to active reproductive health behavior: a cross-sectional study Indonesian adolescent.
abstract: OBJECTIVE
  Complex and diverse factors are related to reproductive health (RH) behavior among adolescents according to the social and cultural context of each countries. This study examined the prevalence of active RH and factors related to active RH behavior among Indonesian adolescents.
  
  
  METHODS
  A cross-sectional study was conducted among 1,040 of students who were selected through a multi-stage random sampling technique. A self-administered questionnaire was developed, including the World Health Organization Illustrative Questionnaire for Interview-Surveys with Young People, pubertal development scale, and sexual activity scale, modified in accordance to the Indonesian context. The data were analyzed using descriptive and comparative statistics, as well as logistic regression analyses.
  
  
  RESULTS
  The prevalence of active RH behavior were more higher in boys (56.6%; 95% confidence interval [CI], 50.6% to 62.6%) than in girls (43.7%; 95% CI, 37.6% to 49.8%). Negative attitudes towards RH were a factor related to active RH behavior in both boys and girls. Smoking and kind relationship envisioned before marriage (pacaran[courtship] andnikah siri[non-registered marriage]) were factors related to active RH behavior in boys; whereas the absence of access to information on substance abuse was an additional factor in girls. Moreover, an interaction was found between access to information on development and smoking (boys) and attitudes on RH (girls) as independent variables associated with active RH behavior.
  
  
  CONCLUSIONS
  Sex education for adolescents in Indonesia, particularly in the context of a health promotion program, should be developed based on prevalent social, cultural, and religious values to prevent active RH behavior. Such programs should focus on the kind of relationship envisioned before marriage and smoking for boys and access to information on subtance abuse for girls.
authors.affiliation: Department of Health Development Nursing, Division of Health Sciences, Graduate School of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Japan.|Family and Community Health Nursing Department, School of Nursing, University of Jember, Jember, Indonesia.
authors.forename: Tantut
authors.initials: T
authors.lastname: Susanto
authors.affiliation: Maternity Nursing Department, School of Nursing, University of Jember, Jember, Indonesia.
authors.forename: Iis
authors.initials: I
authors.lastname: Rahmawati
authors.affiliation: Mental Health Nursing Department, School of Nursing, University of Jember, Jember, Indonesia.
authors.forename: Emi Wuri
authors.initials: EW
authors.lastname: Wuryaningsih
authors.affiliation: Department of Health Development Nursing, Division of Health Sciences, Graduate School of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Japan.
authors.forename: Ruka
authors.initials: R
authors.lastname: Saito
authors.affiliation: Department of Health Development Nursing, Division of Health Sciences, Graduate School of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Japan.|Family and Community Health Nursing Department, School of Nursing, Hasanudin University, Makasar, Indonesia.
authors.forename: Syahrul
authors.initials: S
authors.lastname: Syahrul
authors.affiliation: Department of Health Development Nursing, Division of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Japan.
authors.forename: Rumiko
authors.initials: R
authors.lastname: Kimura
authors.affiliation: Department of Health Development Nursing, Division of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Japan.
authors.forename: Akiko
authors.initials: A
authors.lastname: Tsuda
authors.affiliation: Department of Health Development Nursing, Division of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Japan.
authors.forename: Noriko
authors.initials: N
authors.lastname: Tabuchi
authors.affiliation: Department of Clinical Nursing, Division of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Japan.|Wellness Promotion Sciences Center, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Japan.
authors.forename: Junko
authors.initials: J
authors.lastname: Sugama
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D002648:Child; D002652:Child Behavior; D003430:Cross-Sectional Studies; D005260:Female; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007214:Indonesia; D008297:Male; D015995:Prevalence; D012098:Reproduction; D043762:Reproductive Behavior; D060728:Reproductive Health; D012309:Risk-Taking; D012736:Sex Education; D012725:Sexual Behavior; D012907:Smoking / Q000453:epidemiology; D019966:Substance-Related Disorders / Q000453:epidemiology; D011795:Surveys and Questionnaires
keywords: Adolescent behavior; Cross-sectional studies; Culture; Prevalence; Reproductive health