Hubungan Digital Sexual Health Literacy Dengan Perilaku Kesehatan Reproduksi Pada Remaja Putri Di SMA Negeri 1 Selesai
Keywords:
digital sexual health literacy, adolescent reproductive health, sexual behavior, female adolescents, digital health literacyAbstract
reproductive health-related issues. In the context of rapidly advancing digital technology, an individual's capacity to seek, comprehend, critically assess, and practically utilize online sexual health information collectively referred to as digital sexual health literacy (DSHL) has emerged as a significant determinant shaping reproductive health behaviors. Nevertheless, empirical evidence exploring DSHL and its association with reproductive health behavior among high school female students within the Indonesian context remains considerably scarce. This study aimed to examine the association between digital sexual health literacy and reproductive health behavior among female students enrolled at SMA Negeri 1 Selesai, Langkat Regency, North Sumatra Province. An observational analytical approach with a cross-sectional study design was employed. The minimum required sample size was calculated at 97 respondents, subsequently adjusted to 108 respondents to accommodate a 10% anticipated drop-out rate. Participants were recruited using proportionate stratified random sampling. A structured questionnaire served as the primary data collection instrument. Data were analyzed across three levels: univariate, bivariate using the chi-square test, and multivariate using binary logistic regression. The majority of respondents demonstrated a moderate level of DSHL (45.4%), while poor reproductive health behavior was prevalent among more than half of the study sample (52.6%). The chi-square analysis revealed a statistically significant association between the two variables (p=0.000; OR=4.21; 95% CI=2.14–8.29). Among all dimensions examined in the multivariate analysis, the ability to evaluate digital health information emerged as the most influential predictor (OR=3.133). A statistically significant relationship exists between digital sexual health literacy and reproductive health behavior in adolescent females. Consequently, enhancing DSHL through the development and implementation of digitally-based health education programs warrants prioritization as a key reproductive health intervention strategy.
References
Afrianto, I. (2024). Analisis perilaku kesehatan reproduksi remaja di SMAN 1 Palu: Pengaruh pendidikan, lingkungan sosial dan media. Jurnal Kolaboratif Sains, 7(1), 467–472.
Albury, K., & Mannix, K. (2023). Digital sexual health literacy and workforce capabilities: A research report. Australian Institute of Digital Health.
Borji-Navan, S., Maleki, N., & [et al.]. (2024). Efficacy of digital health interventions used for adolescent's sexual health: An umbrella review. Health Science Reports, 7(12), e70212. https://doi.org/10.1002/hsr2.70212
Crawford, A., & Serhal, E. (2020). Digital health equity and COVID-19: The innovation curve cannot reinforce the social gradient of health. Journal of Medical Internet Research, 22(6), e19361.
Farwati, A. F., Ikhtiar, M., & Mahmud, N. U. (2023). Faktor yang berhubungan dengan perilaku seksual remaja di SMAN 2 Kabupaten Bone. Window of Public Health Journal, 4(3), 449–461.
Fisher, J. D., & Fisher, W. A. (1992). Changing AIDS-risk behavior. Psychological Bulletin, 111(3), 455–474.
Glanz, K., Rimer, B. K., & Viswanath, K. (2015). Health behavior: Theory, research, and practice (5th ed.). John Wiley & Sons.
Janighorban, M., Boroumandfar, Z., Pourkazemi, R., & Mostafavi, F. (2022). Barriers to vulnerable adolescent girls' access to sexual and reproductive health. BMC Public Health, 22(1), 2212.
Kementerian Kesehatan Republik Indonesia. (2024). Profil Kesehatan Indonesia 2023. Kemenkes RI.
Lemeshow, S., Hosmer, D. W., Klar, J., & Lwanga, S. K. (1997). Adequacy of sample size in health studies. World Health Organization.
Manisah, M., Husnah, R., & Purba, N. H. (2023). Pengaruh media Instagram sebagai sumber informasi kesehatan terhadap perilaku remaja dalam menjaga kesehatan reproduksi. Jurnal Promotif Preventif, 6(5), 759–766.
Meherali, S., Hussain, A., Abdul Rahim, K., Idrees, S., Bhaumik, S., Kennedy, M., & Lassi, Z. S. (2024). Digital knowledge translation tools for sexual and reproductive health information to adolescents: An evidence gap-map. Global Health: Science and Practice. https://doi.org/10.1177/26334941241307881
Mustofa, R. A. B., & Sani, M. (2024). Efektivitas promosi kesehatan melalui media sosial dalam mendorong perilaku hidup sehat pada remaja. Sosial Simbiosis: Jurnal Integrasi Ilmu Sosial dan Politik, 1(3), 212–223.
Norman, C. D., & Skinner, H. A. (2006). eHEALS: The eHealth Literacy Scale. Journal of Medical Internet Research, 8(4), e27.
Olajubu, A. O., Komolafe, A. O., & Fatusi, A. O. (2026). Sexual and reproductive health literacy and service utilization among young people in Southwest Nigeria. SAGE Open Medicine. https://doi.org/10.1177/23779608251411367
Patterson, S. P., Hilton, S., Flowers, P., & McDaid, L. M. (2019). What are the barriers and challenges faced by adolescents when searching for sexual health information on the internet? Sexually Transmitted Infections, 95(6), 462–467.
Ramirez, [et al.]. (2024). Effectiveness of digital interventions to reduce school-age adolescent sexual risks: A systematic review. Journal of Nursing Scholarship. https://doi.org/10.1111/jnu.12978
Realita, F., Kusumaningsih, M. R., & Wiwi, W. M. (2022). Korelasi penggunaan media sosial terhadap perilaku seks pranikah pada remaja: Literature review. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 5(6), 605–611.
Richardson, S., [et al.]. (2022). Digital determinants of health: A literature review. Health Promotion International.
Sao, S., [et al.]. (2023). Advancing access to care through digital health: Perspectives from youth on a novel platform. Journal of Pediatric and Adolescent Gynecology, 36(5), 449–454.
Sari, A. K., Meinarisa, M., & Mekeama, L. (2023). Hubungan literasi informasi kesehatan reproduksi terhadap tingkat pengetahuan dan sikap kesehatan reproduksi remaja SMP di Kota Jambi. Jurnal Ners, 7(2), 1641–1651.
Small, E., Nikolova, S. P., Keyes, L. L., & Robinson, S. R. (2023). Sexual health literacy, parental education, and risky sexual behavior among college students in Sierra Leone. Cogent Social Sciences, 9(2). https://doi.org/10.1080/23311886.2023.2279352
Sons, A., & Eckhardt, A. L. (2023). Health literacy and knowledge of female reproduction in undergraduate students. Journal of American College Health, 71, 836–843.
Sugiyono. (2022). Metode penelitian kuantitatif, kualitatif, dan R&D. Alfabeta.
Widman, L., Nesi, J., Kamke, K., Choukas-Bradley, S., & Stewart, J. L. (2018). Technology-based interventions to reduce sexually transmitted infections and unintended pregnancy among youth. Journal of Adolescent Health, 62(6), 651–660.
World Health Organization. (2023). Working for a brighter, healthier future: How WHO improves health and promotes well-being for the world's adolescents (2nd ed.). WHO.
World Health Organization. (2024). Global accelerated action for the health of adolescents (AA-HA!): Guidance to support country implementation (2nd ed.). WHO.
